Cover

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Title Page, Copyright, Dedication

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Contents

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Introduction

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pp. 1-14

Over the past de cade, American parents have become increasingly anxious about following their pediatricians’ recommendations to fully vaccinate their children. As a result, about 40 percent of American parents today have chosen to delay certain vaccines or outright refuse to allow their children’s physicians...

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1. Risk and Reward

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pp. 15-36

Annabelle, Fiona, and the millions of other American children born over the last twenty years have received an unpre ce dented number of vaccines. Between 1983 and 2005, the number of diseases against which children are routinely vaccinated doubled, and the number of mandated and recommended...

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2. Sources of Doubt

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pp. 37-67

It is easy to fi nd claims about the risks posed by par tic u lar vaccines— or vaccines generally— to young children. For example, anti- vaccinators oft en claim that DPT (the vaccine against diphtheria, pertussis, and tetanus) increases a baby’s risk of sudden infant death syndrome or deafness and that...

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3. Thimerosal and Autism

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pp. 68-93

Today, U.S. parents worry that certain vaccines cause or trigger certain health problems. Of all these perceived adverse eff ects, none elicits more anxiety than the belief that vaccines might cause autism. Autism and the closely related diagnoses of Asperger’s Syndrome and Pervasive Developmental Disorder—...

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4. MMR and Autism

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pp. 94-135

The British vaccine controversy focused on the combined vaccine against measles, mumps, and rubella and the allegation that it causes, triggers, or exacerbates symptoms associated with autism. As with thimerosal and autism in the United States, health offi cials in Britain quickly produced evidence that...

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5. Science and the Celebrity

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pp. 136-156

Concerns about a potential link between vaccines and serious physical or neurological problems had fl oated around the alternative medicine community throughout most of the 1990s. But it was not until the late 1990s, compelled by the U.S. government- mandated exploration of mercury in food and...

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6. Getting to the Source of Anxiety

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pp. 157-171

The public controversy about a possible link between vaccines and autism— which I want to again state exists in the face of powerful scientifi c evidence to the contrary— concerns me. Over the last two de cades we have seen a rapid escalation in both the number of vaccines administered to the average U.S....

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Conclusion

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pp. 172-176

I have concerns about the modern American vaccine schedule, and I am persuaded by some of the evidence launched against the scientifi c and medical communities. Because of this, I am willing to become a belligerent in the modern American vaccine debate, but not one who lines up on one side or...

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Acknowledgments

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p. 177

Long before this book went to press, a number of friends and colleagues read and commented on it, and many more helped me think through the issues I confronted in this project. What you see here is shaped by their comments, criticisms, and suggestions, and I sincerely appreciate their work. Among the...

Notes

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pp. 179-214

Index

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pp. 215-222