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Vaccination and religion have interrelations of varying kinds. No major religion prohibits
vaccinations Vaccination is the administration of a vaccine to help the immune system develop immunity from a disease. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins or toxins from the organism. In stimulati ...
, and some consider it an obligation because of the potential to save lives. However, some people cite religious adherence as a basis for opting to forego vaccinating themselves or their children. Many such objections are pretextual: in Australia, anti-vaccinationists founded the Church of Conscious Living, a "fake church", leading to religious exemptions being removed in that country, and one US pastor was reported to offer vaccine exemptions in exchange for online membership of his church.


Historical

The influential
Massachusetts Massachusetts (Massachusett language, Massachusett: ''Muhsachuweesut assachusett writing systems, məhswatʃəwiːsət'' English: , ), officially the Commonwealth of Massachusetts, is the most populous U.S. state, state in the New England ...
preacher
Cotton Mather Cotton Mather (; February 12, 1663 – February 13, 1728) was a New England Puritan clergyman and a prolific writer. Educated at Harvard College, in 1685 he joined his father Increase as minister of the Congregationalist Old North Meetin ...
was the first known person to attempt
smallpox Smallpox was an infectious disease caused by variola virus (often called smallpox virus) which belongs to the genus Orthopoxvirus. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (WHO) ce ...
inoculation on a large scale, inoculating himself and more than two hundred members of his congregation with the help of a local doctor. While his view later became standard, there was a strong negative reaction against him at the time.
Rowland Hill Sir Rowland Hill, KCB, FRS (3 December 1795 – 27 August 1879) was an English teacher, inventor and social reformer. He campaigned for a comprehensive reform of the postal system, based on the concept of Uniform Penny Post and his sol ...
(1744–1833) was a popular English preacher acquainted with
Edward Jenner Edward Jenner, (17 May 1749 – 26 January 1823) was a British physician and scientist who pioneered the concept of vaccines, and created the smallpox vaccine, the world's first vaccine. The terms ''vaccine'' and ''vaccination'' are derived ...
, the pioneer of smallpox
vaccination Vaccination is the administration of a vaccine to help the immune system develop immunity from a disease. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins or toxins from the organism. In stimulating ...
, and he encouraged the vaccination of the congregations he visited or preached to. He published a tract on the subject in 1806, at a time when many medical men refused to sanction it. Later he became a member of the Royal Jennererian Society, which was established when vaccination was accepted in Britain, India, the US, and elsewhere.
John C. Lettsom John Coakley Lettsom (1744 – 1 November 1815, also Lettsome) was an English physician and philanthropist born on Little Jost Van Dyke in the British Virgin Islands into an early Quaker settlement. The son of a West Indian planter and an Irish ...
, an eminent
Quaker Quakers are people who belong to a historically Protestant Christian set of Christian denomination, denominations known formally as the Religious Society of Friends. Members of these movements ("theFriends") are generally united by a belie ...
physician of the day wrote to Rowland Hill commenting: Several
Boston Boston (), officially the City of Boston, is the capital city, state capital and List of municipalities in Massachusetts, most populous city of the Commonwealth (U.S. state), Commonwealth of Massachusetts, as well as the cultural and financ ...
clergymen and devout physicians formed a society that opposed vaccination in 1798. Others complained that the practice was dangerous, going so far as to demand that doctors who carried out these procedures be tried for attempted murder. In 1816 Iceland made the clergy responsible for smallpox vaccination and gave them the responsibility of keeping vaccination records for their parishes; Sweden also had similar practices. When vaccination was introduced into UK public policy, and adoption followed overseas, there was opposition from trade unionists and others, including sectarian ministers and those interested in self-help and alternative medicines like
homeopathy Homeopathy or homoeopathy is a pseudoscientific system of alternative medicine. It was conceived in 1796 by the German physician Samuel Hahnemann. Its practitioners, called homeopaths, believe that a substance that causes symptoms of a di ...
. Anti-vaccinationists were most common in
Protestant Protestantism is a Christian denomination, branch of Christianity that follows the theological tenets of the Reformation, Protestant Reformation, a movement that began seeking to reform the Catholic Church from within in the 16th century agai ...
countries. Those who were religious often came from minority religious movements outside of mainstream Protestantism, including Quakers in England and Baptists in Sweden. Catholic and Anglican missionaries vaccinated Northwest Coast Native Americans during an 1862 smallpox epidemic. In the UK, a number of Vaccination Acts were introduced to control vaccination and inoculation, starting in 1840, when smallpox inoculation was banned. The 1853 Act introduced compulsory free infant vaccination enforced by local authorities. By 1871, infant vaccination was compulsory and parents refusing to have their child vaccinated were fined and imprisoned if the fines were not paid. Resistance to compulsion grew, and in 1889, after riots in Leicester, a Royal Commission was appointed and issued six reports between 1892 and 1896. It recommended the abolition of cumulative penalties. This was done in an 1898 Act, which also introduced a conscience clause that exempted parents who did not believe vaccination was efficacious or safe. This extended the concept of the "
conscientious objector A conscientious objector (often shortened to conchie) is an "individual who has claimed the right to refuse to perform military service" on the grounds of freedom of thought, conscience, or religion. The term has also been extended to obje ...
" in English law. A further Act in 1907 made it easier to obtain exemption.
Jehovah's Witnesses Jehovah's Witnesses is a millenarian restorationist Christian denomination with nontrinitarian beliefs distinct from mainstream Christianity. The group reports a worldwide membership of approximately 8.7 million adherents involved ...
condemned the practice of vaccination in 1931 as "a direct violation of the everlasting covenant that God made with Noah after the flood", but reversed that policy in 1952. The decision of whether to vaccinate themselves or their family is left to individuals. Some more recent Jehovah's Witness publications have mentioned the success of vaccination programs.


Current

Some
conservative Christian Conservative Christianity, also known as conservative theology, theological conservatism, traditional Christianity, or biblical orthodoxy is a grouping of overlapping and denominationally diverse theological movements within Christianity that s ...
groups in the United States oppose mandatory vaccination for diseases typically spread via sexual contact, arguing that the possibility of disease deters risky sexual contact . For example, the
Family Research Council The Family Research Council (FRC) is an American evangelical activist group and think-tank with an affiliated lobbying organization. FRC promotes what it considers to be family values. It opposes and lobbies against: access to pornography, emb ...
opposes mandatory vaccination against HPV, a virus that causes various cancers: "Our primary concern is with the message that would be delivered to nine- to twelve-year-olds with the administration of the vaccines. Care must be taken not to communicate that such an intervention makes all sex 'safe'." Studies have shown that HPV vaccination does not result in increased sexual activity. Other Christians have supported vaccinations and mask wearing in the wake of
COVID-19 Coronavirus disease 2019 (COVID-19) is a contagious disease caused by a virus, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first known case was identified in Wuhan, China, in December 2019. The disease quickl ...
to stop the spread of the disease, even using scripture to support the position. Islam and
Judaism Judaism ( he, ''Yahăḏūṯ'') is an Abrahamic, monotheistic, and ethnic religion comprising the collective religious, cultural, and legal tradition and civilization of the Jewish people. It has its roots as an organized religion in the ...
, religions with dietary prohibitions that regard particular animals as unclean, make exceptions for medical treatments derived from those animals. However, this may not be universally accepted due to a lack of central authority in these religions. For example, in Aceh Province, an autonomous province of
Indonesia Indonesia, officially the Republic of Indonesia, is a country in Southeast Asia and Oceania between the Indian and Pacific oceans. It consists of over 17,000 islands, including Sumatra, Java, Sulawesi, and parts of Borneo and New Guine ...
with its own Islamic Sharia Law, eighty percent of people refuse all vaccinations due to concerns about pig, or its derivatives, being used to make some vaccines (eating pig is considered
haram ''Haram'' (; ar, حَرَام, , ) is an Arabic term meaning 'Forbidden'. This may refer to either something sacred to which access is not allowed to the people who are not in a state of purity or who are not initiated into the sacred knowle ...
).
The Church of Jesus Christ of Latter-day Saints The Church of Jesus Christ of Latter-day Saints, informally known as the LDS Church or Mormon Church, is a nontrinitarian Christian church that considers itself to be the restoration of the original church founded by Jesus Christ. The ...
has made vaccination an official initiative in its humanitarian relief program. The Church has also called on its members to see that their own children are properly vaccinated. In March 2021, the Church added encouragement to vaccinate to its ''General Handbook of Instructions'', noting that "Vaccinations administered by competent medical professionals protect health and preserve life.... Members of the Church are encouraged to safeguard themselves, their children, and their communities through vaccination." In August 2021, the Church again encouraged vaccination, specifically against COVID-19, in a public statement from the
First Presidency Among many churches in the Latter Day Saint movement, the First Presidency (also known as the Quorum of the Presidency of the Church) is the highest presiding or governing body. Present-day denominations of the movement led by a First Presidency ...
: "We know that protection from ovid and its variantscan only be achieved by immunizing a very high percentage of the population.... To provide personal protection from such severe infections, we urge individuals to be vaccinated." Although the
Church of Christ, Scientist The Church of Christ, Scientist was founded in 1879 in Boston, Massachusetts, by Mary Baker Eddy, author of '' Science and Health with Key to the Scriptures,'' and founder of Christian Science. The church was founded "to commemorate the word and ...
encourages reliance on prayer, it does not forbid vaccination or any other medical practice, and in recent years it did not renew its application for religious exemption for vaccinations in Australia because it deemed the exemption "no longer current or necessary". The Congregation of Universal Wisdom, a religion based on belief in chiropractic spinal adjustments and Universal Intelligence, forbids vaccinations. The ''New York Times'' covered the Congregation of Universal Wisdom and noted that many families have used these religious memberships to avoid vaccination requirements. In a court case citing the Congregation of Universal Wisdom, ''Turner v. Liverpool Cent. School'', the United States District Court in New York affirmed the permissibility of claiming religious exemption from vaccination on the basis of such membership. The use of fetal tissue in the development of vaccines has also provoked some controversy among religions opposed to
abortion Abortion is the termination of a pregnancy by removal or expulsion of an embryo or fetus. An abortion that occurs without intervention is known as a miscarriage or "spontaneous abortion"; these occur in approximately 30% to 40% of pregn ...
. The cell culture media of some viral vaccines, and the virus of the
rubella Rubella, also known as German measles or three-day measles, is an infection caused by the rubella virus. This disease is often mild, with half of people not realizing that they are infected. A rash may start around two weeks after exposure and ...
vaccine, are derived from tissues taken from aborted fetuses, leading to moral questions. For example, the principle of double effect, originated by
Thomas Aquinas Thomas Aquinas, OP (; it, Tommaso d'Aquino, lit=Thomas of Aquino; 1225 – 7 March 1274) was an Italian Dominican friar and priest who was an influential philosopher, theologian and jurist in the tradition of scholasticism; he is known wi ...
, holds that actions with both good and bad consequences are morally acceptable in specific circumstances, and the question is how this principle applies to vaccination. The Vatican Curia has expressed concern about the rubella vaccine's embryonic cell origin, saying Catholics have "...a grave responsibility to use alternative vaccines and to make a conscientious objection with regard to those which have moral problems". The Vatican concluded that until an alternative becomes available it is acceptable for
Catholic The Catholic Church, also known as the Roman Catholic Church, is the List of Christian denominations by number of members, largest Christian church, with 1.3 billion baptized Catholics Catholic Church by country, worldwide . It is am ...
s to use the existing vaccine, writing, "This is an unjust alternative choice, which must be eliminated as soon as possible."


Political opposition to vaccination by religious groups

The majority of Orthodox Rabbis view vaccination as a religious obligation. A magazine called P.E.A.C.H. that presented an anti-immunization message to Orthodox Jews was distributed in Brooklyn, New York in early 2014. This is not a widespread phenomenon though. 96% of students at
Yeshiva A yeshiva (; he, ישיבה, , sitting; pl. , or ) is a traditional Jewish educational institution focused on the study of Rabbinic literature, primarily the Talmud and halacha (Jewish law), while Torah and Jewish philosophy are stu ...
s (who are essentially all Orthodox Jewish) in New York City were immunized according to information obtained in 2014, although this is a lower than average rate. In 2003
imam Imam (; ar, إمام '; plural: ') is an Islamic leadership position. For Sunni Muslims, Imam is most commonly used as the title of a worship leader of a mosque. In this context, imams may lead Islamic worship services, lead prayers, se ...
s in northern
Nigeria Nigeria ( ), , ig, Naìjíríyà, yo, Nàìjíríà, pcm, Naijá , ff, Naajeeriya, kcg, Naijeriya officially the Federal Republic of Nigeria, is a country in West Africa. It is situated between the Sahel to the north and the Gulf of G ...
advised their followers not to have their children vaccinated with oral polio vaccine, perceived to be a plot by Westerners to decrease Muslim fertility. The boycott caused the number of polio cases to rise not only in Nigeria but also in neighboring countries. The followers were also wary of other vaccinations, and Nigeria reported more than twenty thousand measles cases and nearly six hundred deaths from measles from January through March 2005. In 2006 Nigeria accounted for more than half of all new polio cases worldwide. Outbreaks continued thereafter; for example, at least 200 children died in a late-2007 measles outbreak in
Borno State Borno State is a state in the North-East geopolitical zone of Nigeria, bordered by Yobe to the west, Gombe to the southwest, and Adamawa to the south while its eastern border forms part of the national border with Cameroon, its northern borde ...
. In 2013, nine health workers administering polio vaccine were targeted and killed by gunmen on motorcycles in Kano, but this was an isolated incident. Local traditional and religious leaders and polio survivors worked to support the vaccination campaign, and Nigeria has not had a polio case since July 24, 2014; in 2016, Nigeria was declared polio-free. In the 2000s, in
Pakistan Pakistan ( ur, ), officially the Islamic Republic of Pakistan ( ur, , label=none), is a country in South Asia. It is the world's List of countries and dependencies by population, fifth-most populous country, with a population of almost 24 ...
and Afghanistan, some
Taliban The Taliban (; ps, طالبان, ṭālibān, lit=students or 'seekers'), which also refers to itself by its state name, the Islamic Emirate of Afghanistan, is a Deobandi Islamic fundamentalist, militant Islamist, jihadist, and Pas ...
issued ''
fatwa A fatwā ( ; ar, فتوى; plural ''fatāwā'' ) is a legal ruling on a point of Islamic law (''sharia'') given by a qualified '' Faqih'' (Islamic jurist) in response to a question posed by a private individual, judge or government. A jurist ...
s'' opposing vaccination as an American plot to sterilize Muslims, and kidnapped, beat, and assassinated vaccination officials; the head of Pakistan's vaccination campaign in
Bajaur Agency Bajaur District ( ps, باجوړ ولسوالۍ, ur, ) is a district in Malakand Division of Khyber Pakhtunkhwa province in Pakistan. Until 2018, it was an agency of the Federally Administered Tribal Areas, then during restructuring that merged ...
was assassinated in 2007, on his way back from a meeting with a religious leader. In 2011, a
CIA The Central Intelligence Agency (CIA ), known informally as the Agency and historically as the Company, is a civilian foreign intelligence service of the federal government of the United States, officially tasked with gathering, processing, ...
spy ran a fake hepatitis vaccination campaign to search for Osama bin Laden; such actions were strongly condemned by US and international health
NGO A non-governmental organization (NGO) or non-governmental organisation (see spelling differences) is an organization that generally is formed independent from government. They are typically nonprofit entities, and many of them are active in ...
s, the doctor involved was jailed and the CIA promised not to use vaccination as a cover again. A genuine polio vaccinator had previously vaccinated Osama bin Laden's children and grandchildren in his compound in Abbottabad. Both major sides of the Afghan civil war now support polio vaccination, and polio rates are declining rapidly in Afghanistan, with only five cases in January–July 2015. In
Pakistan Pakistan ( ur, ), officially the Islamic Republic of Pakistan ( ur, , label=none), is a country in South Asia. It is the world's List of countries and dependencies by population, fifth-most populous country, with a population of almost 24 ...
there were 28 cases in the same period. In 2015, leaders of the
Nation of Islam The Nation of Islam (NOI) is a religious and political organization founded in the United States by Wallace Fard Muhammad in 1930. A black nationalist organization, the NOI focuses its attention on the African diaspora, especially on African ...
spoke out against a California Bill that removed philosophical exemptions to school vaccination requirements, alleging a link between
MMR vaccine and autism Claims of a link between the MMR vaccine and autism have been extensively investigated and found to be false. The link was first suggested in the early 1990s and came to public notice largely as a result of the 1998 ''Lancet'' MMR autism fraud ...
. They also said that government mandated vaccines were another
Tuskegee Syphilis Study The Tuskegee Study of Untreated Syphilis in the Negro Male (informally referred to as the Tuskegee Experiment or Tuskegee Syphilis Study) was a study conducted between 1932 and 1972 by the United States Public Health Service (PHS) and the Cente ...
. According to a March 2021 poll conducted by The Associated Press/ NORC, vaccine skepticism is more widespread among white evangelicals than most other blocs of Americans. 40% of white evangelical Protestants stated they weren't likely to get vaccinated against COVID-19.


Exemptions

In the U.S., all states except
Mississippi Mississippi () is a state in the Southeastern region of the United States, bordered to the north by Tennessee; to the east by Alabama; to the south by the Gulf of Mexico; to the southwest by Louisiana; and to the northwest by Arkansas. Mis ...
,
California California is a state in the Western United States, located along the Pacific Coast. With nearly 39.2million residents across a total area of approximately , it is the most populous U.S. state and the 3rd largest by area. It is also the ...
,
West Virginia West Virginia is a state in the Appalachian, Mid-Atlantic and Southeastern regions of the United States.The Census Bureau and the Association of American Geographers classify West Virginia as part of the Southern United States while the ...
,
Maine Maine () is a U.S. state, state in the New England and Northeastern United States, Northeastern regions of the United States. It borders New Hampshire to the west, the Gulf of Maine to the southeast, and the Provinces and territories of Canad ...
and
New York New York most commonly refers to: * New York City, the most populous city in the United States, located in the state of New York * New York (state), a state in the northeastern United States New York may also refer to: Film and television * '' ...
allow parents to exempt their children from otherwise-required vaccinations for religious reasons. The number of religious exemptions rose greatly in the late 1990s and early 2000s; for example, in
Massachusetts Massachusetts (Massachusett language, Massachusett: ''Muhsachuweesut assachusett writing systems, məhswatʃəwiːsət'' English: , ), officially the Commonwealth of Massachusetts, is the most populous U.S. state, state in the New England ...
, the rate of those seeking exemptions rose from 0.24% in 1996 to 0.60% in 2006. Some parents falsely claim religious beliefs to get exemptions. The
American Medical Association The American Medical Association (AMA) is a professional association and lobbying group of physicians and medical students. Founded in 1847, it is headquartered in Chicago, Illinois. Membership was approximately 240,000 in 2016. The AMA's stat ...
opposes such exemptions, saying that they endanger health not only for the unvaccinated individual but also for neighbors and the community at large. On January 1, 2016, Australia introduced legislation that removed eligibility for childcare and welfare benefits if parents refuse to vaccinate their children, removing religious exemptions at the same time as the only religion to apply for an exemption (Church of Christ, Scientist) deemed their exemption to no longer be relevant.


References

{{Vaccine safety Religion and medicine Religion, Vaccination and Religion, Vaccination and