The Vaccine Narrative

Jacob Heller

Description

The Salk vaccine seemed like a miracle to parents whose children were threatened with the scourge of polio. With its protection from polio, came also a story line-there were heroic researchers who would use science to protect us from epidemics and perhaps even eradicate disease. For most people, vaccines have become the magic bullets for dealing with dangerous diseases. The continuing quest for new vaccines, including an HIV/AIDS vaccine, despite technical, epidemiological, and social obstacles, suggests the abiding power of this narrative.

The author examines four cases that span the twentieth century--diphtheria, rubella, pertussis, and HIV/AIDS. Each case challenges the reader to examine how the values we attribute to vaccines influence their use. Diphtheria vaccination brought laboratory science into an existing narrative based on earlier vaccines. With rubella vaccine, researchers efficiently responded to an epidemic of birth defects while subtly changing the relationship between vaccination recipients and beneficiaries. Opposition to pertussis vaccine from average Americans created a narrative crisis, in which faith in vaccination as a whole seemed to be at risk. With more recent vaccines, including a hoped-for HIV/AIDS vaccine, the persistent cultural narrative continues to encourage vaccine development and use.

Sujets

• Médecine
• Médecine Générale
• Medical
• Sociology
• Medicine
• Health
• History

Informations

• Publié par: Vanderbilt University Press
• Date de parution: 11 juillet 2008
• Nombre de lectures: 0
• EAN13: 9780826592415
• Langue: English
• Poids de l'ouvrage: 1 Mo

Extrait

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JacobHeller

he VACCINE NARRATIVE

he VAC C I N E NA R R AT I V E

Jacob Heller

V a n d e r b I L t U n I v e rs I t y P r e s s N à S H  î   E

© 2 âéï Ûïéŝï éŝŝ à ïŝ éŝéé Fïŝ Eïïô 2

2   9   2   

Tïŝ ôôk ïŝ ïé ô âçï-éé âé âé ô % ôŝ-çôŝûé éççé çôé. Mâûâçûé ï é Ûïé Sâéŝ ô àéïçâ

Déŝïé  Cé Câïô

Fôïŝïéçé: Râ Ké éçéïéŝ é iŝ ôïô âççïâïô ï ié ïâ, Mçéâ, à, àï 2, 9. Côûéŝ ô Mâç ô Dïéŝ Bï Dééçŝ Fôûâïô.

ïâ ô Côéŝŝ Cââôï-ï-ûïçâïô Dââ

Héé, Jâçô, .D. Té âççïé ââïé / Jâçô Héé. — ŝ é. . ; ç. îçûéŝ ïïôâïçâ éééçéŝ â ïé. îSBN 9--2-9-2 (çô : âk. âé) îSBN 9--2-9-9 (k. : âk. âé) . âççïéŝ—Hïŝô. 2. âççïéŝ—Sôçïâ âŝéçŝ. . âççïéŝ—Hïŝôïôâ. î. Tïé. [DNM: . âççïéŝ—ïŝô—Ûïé Sâéŝ. 2. Côûïçâé Dïŝéâŝé Côô—ïŝô—Ûïé Sâéŝ. . Hïŝô, 2 Céû—Ûïé Sâéŝ. . Sôçïôô, Méïçâ—Ûïé Sâéŝ. . âççïâïô—ïŝô—Ûïé Sâéŝ. QW  àà H 2] Rà.H 2 '.2—ç22 2222

Contents

Acknowledgments

Introduction

1

2

3

4

Diphtheria ToxinAntitoxin: The Birth of the Modern Narrative

Rubella (German Measles): The “Cultural Provenance” of Vaccination

Pertussis Vaccine: Resisting the Narrative

HIV/AIDS Vaccine Research: Science and Ethics Confront the Narrative

Conclusion

Notes

References

Index

vii

1

31

57

84

112

143

157

165

199

Acknowledgments

ïŝ ôôk éâ âŝ â ïéâ ŝâé ï â éŝéâç wôkŝô â T Sô Bôôk Ûïéŝï wï Mâ Fïŝké, ïŝâ Hâé, àâ ïéŝ, â Dïâé Sâûéŝ. Sïçé é, ï âŝ ûéôé ûé- ôûŝ ïçââïôŝ. Bô Zûŝŝâ, Nâç Tôéŝ, îâ Rôôôû, â Nâôï Rôŝé- â âé éé çûçïâ ô é ôûâïôŝ ô é ôôk. Séçïâ âkŝ ô ô Bô, wô âŝ éé éŝïâé ô é é wé ïŝ ï ô ôôk, ŝôû, ô éâ wé, ô wïç î âk ï ŝïçéé—é éé âké ïŝ ôôk ûç éé â ï wôû ôéwïŝé é. M éïô â â- éï, Mïçâé àéŝ, âŝ ââé ô é éçôûâï â ŝûôïé wïé kééï é çéâ âôû é ïôïïéŝ ï ôûçï â ôôk ïké ïŝ ôé. Hïŝ ââïâïï, âïçé, â ô-ôŝéŝé âïûé âé âé ïŝ âŝ ŝé ï é ôçéŝŝ ô éâŝâ â éwâï, âŝ âé é éïé ŝâ â âéï Ûïéŝï éŝŝ. Jâéŝ Côôé â é âôôûŝ éïéwé âé é ïŝïû â çâéï çôéŝ ô é âû- ŝçï. î wâ ô âk â  çôéâûéŝ ï é Sôçïôô Déâé â SÛNY Côéé â O Wéŝû ô éï ééâ çôéïâï â ŝû- ô, û ŝéçïâ âkŝ ôéŝ ô Gïâ Zwéâ ô é ŝûô, çô- éŝ, â âïûé. M éééŝ é éâïŝ ô  éŝ ïé â éôw âéé, wô ô âïŝé é ô çôŝïé ïŝ â ôôk (âé â â ŝéïéŝ ô âïçéŝ), â wô âŝ ââzï âïéŝé âï ï ô é â é ôjéç. Sé ïŝ, wâŝ, â éâïŝ  éŝ éâé, éïô, â çïïç.

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he VACCINE NARRATIVE