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I think that people's resistance to vaccination isn't going to disappear until we address some of the nonmedical reasons for that resistance and people's discomfort and distrust of the government. That's bigger than what most medical professionals can handle.

Paternalism is everywhere in our lives. We have to immunise our children unless we are upset about it. In India, it is the opposite. It is possible to get your kids immunised, but you really have to want to.

I think there's a temptation to try to think of people who don't vaccinate as a homogenous community, but I'm not convinced that's true. I'm not even sure that the word 'community' is totally accurate there, you know.

Imagine the action of a vaccine not just in terms of how it affects a single body, but also in terms of how it affects the collective body of a community.

It's clear that prevention will never be sufficient. That's why we need a vaccine that will be safe.

A matter that seems to be very clear in terms of the alternative view, is what do you expect to happen in Africa with regard to immune systems, where people are poor, subject to repeat infections and all of that. Surely you would expect their immune systems to collapse.

In some areas, immunity has been eroded so much that the child who's not vaccinated is now actually more vulnerable to the complications of infectious diseases.

Infectious disease exists at this intersection between real science, medicine, public health, social policy, and human conflict. There's a tendency of people to try and make a group out of those who have the disease. It makes people who don't have the disease feel safer.