Bridging the Gap Series : September 2021
Introduction by Vice Chancellor Steve Goldstein
Well into year two of the COVID-19 pandemic, we know much more about this dangerous virus and its impact. Health organizations worldwide, including UCI, have directed multiple resources to studying the illness, developing therapies, and caring for patients and communities. Among key findings, the unvaccinated are now over 98% of the patients who are hospitalized and die when infected. The unvaccinated also have higher viral burdens fostering development of viral variants like the more infectious Delta strain, further increasing the risk of disease for the most vulnerable, including children under 12 years who are too young to be vaccinated. Despite these measurable observations, there is still a large segment of the population who are hesitant or resistant to being protected by vaccination.
In this installment of our Bridging the Gap series that focuses on health equity, Bernadette Boden-Albala, Dean of the future UCI School of Population and Public Health, calls upon healthcare professionals to do more to counter vaccine hesitancy. She offers specific strategies that providers can utilize to educate and encourage vaccination and to reach those in underserved communities where the pandemic is having an outsized impact. A related editorial by Dean Boden-Albala recently ran in The Hill.
By Dr. Bernadette Boden-Albala
We live in a time in which science naysayers seek to overturn established medicine that conflicts with their beliefs. Bombarding the American public with conspiracy theories about magnetic forces and microchips in vaccines, COVID-19 as a government-manufactured means of control, and vaccine development as merely a money-grab scheme, these individuals who doubt the science, exaggerate potential harm, or appeal to personal freedoms to prove their point are getting away with it largely because we public health leaders let them.
Even though approximately 72 percent of the U.S. population ages 12 and up has received at least one dose of a COVID-19 vaccine, and roughly 61 percent are fully vaccinated as of Aug. 25, we still have many Americans who are hesitant or resistant to vaccination. A June poll conducted by Gallup indicates that 14 percent to 26 percent of Americans ages 18 and over say they have not been and do not intend to be vaccinated.
As the back-to-school season got underway, we experienced a rise in COVID-19 infection rates among children. Until there is an approved vaccine for young children, we will not put the pandemic behind us.
As a public health professional and academic leader at a research university, my biggest fear lies with the struggle we face to reach the vaccine-resistant. Science-denialism represents an organized, anti-establishment movement to reject mainstream science and legitimize falsehoods. Never before in modern history have we seen this degree of lack of trust in our health institutions, support for demagoguery, or the discrediting of evidence-based science and plain fact.
Take, for example, the latest threat to our welfare: Delta variant of the coronavirus, officially known as B.1.617.2 , first detected in India in February. Its global spread has made this variant the dominant source of new infections in the United States, with outbreaks in the South, breakthrough cases among the fully-vaccinated, and hospitalization, critical illness and even death among the unvaccinated. Indeed, the risk of future outbreaks is most pronounced in parts of the country with low vaccination rates, which is why we must actively address denial or misinformation of vaccines and their efficacy.
How do we effectively respond to science denialism? The scientific community has debated this question, struggling to decide whether to continue fervently defending the field, to better understand opposing views through an empathetic approach, or to simply refuse to engage with those who encourage and spread misinformation.
Here’s what we need to keep doing:
Denialism and the rejection of the scientific method represent an assault on truth. Groups perpetuating falsehoods threaten our progress in reaching herd immunity and protecting the health of all Americans. Their efforts to sow confusion, create distractions or garner support for vaccine opponents could directly impact public health policy.
Much like the virus itself, science denialism is a threat to our collective well-being, both mind and body. As public health officials, we must stop the infiltration of misinformation into the minds and psyches of Americans, or we will continue to see the unnecessary loss of life spanning generations.
Dr. Bernadette Boden-Albala, MPH, DrPH, is director and founding dean at the University of California-Irvine’s future School of Population and Public Health, and a professor of neurology at UCI School of Medicine. She has been at the forefront of Orange County’s COVID-19 response and has worked with UNICEF and the United Nations World Food Program on responses to Ebola and polio.
Started in June 2020, Bridging the Gap is a series curated by Vice Chancellor Steve Goldstein, as a way to examine and share our work in closing all gaps to achieve health equity through awareness, understanding, compassion and action. You can also receive the series in your inbox by subscribing to the newsletter.
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