Faith and the Flu Vaccine

Some trust in God, some trust in nature, others trust in nothing and no-one.

The roots of these feelings lie deep, too deep generally for the light to penetrate.

These feelings are almost religious: they express some faith or, occasionally, a fear of all faith.

If you try to debate feelings of this nature you’ll find them impervious to argument. They are held sacred and well away from the light of enquiry.

If you believed I held a particular faith you might consider my belief absurd. But because of your good manners you’d probably keep that view of my quaint beliefs private. You’d realise argument would not budge me and, out of kindness you’d refrain from locking horns with me.

Circumcision evokes a great example of quasi-religious positions. Whenever you hear the subject discussed you’ll recognise the intensity with which a person expresses a position. Here we find conviction, not opinion. Convictions are guarded fiercely, they are immune to fresh evidence: conviction is the opposite of scientific openness of mind. I have noticed how lay people, doctors and nurses alike defend their positions on the foreskin with religious intensity. I do not argue with the foreskin zealot.

Winter has come to Australia with promise of our regular influenza epidemic. With winter comes a rise in religious sentiment on the matter of immunisation against the flu. The government preaches immunisation, we doctors echo with our own hosannahs, the trusters in nature shriek back. We all talk at each other. We find it hard to listen when our faiths collide. Doctors trust in herd immunity. On Facebook my daughter tells ‘friends’ she trusts her doctor father. One respondent trusts in nature (“I‘ve been vegan for seven years, and I’ve never had the flu during all that time.”). Another respondent trusts no-one and nothing (“ It’s a conspiracy. Big pharma in cahoots with government.”)

I looked up some facts about influenza and vaccination. I found plenty of facts but these will change few minds. (Two thousand proven influenza deaths. Lots of people become unwell in the two weeks following vaccination. Not everyone who is vaccinated with be immunised. Not a single proven death from the vaccine.)

I had been doctor for two weeks when I saw my first influenza death. The patient caught the flu late in pregnancy. She deteriorated rapidly, developed pneumonia and was soon brain-dead. Her baby was delivered by emergency caesarean section and lived. That baby never knew her mother. Mother was twenty-four years of age. That was my own age at the time.

Last week I vaccinated my children and my grandchildren against the flu. I had the vaccine myself. I offer the same vaccines to all my patients. I answer their questions, I provide information, but I don’t enter into religious disputation.