Years after I first heard about vaccine hesitancy, I learned that a cousin of Christiane and her financial wizard of a husband, also believed the Covid-19 vaccines were unsafe. They tried to persuade their elderly and smart mother not to take them. Remember that at the time scientists were telling us all that the elderly were particularly at risk from Covid-19 and all of them should take the vaccines as soon as possible. The mother of her cousin consulted with her son who was a scientist. He told his mother, in no uncertain terms, that her daughter and son-in-law were out to lunch. “Trust the scientists,” he said.
Who should you trust?
One of my favorite writers, not a physician, but a smart journalist, is Nesrine Malik writing for The Guardian, a respected political journal. She understands politics well. Medicine not so much.
This is what Malik said in an article in that magazine during the Covid-19 pandemic:
“People with the wildest theories about the pandemic can be found in countries even where most people don’t have access to the internet, cable TV or the shock jocks of commercial radio. A common impulse is to write off those espousing conspiracies, consigning them to the casualties claimed by WhatsApp groups, disinformation or silent mental health issues. These things may be true – but vaccine hesitancy is a symptom of broader failures. What all people wary of vaccines have in common, from Khartoum to Kansas is their trust in the state has been eroded. Without understanding this, we will be fated to keep channelling our frustrations towards individuals without grasping why they have lost trust in the first place.”
That run a bell for me. I have attended anti-vax rallies. I have listened to vaccine deniers. I have heard their views. I have listened to them and talked to them. Mistrust of the state and the government are in fact, from my limited experience, a common element.
In fact, as Malik wrote,
“This mistrust can run so deep that people will trust almost any source of information other than the government. In my birthplace of Sudan, fewer than 1% of the population have been fully vaccinated and ventilators are even rarer than vaccines. The story is much the same in several other African countries, where vaccine availability is so poor that people will drop everything and head to a hospital based on nothing but a rumour that free shots are available that day. But for many other people, those rare lifesaving vaccines sound suspiciously like too much of a good thing.”
In some of these places, distrust of government is well-founded. In places like Canada, mistrust of government by indigenous people is well-founded. They know what it is like to be lied to by the government and to suffer the dangerous consequences.
Malik said that even in her family in Sudan two vulnerable members of her family had heard a rumour that an electrical power shortage, which happens there a lot, had resulted in the vaccines being improperly stored and hence were dangerous. When Sudan got a new batch, many of the people believed that “the West” had sent them rejected vaccines to test them on foreign humans. They wanted first to use African guinea pigs while getting favourable PR before trying the batches on their own people. Again, for a country recently colonized such theories were not as whacky as they might sound to us.
Distrust of governments in such places is understandable. What about Canada or the United States?