Vaccination and religion
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Vaccination and religion have interrelations of varying kinds. No major religion prohibits vaccinations, 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 exemption A religious exemption is a legal privilege that exempts members of a certain religion from a law, regulation, or requirement. Religious exemptions are often justified as a protection of religious freedom, and proponents of religious exemptions argu ...
s 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: ''Muhsachuweesut Massachusett_writing_systems.html" ;"title="nowiki/> məhswatʃəwiːsət.html" ;"title="Massachusett writing systems">məhswatʃəwiːsət">Massachusett writing systems">məhswatʃəwiːsət'' En ...
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 Meeting H ...
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) c ...
inoculation Inoculation is the act of implanting a pathogen or other microorganism. It may refer to methods of artificially inducing immunity against various infectious diseases, or it may be used to describe the spreading of disease, as in "self-inoculati ...
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 solut ...
(1744–1833) was a popular English preacher acquainted with Edward Jenner, 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 stimulat ...
, 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, an eminent
Quaker Quakers are people who belong to a historically Protestant Christian set of denominations known formally as the Religious Society of Friends. Members of these movements ("theFriends") are generally united by a belief in each human's abili ...
physician of the day wrote to Rowland Hill commenting: Several
Boston Boston (), officially the City of Boston, is the state capital and most populous city of the Commonwealth of Massachusetts, as well as the cultural and financial center of the New England region of the United States. It is the 24th- mo ...
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 d ...
. 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 Baptists form a major branch of Protestantism distinguished by baptizing professing Christian believers only (believer's baptism), and doing so by complete immersion. Baptist churches also generally subscribe to the doctrines of soul com ...
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 Leicester ( ) is a city status in the United Kingdom, city, Unitary authorities of England, unitary authority and the county town of Leicestershire in the East Midlands of England. It is the largest settlement in the East Midlands. The city l ...
, 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" 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 in ...
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 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 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 quick ...
to stop the spread of the disease, even using scripture to support the position.
Islam Islam (; ar, ۘالِإسلَام, , ) is an Abrahamic monotheistic religion centred primarily around the Quran, a religious text considered by Muslims to be the direct word of God (or '' Allah'') as it was revealed to Muhammad, the ...
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 th ...
, 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 Aceh ( ), officially the Aceh Province ( ace, Nanggroë Acèh; id, Provinsi Aceh) is the westernmost province of Indonesia. It is located on the northernmost of Sumatra island, with Banda Aceh being its capital and largest city. Granted a spe ...
, 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 Gui ...
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).
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 Nontrinitarianism, nontrinitarian Christianity, Christian church that considers itself to be the Restorationism, restoration of 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: "We know that protection from
ovid and its variants Pūblius Ovidius Nāsō (; 20 March 43 BC – 17/18 AD), known in English as Ovid ( ), was a Roman poet who lived during the reign of Augustus. He was a contemporary of the older Virgil and Horace, with whom he is often ranked as one of the th ...
can 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 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 pre ...
. The cell culture media of some viral vaccines, and the virus of the rubella vaccine, are derived from tissues taken from aborted fetuses, leading to moral questions. For example, the
principle of double effect The principle of double effect – also known as the rule of double effect; the doctrine of double effect, often abbreviated as DDE or PDE, double-effect reasoning; or simply double effect – is a set of ethical criteria which Christian philosop ...
, originated by
Thomas Aquinas Thomas Aquinas, Dominican Order, OP (; it, Tommaso d'Aquino, lit=Thomas of Aquino, Italy, Aquino; 1225 – 7 March 1274) was an Italian Dominican Order, Dominican friar and Catholic priest, priest who was an influential List of Catholic philo ...
, 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 largest Christian church, with 1.3 billion baptized Catholics worldwide . It is among the world's oldest and largest international institutions, and has played a ...
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 a ...
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, serve ...
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 o ...
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 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 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 NGOs, 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 spoke out against a California Bill that removed philosophical exemptions to school vaccination requirements, alleging a link between MMR vaccine and autism. They also said that government mandated vaccines were another Tuskegee Syphilis Study. 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. Miss ...
,
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 m ...
,
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 state in the New England and Northeastern regions of the United States. It borders New Hampshire to the west, the Gulf of Maine to the southeast, and the Canadian provinces of New Brunswick and Quebec to the northeast and nor ...
and New York 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
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, 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 sta ...
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