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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.

What I saw when I was doing research is that in pursuit of a middle ground, people will kind of split the difference between the two extremes that they're hearing. And I think what's problematic is that people are seeing vaccinating on schedule, on time, as an extreme position.

I think that protecting children at the age where they're most vulnerable against diseases that are highly contagious is prudent.

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.

Nigeria and Pakistan are two countries that have had a lot of trouble with polio. And part of the reason is that there's a lot of political unrest, and people really distrust what the government is doing. That has an effect on people's health, and it has an effect on the health of children.

On the pro-vaccine side - and not everyone does this, but I saw it enough for it to make me really uncomfortable - is a tendency to accuse people who are wary of vaccination of being stupid and not understanding science.

I talked to lots of people who are vaccine-hesitant, and I actually was one myself until I got further into this project, and most of them actually are in my demographic: so well-educated people with advanced degrees who are upper middle-class and have read quite a bit on the subject.

Herd immunity is, it turns out, not incredibly easy to understand. It took me quite a bit of reading before I fully grasped it. But understanding herd immunity is essential to understanding why we vaccinate the way we do.

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