글로브앤메일 오피니언 피스 들고 왔습니다.
너무 공감가는 부분들이 많아요. 가끔 vaccine conspiracy theory 들 주장하시는 분들 보면 너무 답답하고 한편으로는 아니, 이렇게 access to information 이 쉬운 세상에서 self educate을 왜 안하나 이런 생각도 드는데 정보의 호수속에서 제대로된 정보를 가려내는게 사실 어찌보면 굉장히 어려운것 같아요.
전체적으로 objective 하게 overview 를 하는게 노력을 많이 요구하기도하고 본인이 찾고 싶은 정보만 찾는게 훨씬 쉬우니까요 ( 기본적으로 백신에 믿음이 없는사람은 백신 conspiracy theory 만 찾아보고 그런 커뮤니티 글 읽고… 서로 막 동조하고… 자신의 믿음을 confirm 하는 결과만… ㅠㅠ)
저도 예전 코로나 백신에 대한 불신이 너무 심한 분이 자기는 플루샷도 안맞는다고… 몸속에 foreign 한게 들어오는건데 이게 좋을수가 있냐고… 이거 다 세계 정부들이랑 빌게이츠가 다 우리를 통제하려는거라고… (하… ㅋㅋㅋ)
그래서 애기때 맞는 각종 백신도 안맞았냐고 물어본적이 있습니다. 본인은 백신 protection 혜택을 다 받았으면서 왜 애 낳으시면 안 맞출거라고 하시냐고. 요즘 measles 로 죽는 사람 없는데 그게 왜 그렇다고 생각하냐고.
그랬더니 갑자기 얼굴이 붉어지며 흥분해서 막 뭐라뭐라 하더라구요. 뭐 백신 맞으면 autism 이 어쩌고 얘기 하길래 그 문제의 논문 직접 보여주고 얼마나 scientific community 가 그 스터디를 invalidate 하고 있는지 보여줬어요. 근데도 흥분해서 계속 자기 주장만 하더라구요…
지금 생각해보면 좀더 kind 하게 접근할수도 있었던것 같은데 본인의 믿음을 다른 주위사람들에게 강요하고 주위사람들이 그런가? 하며 흔들리는 모습을 보여서 저도 이건 빨리 shut down 해야한다 라는 생각이 있었던것 같아요.
이건 generalization 이긴 하지만 이런분들중 많은 분들이 기본적으로 상대가 그건 아닌것 같은데? 라고 하면 굉장히 공격적으로 방어를 많이 하시는데, 제 생각에는 그 이유 중 하나가 상대가 자기를 무시한다는 믿음이 있어서 인것 같아요. 무시 받는다는거에 집중을 하기 때문에 상대가 무슨 말을 하던 안 들리는 경우가 있는거죠.
솔직하게 얘기하자면 저도 속으로 천불나고 상대를 한심하게 생각했었던 터라 그런게 은연중에 행동으로 나왔을거라 생각해요… 저도 삐뚤어진 마음가짐이 어느정도 있었던거죠. 그래서 더 얘가 날 무시하는구나!! 라는 생각에 더 귀를 닫고 화만 냈을지도.
저도 그래서 반성을 좀 하고 그런상황에서 최대한 상대를 무안하지않게 배려하면서 입장을 이해하려 노력하고 좀더 톤이라던가 표정, 바디 랭귀지를 뉴트럴 하게 하려고 노력합니다… 잘 되는지는 미지수이지만 ㅋㅋ
여기 계신 분들은 그런 분들 만났을때 어떻게 대처하시나요?
여담이지만 의사 작가들은 왤케 글을 다 잘쓰는지 모르겠어요. 대체 그많은 공부를 하고 그렇게 바쁘면서 책읽을 시간은 항상 어케 그렇게 있는지 (글을 잘쓰는 이유는 인풋 (독서)이 기본적으로 많아야한다고 생각합니당) .
혹시 관심있을 분을 위해 감명깊게 본 의사가 쓴 책 추천하고갑니당: When Breath Becomes Air
The ‘vaccine hesitant’ are a threat to society. But we must show them compassion
Daniel Kalla is the author of 12 novels – including his newest, Lost Immunity – and the head of the emergency medicine department at St. Paul’s Hospital in downtown Vancouver.
When we think of vaccines, most of us focus on how they will protect our families and ourselves. But the overarching role of vaccination is to protect the population at large, especially the most vulnerable among us, through herd immunity. If we think of viruses as raindrops, then vaccines work like raincoats for each person who gets one, while herd immunity acts like an umbrella for the whole community. In rough terms, 70 per cent of a population needs to be immune to an infectious threat – through vaccination or previous exposure – before herd immunity can be achieved. And since no vaccine is 100 per cent effective, we need to immunize even more than 70 per cent of the population to make the umbrella in our analogy waterproof.
Today’s vaccines have been shown to be among the safest medications on the planet. Still, there are people who reject these miracles of modern science. They are well-meaning, educated and often pillars of their community. And yet the vaccine hesitant represent one of the greatest threats to society.
Why are their beliefs so toxic? Because not only do they risk the welfare of themselves and their loved ones, but they threaten the health of the rest of us, too. In the midst of the COVID pandemic, it is more vital than ever to try to persuade the vaccine hesitant to do what most of us view as our societal obligation.
I meet them daily in my work in the ER. Parents who refuse tetanus boosters for their children. People with chronic respiratory conditions who wind up on ventilators after balking at their annual flu shots or pneumonia vaccine. And now, alarmingly, patients – and, even more disturbingly, fellow health care workers – who swear off the COVID vaccine. Often, there is a personal basis for their views. Many of them associate their own medical conditions and tragedies, or those of their loved ones, back to a vaccination event, even after such links have been scientifically debunked.
But one of the biggest drivers behind the fear of vaccination is the idea that mainstream medicine doesn’t take their concerns seriously. That sense of being unheard drives the vaccine-hesitant right into the arms of those who push anti-vax beliefs, who make them feel counted.
Like most physicians, I view vaccination to be among the greatest achievements of modern medicine. But it does no good to demonize the vaccine hesitant. I have found lecturing and disparaging them accomplishes nothing except to entrench their views and further the divide. I believe showing compassion and trying to understand the basis of their beliefs can accomplish as much to heal the rift as providing actual proof of vaccine safety. At the very least, the sense that they are being listened to is the first crucial step to winning them over to the side of science and reason.
The ER can be a hectic workplace, but to me vaccine hesitancy represents its own form of emergency. And when I encounter such people, I take the time to approach the subject from their perspective – to try to understand what drives their fear of vaccines and to acknowledge their concerns. Then I cite some of the miraculous advances made through vaccination, such as eradicating smallpox and banishing polio to the remote corners of the planet. I describe how the trusted scientific literature uniformly supports vaccination, and I explain the importance of herd immunity. I also tell them how committed I am to fully vaccinating my own family. If they have further questions, I refer them to trusted resources such as the CDC, the WHO or Health Canada websites. But I must admit, sometimes, when most exasperated, I have to fight the urge to ask if they would turn down a rabies vaccine after being bitten by a rabid bat.
I once saw a young mother in the ER who was so concerned about her toddler’s fever and rash that she broke into tears of relief when I told her the child did not have measles. She then sheepishly confessed that she had avoided getting the child vaccinated because her husband’s family was adamantly opposed to it. After a long discussion, she promised to reconsider. Coincidentally, I saw her six months later for an unrelated complaint, and I was so gratified to hear that not only had her child been vaccinated but she had also persuaded her husband’s sister to immunize her children, too.
I suspect that this anecdote is the exception and far more often my arguments fall on deaf ears. It is impossible to overlook the irony that we live in the greatest age of information accessibility and, paradoxically, during a time with such ready acceptance of misinformation. These beliefs are contradicted by any objective scientific standard. So instead, they rely on anecdotal stories – association with diseases rather than causation – and an echo chamber of their own belief system that rises to the level of religion. I see their approach as an offshoot of the tribalism that has caused conspiracy theories to fester across the planet.
n fairness, vaccine hesitancy is a broad term that encompasses a spectrum of heterogenous beliefs, from people who will accept many but not all vaccines to those who vehemently oppose any form of immunization. But the fiercest have their own equivalent of the “Big Lie” – the conspiracy theory that drove the insurrection on Capitol Hill in Washington. It boils down to one shameful study from the 1990s that falsely equated the measles vaccine with a higher risk of developing autism. The so-called findings of this fraudulent, academic tsunami have been disproven by multiple legitimate studies. Yet their Big Lie has persisted for decades, undeterred by facts.
I do not judge the sincerity or morality of the vaccine hesitant, but I am terrified of the damage they might inflict, particularly during this pandemic. And while I do not expect to change their minds or hearts in a single encounter, I believe we all owe it to society to at least try to sway them from their ironically infectious and unfounded beliefs. But to do so with kindness and respect.