Science Friday

What we get wrong about vaccine hesitancy

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Key takeaways

  • Vaccine hesitancy is a complex issue influenced by trust, community, and access, not just a lack of information.
  • Building trust and relationships is essential for effective communication around vaccines.
  • Facts alone are insufficient; storytelling and empathy are powerful tools in addressing vaccine hesitancy.
  • Most hesitant individuals are not inherently anti-vaccine but are influenced by their environment and past experiences.
  • Patience and ongoing dialogue are key, as changing beliefs is a gradual process that requires compassion and persistence.

Summary

Introduction to Measles Outbreaks and Vaccine Hesitancy

The episode opens with Flora discussing the recent rise in measles cases in the US, with over 2,300 cases this year, surpassing previous records. This increase coincides with declining vaccination rates and widespread discussions on vaccine hesitancy and misinformation. The episode aims to explore these issues through the perspective of Dr. Elizabeth Marnick.

Personal Journey and Changing Perspectives on Vaccines

Dr. Elizabeth Marnick shares her personal story of growing up unvaccinated due to her parents' concerns about vaccine safety. Her love for science and her college experiences led her to understand the importance of vaccines, eventually getting vaccinated herself and earning a PhD in immunology. Her journey highlights the transformation from skepticism to scientific understanding and the complexities surrounding parental decisions.

Understanding Vaccine Hesitancy and Public Perceptions

The discussion emphasizes that vaccine hesitancy is often misunderstood. Many people are not outright opposed to vaccines but are influenced by a spectrum of beliefs, community trust, and access to accurate information. Dr. Marnick stresses that trust and relationship-building are crucial, and that facts alone are insufficient to change minds. She advocates for tailored communication strategies that resonate with different communities.

The Role of Trust and Information Sources in Vaccination Decisions

The episode explores how trust in personal medical providers remains significant but is declining due to limited access, especially in rural areas. People are increasingly relying on varied sources, including social media and influencers, which complicates the information landscape. The importance of building trustworthy relationships and delivering accurate, relatable information is underscored.

Science Communication and Addressing Misinformation

Dr. Marnick discusses her efforts with The Evidence Collective to improve science communication, especially on social media. She emphasizes storytelling and empathy as effective tools to engage the public and address vaccine hesitancy. Training scientists and clinicians to communicate more effectively through narratives helps bridge the gap between scientific facts and public understanding.

Personal and Community Responses to Vaccine Hesitancy

The conversation touches on how the scientific community has reacted to Dr. Marnick’s openness. While some responses are positive, others are hostile, especially when she advocates for empathy. She advocates for compassionate conversations, recognizing that parents are trying to do their best for their children, and that change often takes time. The approach involves planting seeds and fostering trust for future dialogue.

Strategies for Effective Conversations About Vaccines

Dr. Marnick advises approaching vaccine discussions with patience and understanding, not expecting immediate results. She encourages focusing on creating safe spaces for dialogue, recognizing the deep-rooted beliefs and experiences that influence individuals’ decisions. Her own experience shows that changing perceptions can take years, highlighting the importance of ongoing, empathetic engagement.

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  • Simplecast · This episode was produced by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about their collection and use of personal data for advertising.

Show notes

President Trump has signed an executive order calling for a change to the childhood vaccination schedule. Specifically, he wants to separate the MMR vaccine, which protects against measles, mumps, and rubella, into three separate shots. There’s no scientific research to indicate that these changes would be beneficial, and the order has sparked backlash from medical associations and drug manufacturers. 

Meanwhile, over 2,400 people have contracted measles in the United States so far this year, topping the total number of cases for 2025 in just seven months. And with vaccination rates declining, there’s a lot of conversation about what’s driving vaccine hesitancy and how to combat misinformation.  

Elisabeth Marnik has lived in both worlds: She wasn't vaccinated as a kid because her parents were concerned that vaccines could do harm. In high school, she fell in love with science. She went to college, got vaccinated, and then earned a PhD in immunology. She joins Flora to talk about what people misunderstand vaccine hesitancy, and how she approaches science communication in today’s messy information ecosystem.

Guest:

Dr. Elisabeth Marnik is an immunologist and the executive director of The Evidence Collective.

Transcripts for each segment will be available the week after the show airs on sciencefriday.com.

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