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Should Vaccines Be
Required for Children?
Prepare to Review the Issue and Write
an Argumentative Essay
Evaluating Pro and Con Arguments
A Common Core Lesson
By
Dean Berry, Ed. D.
Gregg Berry, B. A.
Common Core Curriculum Solutions
www.commoncorecurriculum.info
Common Core Reading Standards
Delineate and evaluate the argument and specific claims in a
text, assessing whether the reasoning is sound and the
evidence is relevant and sufficient; recognize when irrelevant
evidence is introduced.
Delineate and evaluate the argument and specific claims in a
text, assessing whether the reasoning is sound and the
evidence is relevant and sufficient; recognize when irrelevant
evidence is introduced.
Common Core Speaking
and Listening Standards
Engage effectively in a range of collaborative discussions
(one-on-one, in groups, and teacher-led) with diverse
partners on topics, texts, and issues, building on others’
ideas and expressing their own clearly.
Delineate a speaker’s argument and specific claims,
evaluating the soundness of the reasoning and relevance
and sufficiency of the evidence and identifying when
irrelevant evidence is introduced.
Writing Standards
Support claim(s) with logical reasoning and relevant
evidence, using accurate, credible sources and
demonstrating an understanding of the topic or text.
Use words, phrases, and clauses to create cohesion and
clarify the relationships among claim(s), counterclaims,
reasons, and evidence.
Provide a concluding statement or section that follows
from and supports the argument presented
Evaluating Pro and Con Arguments
Prepare to Review the
Issue and Write an
Argumentative Essay
The Vaccination Issue is Serious.
Why Vaccinations Keep the Population Healthy
Do vaccines hurt more than they help?
Should vaccines be required
for all children entering school?
Let’s Think About the Issue
•Are vaccines safe for children?
•How many lives are saved because of
vaccines?
•Wat is herd immunity?
•Are the ingredients in vaccines dangerous?
What diseases have been
controlled or eradicated by
vaccines?
Should all states have the same
requirements for vaccinations?
What Do You Think?
Use your red or green card to signify your response to this question.
Raise your red card if you disagree or your green card if you agree.
Vaccinations should be required of
all children before entering school.
What Do You Think?
Raise Your Red or Green Card
Children should not be required to get
vaccinations before entering school.
Essential Questions to Guide our
Review of the Issue
• 1. What does the research data say about the
issue?
• 2. How do you know the research is reliable?
• 3. Are the arguments supported by logical
reasoning?
• 4. Is each argument supported by specific facts
and examples?
• 5. Which side of the issue is supported by a
preponderance of the evidence?
Evaluating Evidence
Now that we have shared opinions, let’s
examine the evidence. Analyze the pro
and con arguments on the following
frames and determine which position
presents the strongest case.
Read each argument closely to see if it passes
the smell test?
The Pro Position
Take careful notes as you read
the following arguments.
Review the Evidence and Arguments
The Pro Position
Should Any Vaccines Be Required for Children?
The Centers for Disease Control (CDC) recommends getting
28 doses of 10 vaccines for kids aged 0 to six. No US
federal laws mandate vaccination, but all 50 states require
certain vaccinations for children entering public schools.
Most states offer medical and religious exemptions; and
some states allow philosophical exemptions.
• Proponents say that vaccination is safe and one of the
greatest health developments of the 20th century. They
point out that illnesses, including rubella, diphtheria,
smallpox, polio, and whooping cough, are now
prevented by vaccination and millions of children’s
lives are saved. They contend adverse reactions to
vaccines are extremely rare.
Opponents say that children’s immune systems can
deal with most infections naturally, and that injecting
questionable vaccine ingredients into a child may
cause side effects, including seizures, paralysis, and
death. They contend that numerous studies prove that
vaccines may trigger problems like autism, ADHD, and
diabetes.
Read each argument closely to see if it passes
the smell test?
Take careful notes as you read
the following arguments.
Pro Mandatory Vaccines
Vaccines can save children's lives. The American
Academy of Pediatrics states that "most childhood
vaccines are 90%-99% effective in preventing
disease." According to Shot@Life, a United Nations
Foundation partner organization, vaccines save 2.5 million
children from preventable diseases every year , which
equates to roughly 285 children saved every hour. The
Centers for Disease Control (CDC) estimated that 732,000
American children were saved from death and 322 million
cases of childhood illnesses were prevented between
1994 and 2014 due to vaccination. The measles vaccine
has decreased childhood deaths from measles by 74%.
Reason #1
The ingredients in vaccines are safe in the
amounts used. Ingredients, such as thimerosal,
formaldehyde, and aluminum, can be harmful in
large doses but they are not used in harmful
quantities in vaccines. Children are exposed to
more aluminum in breast milk and infant formula
than they are exposed to in vaccines. Paul Offit,
MD, notes that children are exposed to more
bacteria, viruses, toxins, and other harmful
substances in one day of normal activity than are
in vaccines.
With the exception of inactivated flu vaccines,
thimerosal (a mercury compound) has been
removed or reduced to trace amounts in vaccines
for children under 6 years old. The FDA requires
up to 10 or more years of testing for all vaccines
before they are licensed, and then they are
monitored by the CDC and the FDA to make sure
the vaccines and the ingredients used in the
vaccines are safe.
Reason # 2
Major medical organizations state that vaccines are
safe. These organizations include: CDC, Food and
Drug Administration (FDA), Institute of Medicine
(IOM), American Medical Association (AMA),
American Academy of Pediatrics (AAP), UNICEF, US
Department of Health and Human Services (HHS),
World Health Organization (WHO), Public Health
Agency of Canada, Canadian Pediatric Society,
National Foundation for Infectious Diseases (NFID),
and American Academy of Family Physicians
(AAFP). The WHO states, "Vaccines are very
safe." The US Department of Health and Human
Services states, "Vaccines are some of the safest
medical products available."
Reason # 3
Adverse reactions to vaccines are extremely
rare. The most common side effect of
vaccines, anaphylaxis (a severe allergic
reaction), occurs in one per several hundred
thousand to one per million
vaccinations. According to Sanjay Gupta,
Chief Medical Correspondent for CNN and
practicing neurosurgeon, "you are 100 times
more likely to be struck by lightning than to
have a serious allergic reaction to the
vaccine that protects you against measles."
Ellen Clayton, MD, JD, Professor of Pediatrics and Law at
Vanderbilt Law School and co-author of the 2011 IOM
report "Committee to Review Adverse Effects of
Vaccines," summarized the results of the report: "The
MMR vaccine does not cause autism… The MMR and
DTaP do not cause Type 1 diabetes. And the killed flu
vaccine does not cause Bell’s palsy, and it does not
trigger episodes of asthma." Combination vaccines, like
MMR (measles, mumps, and rubella), have been used
without adverse effects since the mid-1940s.
Reason # 4
Vaccines protect the "herd." Herd immunity (or
community immunity) means that when a "critical
portion" (the percent of people who need to be
vaccinated to provide herd immunity) of a population is
vaccinated against a contagious disease it is unlikely
that an outbreak of the disease will occur so most
members of the community will be protected.
Children and adults who cannot be
vaccinated due to age, poor health (who
are immune-compromised or undergoing
chemotherapy, for example), or other
reasons rely on herd immunity to prevent
contraction of vaccine-preventable
diseases.
A Jan. 2008 outbreak of measles in San Diego, CA
resulted in 48 children who had to be quarantined
because they were too young to be vaccinated
and could not rely on herd immunity to keep them
safe. In 2011, 49 US states did not meet the 92-
94% herd immunity threshold for pertussis
(whooping cough), resulting in a 2012 outbreak
that sickened 42,000 people and was the biggest
outbreak since 1955. In 2005, an 18-month-old
Amish girl contracted polio and spread the
disease to four other unvaccinated children, but,
because the community met the herd immunity
threshold for the disease, there was no polio
outbreak.
Reason # 5
Vaccines eradicated smallpox and have nearly eradicated
other diseases such as polio. Children are no longer
vaccinated against smallpox because the disease no
longer exists due to vaccination. The last case of
smallpox in the United States was in 1948; the last case
in the world was 1977 in Somalia. In the twentieth
century, there were 16,316 deaths from polio and 29,004
deaths from smallpox yearly in the United States; in 2012
there were no reported cases of polio or smallpox.
According to UNICEF, there were 500 cases of polio in
2014 worldwide (appearing only in three countries:
Afghanistan, Nigeria, and Pakistan), down from 350,000
cases in 1988, thanks to vaccination
programs. ]Diphtheria killed 21,053 people yearly,
measles killed 530,217 people yearly, mumps killed
162,344 people yearly, rubella killed 47,745 people yearly,
and Hib killed 20,000 people yearly in the twentieth
century United States; by 2012 each of these diseases
were decreased by 99% because of vaccinations.
Vaccine-preventable diseases have not disappeared so
vaccination is still necessary.The CDC notes that many
vaccine-preventable diseases are still in the United
States or "only a plane ride away." ]Although the
paralytic form of polio has largely disappeared thanks to
vaccination, the virus still exists in countries like
Pakistan where there were 93 cases in 2013 and 71 in
2014 as of May 15.
The polio virus can be incubated by a person without
symptoms for years; that person can then accidentally
infect an unvaccinated child (or adult) in whom the virus
can mutate into its paralytic form and spread amongst
unvaccinated people. Unvaccinated Amish missionaries
who traveled to the Philippines brought measles back to
Ohio in May 2014, resulting in 155 infected people as of
June 5, 2014.
There were 9,149 confirmed and 31,508 suspected cases
of measles in the Philippines between Jan. 1 and May 20,
2013. In 2004, there were 37 cases of measles in the
United States; in 2014, by May 30, there were 16 measles
outbreaks in the United States resulting in at least 334
cases in 18 states. UNICEF reported that, globally,
453,000 children die from rotavirus, 476,000 die from
pneumococcus (the virus that causes pneumonia,
meningitis, and blood infections), 199,000 die from Hib (a
virus that causes pneumonia and meningitis), 195,000 die
from pertussis (whooping cough), 118,000 die from the
measles, and 60,000 die from tetanus each year, all
vaccine-preventable diseases.
Read each argument closely to see if it passes
the smell test?
The Con Position
Take careful notes as you read
the following arguments.
Con Arguments
Reason # 1
Vaccines can cause serious and sometimes fatal side
effects. According to the CDC, all vaccines carry a risk of a
life-threatening allergic reaction (anaphylaxis) in about one
per million children. The rotavirus vaccination can cause
intussusception, a type of bowel blockage that may require
hospitalization, in about one per 20,000 babies in the
United States. Long-term seizures, coma, lowered
consciousness, and permanent brain damage may be
associated with the DTaP (diphtheria, tetanus, and
pertussis) and MMR vaccines, though the CDC notes the
rarity of the reaction makes it difficult to determine
causation.
• The CDC reports that pneumonia can be caused by
the chickenpox vaccine, and a "small possibility"
exists that the flu vaccine could be associated with
Guillain-Barré Syndrome, a disorder in which the
person’s immune system attacks parts of the
peripheral nervous system, in about one or two per
million people vaccinated.. The National Vaccine
Information Center (NVIC) says that vaccines may
be linked to learning disabilities, asthma, autism,
diabetes, chronic inflammation, and other
disabilities.
Reason # 2
Vaccines contain harmful ingredients. Some physicians believe
thimerosal, an organic mercury compound found in trace amounts in
one flu vaccine for children and other vaccines for adults, is linked to
autism.Aluminum is used in some vaccines and excess aluminum in
human bodies can cause neurological harm. Formaldehyde, also found
in some vaccines, is a carcinogen, and, according to VaxTruth.org,
exposure can cause side effects such as cardiac impairment, central
nervous system depression, "changes in higher cognitive functions,"
coma, convulsions, and death. Glutaraldehyde, a compound used to
disinfect medical and dental equipment, is used in some DTaP
vaccinations and exposure can cause asthma and other respiratory
issues.
Some flu vaccines contain cetyltrimethylammonium
bromide (CTMB), a compound used as an antiseptic,
which can be a skin, eye, and respiratory irritant. Some
polio, TD, and DTaP vaccines contain 2-phenoxyethanol,
an antibacterial that is a skin and eye irritant that can
cause headache, shock, convulsions, kidney damage,
cardiac and kidney failure, and death. Some vaccines
for the flu contain chicken egg protein, which can be
harmful to children who are allergic to eggs. Some
vaccines for PCV, HPV, DTaP, Hep A, Hep B, and Hib
contain yeast proteins which, according to VaxTruth and
Joseph Mercola, MD, an alternative medicine proponent,
contain MSG that can cause migraines, irritable bowel
syndrome (IBS), asthma, diabetes, Alzheimer’s, Lou
Gehrig’s disease, ADD, seizure, and stroke.
Reason # 3
The government should not intervene in personal medical
choices. Medical decisions for children should be left to
the parents or caregivers. Barbara Low Fisher, Co-founder
of National Vaccine Information Center, stated, "If the
State can tag, track down and force citizens against their
will to be injected with biological products of known and
unknown toxicity today, there will be no limit on which
individual freedoms the State can take away in the name
of the greater good tomorrow."
Ron Paul, MD, former US Representative (R-TX), in
an Oct. 19, 2011 article, "Government Vaccines –
Bad Policy, Bad Medicine," stated, "intimately
personal medical decisions should not be made by
government… Freedom over one’s physical person
is the most basic freedom of all, and people in a
free society should be sovereign over their own
bodies. When we give government the power to
make medical decisions for us, we in essence
accept that the state owns our bodies."
Reason # 4
Mandatory vaccines infringe upon constitutionally
protected religious freedoms. Several religions oppose
vaccines and mandatory vaccinations. The First
Amendment of the US Constitution states, "Congress shall
make no law respecting an establishment of religion, or
prohibiting the free exercise thereof." In the ruling
for Cantwell v. Connecticut (1939; 9-0), the US Supreme
Court held that state and local governments’ infringement
upon religious freedom is also unconstitutional. Some
Christian Scientists consider vaccinations against their
religion because founder Mary Baker Eddy stated that the
"calm, Christian state of mind is a better preventative of
contagion than a drug, or than any other possible sanative
method… the ‘perfect Love’ that ‘casteth out fear’ is a sure
defense."
Amish communities do not view all vaccinations as
"necessary" and some believe that vaccinations weaken
the immune system. The Church of Illumination states
that "the teachings of the Church unequivocally affirm
that injections of vaccines and inoculations are a violation
of these biblical teachings… Immunizations and
vaccinations are a form of blood pollution because they
have devastating effects on the regeneration of the soul
that each Church member seeks to attain." The Universal
Family Church believes that parents should decide
whether their children should be vaccinated and that "God
intends the health decisions of individuals should… be
honored by all authorities.
Reason # 5
Vaccines are unnatural, and natural immunity is more
effective than vaccination. Even pro-vaccine organizations
state that natural vaccination causes better immunity. The
Children’s Hospital of Philadelphia notes that "It is true
that natural infection almost always causes better
immunity than vaccines. Whereas immunity from disease
often follows a single natural infection, immunity from
vaccines occurs only after several doses
" Mayo Clinic states that natural infection "often
provides more complete immunity than a series of
vaccinations. "Kurt Perkins, DC, a chiropractor and
wellness expert, stated, "A vaccine violates all laws of
natural immune defenses by taking a potential pathogen
along with all the TOXIC ingredients (aluminum,
formaldehyde, adjuvants, etc.) directly into your blood
system. This process would never occur in building
natural immunity. That last sentence is kind of an oxy-
moron. Immunity is a natural thing. Vaccines are an
artificial thing."
Evaluating Pro and Con
Arguments for an Issue
Prepare to Write an
Argumentative Essay
Converse with Your Peers
Meet in small groups to discuss the
pros and cons of this issue and take a
group position on the problem. Select a
group chairperson to lead the group and
report back to the class.
Discuss the following essential Questions.
Consider the following essential questions.
Review the Issue
• 1. What does the research data say about the
issue?
• 2. How do you know the research is reliable?
• 3. Are the arguments supported by logical
reasoning?
• 4. Is each argument supported by specific facts
and examples?
• 5. Which side of the issue is supported by a the
preponderance of the evidence?
Are Drone Strikes Effective?
Discuss the following issues.
•Have drone strikes made the U.S. safer?
•Do drone strikes reduce the need for
combat troops?
•Who decides when to use drone strikes?
•Are drones more dangerous to civilians
than conventional warfare?
Research and Statistics
• Compare the research and statistics for
both the pro and con positions
• Discuss which position presents the
strongest research and most reliable
sources
Continue Your Group Deliberations
• Have group members use their notes to
discuss and analyze each major argument and
supporting evidence.
• Each group member should take the leadership
and lead the discussion on one or more of the
pro and con arguments.
Weigh the Evidence
Have your group create a plus and minus chart.
Place the best, most logical arguments for the pro
position on one side and the best arguments against
the pro position on the other side.
Use this process to help your group reach a decision.
Report Back to the Class
Present your findings to the
class. Which side of the issue
does your group support?
Why?
Write an Essay
Organize your ideas and prepare to write an
essay about the pros and cons of requiring
vaccinations for children. Evaluate the
arguments and evidence on both sides of the
issue. Weigh the pros and cons and decide
which position is supported by the most
persuasive evidence.
Develop a Writing Plan
•Determine what your main point will be, and write a
topic sentence that provides focus for your essay.
•Choose several main ideas that support your topic
sentence.
•Sort your information into supporting details with
facts and examples.
•Be sure to address both the pro and con positions
55
Use the following
essay format to
write your paper.
56
57
Essay
Outline
Introduction
What is my topic
sentence?
Body-Main Ideas
With supporting
details
Conclusion
How can I summarize
my paragraph?
How can I rephrase
my topic sentence?
Essays Require
Three Main
Sections
Begin Your Essay With
a Carefully Crafted
Introduction
Get the Reader’s Attention and State Your Thesis
The Key Elements of a
Strong Introduction
Check Out This Sample Introduction
Details Must Support
the Main Ideas
Provide specific
facts, examples,
and reasons for
each main idea
in the body of
your essay
Create an Outline
Topic Sentence___________________________________
_______________________________________________
A. Main Idea_____________________________________
_______________________________________________
Details/Evidence__________________________________
_______________________________________________
Details/Evidence__________________________________
_______________________________________________
B. Main Idea_____________________________________
_______________________________________________
Details/Evidence__________________________________
________________________________________________
64
Prepare to Write
•Use your outline and write
an essay on your topic.
•As you write your rough
draft, it will be very
important to use special
words that enable you to
transition smoothly from one
idea to the next.
65
Transition Words
As you view these words,
select the words that help you
make transitions smoothly
from one idea to the next.
• as a result
• such as
• for example
• nevertheless
• for that reason
• finally
• at this time
• therefore
• furthermore
• in addition
• in conclusion
• as well as
66
Conclusion
Write a conclusion
for your essay
reviewing your main
points and discussing
why this issue is so
important for our
future.
Write a Strong Conclusion for Your Essay
What does a good conclusion do?
Let’s Review a Good Conclusion
Review, Edit, and Rewrite
1. Re-read your essay several
times.
2. How can you improve your
sentences to communicate more
clearly?
3. Are your main ideas supported
by examples and details?
4. Exchange papers with another
student and read each other’s
essay out loud.
5. Make final corrections and write
the final draft of your polished
essay. 71
72
Copyright Protected © 2013 Dean R. Berry
All Rights Reserved
No part of this document may be reproduced without written permission
from the author

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Should Vaccines Be Required? Key Arguments For Mandatory Vaccinations

  • 1. Should Vaccines Be Required for Children? Prepare to Review the Issue and Write an Argumentative Essay
  • 2. Evaluating Pro and Con Arguments A Common Core Lesson By Dean Berry, Ed. D. Gregg Berry, B. A. Common Core Curriculum Solutions www.commoncorecurriculum.info
  • 3. Common Core Reading Standards Delineate and evaluate the argument and specific claims in a text, assessing whether the reasoning is sound and the evidence is relevant and sufficient; recognize when irrelevant evidence is introduced. Delineate and evaluate the argument and specific claims in a text, assessing whether the reasoning is sound and the evidence is relevant and sufficient; recognize when irrelevant evidence is introduced.
  • 4. Common Core Speaking and Listening Standards Engage effectively in a range of collaborative discussions (one-on-one, in groups, and teacher-led) with diverse partners on topics, texts, and issues, building on others’ ideas and expressing their own clearly. Delineate a speaker’s argument and specific claims, evaluating the soundness of the reasoning and relevance and sufficiency of the evidence and identifying when irrelevant evidence is introduced.
  • 5. Writing Standards Support claim(s) with logical reasoning and relevant evidence, using accurate, credible sources and demonstrating an understanding of the topic or text. Use words, phrases, and clauses to create cohesion and clarify the relationships among claim(s), counterclaims, reasons, and evidence. Provide a concluding statement or section that follows from and supports the argument presented
  • 6. Evaluating Pro and Con Arguments Prepare to Review the Issue and Write an Argumentative Essay
  • 7. The Vaccination Issue is Serious.
  • 8. Why Vaccinations Keep the Population Healthy
  • 9. Do vaccines hurt more than they help?
  • 10. Should vaccines be required for all children entering school? Let’s Think About the Issue •Are vaccines safe for children? •How many lives are saved because of vaccines? •Wat is herd immunity? •Are the ingredients in vaccines dangerous?
  • 11. What diseases have been controlled or eradicated by vaccines? Should all states have the same requirements for vaccinations?
  • 12. What Do You Think? Use your red or green card to signify your response to this question. Raise your red card if you disagree or your green card if you agree. Vaccinations should be required of all children before entering school.
  • 13. What Do You Think? Raise Your Red or Green Card Children should not be required to get vaccinations before entering school.
  • 14. Essential Questions to Guide our Review of the Issue • 1. What does the research data say about the issue? • 2. How do you know the research is reliable? • 3. Are the arguments supported by logical reasoning? • 4. Is each argument supported by specific facts and examples? • 5. Which side of the issue is supported by a preponderance of the evidence?
  • 15. Evaluating Evidence Now that we have shared opinions, let’s examine the evidence. Analyze the pro and con arguments on the following frames and determine which position presents the strongest case.
  • 16. Read each argument closely to see if it passes the smell test? The Pro Position Take careful notes as you read the following arguments.
  • 17. Review the Evidence and Arguments The Pro Position
  • 18. Should Any Vaccines Be Required for Children? The Centers for Disease Control (CDC) recommends getting 28 doses of 10 vaccines for kids aged 0 to six. No US federal laws mandate vaccination, but all 50 states require certain vaccinations for children entering public schools. Most states offer medical and religious exemptions; and some states allow philosophical exemptions.
  • 19. • Proponents say that vaccination is safe and one of the greatest health developments of the 20th century. They point out that illnesses, including rubella, diphtheria, smallpox, polio, and whooping cough, are now prevented by vaccination and millions of children’s lives are saved. They contend adverse reactions to vaccines are extremely rare. Opponents say that children’s immune systems can deal with most infections naturally, and that injecting questionable vaccine ingredients into a child may cause side effects, including seizures, paralysis, and death. They contend that numerous studies prove that vaccines may trigger problems like autism, ADHD, and diabetes.
  • 20. Read each argument closely to see if it passes the smell test? Take careful notes as you read the following arguments.
  • 21. Pro Mandatory Vaccines Vaccines can save children's lives. The American Academy of Pediatrics states that "most childhood vaccines are 90%-99% effective in preventing disease." According to Shot@Life, a United Nations Foundation partner organization, vaccines save 2.5 million children from preventable diseases every year , which equates to roughly 285 children saved every hour. The Centers for Disease Control (CDC) estimated that 732,000 American children were saved from death and 322 million cases of childhood illnesses were prevented between 1994 and 2014 due to vaccination. The measles vaccine has decreased childhood deaths from measles by 74%.
  • 22. Reason #1 The ingredients in vaccines are safe in the amounts used. Ingredients, such as thimerosal, formaldehyde, and aluminum, can be harmful in large doses but they are not used in harmful quantities in vaccines. Children are exposed to more aluminum in breast milk and infant formula than they are exposed to in vaccines. Paul Offit, MD, notes that children are exposed to more bacteria, viruses, toxins, and other harmful substances in one day of normal activity than are in vaccines.
  • 23. With the exception of inactivated flu vaccines, thimerosal (a mercury compound) has been removed or reduced to trace amounts in vaccines for children under 6 years old. The FDA requires up to 10 or more years of testing for all vaccines before they are licensed, and then they are monitored by the CDC and the FDA to make sure the vaccines and the ingredients used in the vaccines are safe.
  • 24. Reason # 2 Major medical organizations state that vaccines are safe. These organizations include: CDC, Food and Drug Administration (FDA), Institute of Medicine (IOM), American Medical Association (AMA), American Academy of Pediatrics (AAP), UNICEF, US Department of Health and Human Services (HHS), World Health Organization (WHO), Public Health Agency of Canada, Canadian Pediatric Society, National Foundation for Infectious Diseases (NFID), and American Academy of Family Physicians (AAFP). The WHO states, "Vaccines are very safe." The US Department of Health and Human Services states, "Vaccines are some of the safest medical products available."
  • 25. Reason # 3 Adverse reactions to vaccines are extremely rare. The most common side effect of vaccines, anaphylaxis (a severe allergic reaction), occurs in one per several hundred thousand to one per million vaccinations. According to Sanjay Gupta, Chief Medical Correspondent for CNN and practicing neurosurgeon, "you are 100 times more likely to be struck by lightning than to have a serious allergic reaction to the vaccine that protects you against measles."
  • 26. Ellen Clayton, MD, JD, Professor of Pediatrics and Law at Vanderbilt Law School and co-author of the 2011 IOM report "Committee to Review Adverse Effects of Vaccines," summarized the results of the report: "The MMR vaccine does not cause autism… The MMR and DTaP do not cause Type 1 diabetes. And the killed flu vaccine does not cause Bell’s palsy, and it does not trigger episodes of asthma." Combination vaccines, like MMR (measles, mumps, and rubella), have been used without adverse effects since the mid-1940s.
  • 27. Reason # 4 Vaccines protect the "herd." Herd immunity (or community immunity) means that when a "critical portion" (the percent of people who need to be vaccinated to provide herd immunity) of a population is vaccinated against a contagious disease it is unlikely that an outbreak of the disease will occur so most members of the community will be protected.
  • 28. Children and adults who cannot be vaccinated due to age, poor health (who are immune-compromised or undergoing chemotherapy, for example), or other reasons rely on herd immunity to prevent contraction of vaccine-preventable diseases.
  • 29. A Jan. 2008 outbreak of measles in San Diego, CA resulted in 48 children who had to be quarantined because they were too young to be vaccinated and could not rely on herd immunity to keep them safe. In 2011, 49 US states did not meet the 92- 94% herd immunity threshold for pertussis (whooping cough), resulting in a 2012 outbreak that sickened 42,000 people and was the biggest outbreak since 1955. In 2005, an 18-month-old Amish girl contracted polio and spread the disease to four other unvaccinated children, but, because the community met the herd immunity threshold for the disease, there was no polio outbreak.
  • 30. Reason # 5 Vaccines eradicated smallpox and have nearly eradicated other diseases such as polio. Children are no longer vaccinated against smallpox because the disease no longer exists due to vaccination. The last case of smallpox in the United States was in 1948; the last case in the world was 1977 in Somalia. In the twentieth century, there were 16,316 deaths from polio and 29,004 deaths from smallpox yearly in the United States; in 2012 there were no reported cases of polio or smallpox.
  • 31. According to UNICEF, there were 500 cases of polio in 2014 worldwide (appearing only in three countries: Afghanistan, Nigeria, and Pakistan), down from 350,000 cases in 1988, thanks to vaccination programs. ]Diphtheria killed 21,053 people yearly, measles killed 530,217 people yearly, mumps killed 162,344 people yearly, rubella killed 47,745 people yearly, and Hib killed 20,000 people yearly in the twentieth century United States; by 2012 each of these diseases were decreased by 99% because of vaccinations.
  • 32. Vaccine-preventable diseases have not disappeared so vaccination is still necessary.The CDC notes that many vaccine-preventable diseases are still in the United States or "only a plane ride away." ]Although the paralytic form of polio has largely disappeared thanks to vaccination, the virus still exists in countries like Pakistan where there were 93 cases in 2013 and 71 in 2014 as of May 15.
  • 33. The polio virus can be incubated by a person without symptoms for years; that person can then accidentally infect an unvaccinated child (or adult) in whom the virus can mutate into its paralytic form and spread amongst unvaccinated people. Unvaccinated Amish missionaries who traveled to the Philippines brought measles back to Ohio in May 2014, resulting in 155 infected people as of June 5, 2014.
  • 34. There were 9,149 confirmed and 31,508 suspected cases of measles in the Philippines between Jan. 1 and May 20, 2013. In 2004, there were 37 cases of measles in the United States; in 2014, by May 30, there were 16 measles outbreaks in the United States resulting in at least 334 cases in 18 states. UNICEF reported that, globally, 453,000 children die from rotavirus, 476,000 die from pneumococcus (the virus that causes pneumonia, meningitis, and blood infections), 199,000 die from Hib (a virus that causes pneumonia and meningitis), 195,000 die from pertussis (whooping cough), 118,000 die from the measles, and 60,000 die from tetanus each year, all vaccine-preventable diseases.
  • 35. Read each argument closely to see if it passes the smell test? The Con Position Take careful notes as you read the following arguments.
  • 36. Con Arguments Reason # 1 Vaccines can cause serious and sometimes fatal side effects. According to the CDC, all vaccines carry a risk of a life-threatening allergic reaction (anaphylaxis) in about one per million children. The rotavirus vaccination can cause intussusception, a type of bowel blockage that may require hospitalization, in about one per 20,000 babies in the United States. Long-term seizures, coma, lowered consciousness, and permanent brain damage may be associated with the DTaP (diphtheria, tetanus, and pertussis) and MMR vaccines, though the CDC notes the rarity of the reaction makes it difficult to determine causation.
  • 37. • The CDC reports that pneumonia can be caused by the chickenpox vaccine, and a "small possibility" exists that the flu vaccine could be associated with Guillain-Barré Syndrome, a disorder in which the person’s immune system attacks parts of the peripheral nervous system, in about one or two per million people vaccinated.. The National Vaccine Information Center (NVIC) says that vaccines may be linked to learning disabilities, asthma, autism, diabetes, chronic inflammation, and other disabilities.
  • 38. Reason # 2 Vaccines contain harmful ingredients. Some physicians believe thimerosal, an organic mercury compound found in trace amounts in one flu vaccine for children and other vaccines for adults, is linked to autism.Aluminum is used in some vaccines and excess aluminum in human bodies can cause neurological harm. Formaldehyde, also found in some vaccines, is a carcinogen, and, according to VaxTruth.org, exposure can cause side effects such as cardiac impairment, central nervous system depression, "changes in higher cognitive functions," coma, convulsions, and death. Glutaraldehyde, a compound used to disinfect medical and dental equipment, is used in some DTaP vaccinations and exposure can cause asthma and other respiratory issues.
  • 39. Some flu vaccines contain cetyltrimethylammonium bromide (CTMB), a compound used as an antiseptic, which can be a skin, eye, and respiratory irritant. Some polio, TD, and DTaP vaccines contain 2-phenoxyethanol, an antibacterial that is a skin and eye irritant that can cause headache, shock, convulsions, kidney damage, cardiac and kidney failure, and death. Some vaccines for the flu contain chicken egg protein, which can be harmful to children who are allergic to eggs. Some vaccines for PCV, HPV, DTaP, Hep A, Hep B, and Hib contain yeast proteins which, according to VaxTruth and Joseph Mercola, MD, an alternative medicine proponent, contain MSG that can cause migraines, irritable bowel syndrome (IBS), asthma, diabetes, Alzheimer’s, Lou Gehrig’s disease, ADD, seizure, and stroke.
  • 40. Reason # 3 The government should not intervene in personal medical choices. Medical decisions for children should be left to the parents or caregivers. Barbara Low Fisher, Co-founder of National Vaccine Information Center, stated, "If the State can tag, track down and force citizens against their will to be injected with biological products of known and unknown toxicity today, there will be no limit on which individual freedoms the State can take away in the name of the greater good tomorrow."
  • 41. Ron Paul, MD, former US Representative (R-TX), in an Oct. 19, 2011 article, "Government Vaccines – Bad Policy, Bad Medicine," stated, "intimately personal medical decisions should not be made by government… Freedom over one’s physical person is the most basic freedom of all, and people in a free society should be sovereign over their own bodies. When we give government the power to make medical decisions for us, we in essence accept that the state owns our bodies."
  • 42. Reason # 4 Mandatory vaccines infringe upon constitutionally protected religious freedoms. Several religions oppose vaccines and mandatory vaccinations. The First Amendment of the US Constitution states, "Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof." In the ruling for Cantwell v. Connecticut (1939; 9-0), the US Supreme Court held that state and local governments’ infringement upon religious freedom is also unconstitutional. Some Christian Scientists consider vaccinations against their religion because founder Mary Baker Eddy stated that the "calm, Christian state of mind is a better preventative of contagion than a drug, or than any other possible sanative method… the ‘perfect Love’ that ‘casteth out fear’ is a sure defense."
  • 43. Amish communities do not view all vaccinations as "necessary" and some believe that vaccinations weaken the immune system. The Church of Illumination states that "the teachings of the Church unequivocally affirm that injections of vaccines and inoculations are a violation of these biblical teachings… Immunizations and vaccinations are a form of blood pollution because they have devastating effects on the regeneration of the soul that each Church member seeks to attain." The Universal Family Church believes that parents should decide whether their children should be vaccinated and that "God intends the health decisions of individuals should… be honored by all authorities.
  • 44. Reason # 5 Vaccines are unnatural, and natural immunity is more effective than vaccination. Even pro-vaccine organizations state that natural vaccination causes better immunity. The Children’s Hospital of Philadelphia notes that "It is true that natural infection almost always causes better immunity than vaccines. Whereas immunity from disease often follows a single natural infection, immunity from vaccines occurs only after several doses
  • 45. " Mayo Clinic states that natural infection "often provides more complete immunity than a series of vaccinations. "Kurt Perkins, DC, a chiropractor and wellness expert, stated, "A vaccine violates all laws of natural immune defenses by taking a potential pathogen along with all the TOXIC ingredients (aluminum, formaldehyde, adjuvants, etc.) directly into your blood system. This process would never occur in building natural immunity. That last sentence is kind of an oxy- moron. Immunity is a natural thing. Vaccines are an artificial thing."
  • 46. Evaluating Pro and Con Arguments for an Issue Prepare to Write an Argumentative Essay
  • 47. Converse with Your Peers Meet in small groups to discuss the pros and cons of this issue and take a group position on the problem. Select a group chairperson to lead the group and report back to the class. Discuss the following essential Questions.
  • 48. Consider the following essential questions. Review the Issue • 1. What does the research data say about the issue? • 2. How do you know the research is reliable? • 3. Are the arguments supported by logical reasoning? • 4. Is each argument supported by specific facts and examples? • 5. Which side of the issue is supported by a the preponderance of the evidence?
  • 49. Are Drone Strikes Effective? Discuss the following issues. •Have drone strikes made the U.S. safer? •Do drone strikes reduce the need for combat troops? •Who decides when to use drone strikes? •Are drones more dangerous to civilians than conventional warfare?
  • 50. Research and Statistics • Compare the research and statistics for both the pro and con positions • Discuss which position presents the strongest research and most reliable sources
  • 51. Continue Your Group Deliberations • Have group members use their notes to discuss and analyze each major argument and supporting evidence. • Each group member should take the leadership and lead the discussion on one or more of the pro and con arguments.
  • 52. Weigh the Evidence Have your group create a plus and minus chart. Place the best, most logical arguments for the pro position on one side and the best arguments against the pro position on the other side. Use this process to help your group reach a decision.
  • 53. Report Back to the Class Present your findings to the class. Which side of the issue does your group support? Why?
  • 54. Write an Essay Organize your ideas and prepare to write an essay about the pros and cons of requiring vaccinations for children. Evaluate the arguments and evidence on both sides of the issue. Weigh the pros and cons and decide which position is supported by the most persuasive evidence.
  • 55. Develop a Writing Plan •Determine what your main point will be, and write a topic sentence that provides focus for your essay. •Choose several main ideas that support your topic sentence. •Sort your information into supporting details with facts and examples. •Be sure to address both the pro and con positions 55
  • 56. Use the following essay format to write your paper. 56
  • 57. 57 Essay Outline Introduction What is my topic sentence? Body-Main Ideas With supporting details Conclusion How can I summarize my paragraph? How can I rephrase my topic sentence?
  • 59. Begin Your Essay With a Carefully Crafted Introduction
  • 60. Get the Reader’s Attention and State Your Thesis
  • 61. The Key Elements of a Strong Introduction
  • 62. Check Out This Sample Introduction
  • 63. Details Must Support the Main Ideas Provide specific facts, examples, and reasons for each main idea in the body of your essay
  • 64. Create an Outline Topic Sentence___________________________________ _______________________________________________ A. Main Idea_____________________________________ _______________________________________________ Details/Evidence__________________________________ _______________________________________________ Details/Evidence__________________________________ _______________________________________________ B. Main Idea_____________________________________ _______________________________________________ Details/Evidence__________________________________ ________________________________________________ 64
  • 65. Prepare to Write •Use your outline and write an essay on your topic. •As you write your rough draft, it will be very important to use special words that enable you to transition smoothly from one idea to the next. 65
  • 66. Transition Words As you view these words, select the words that help you make transitions smoothly from one idea to the next. • as a result • such as • for example • nevertheless • for that reason • finally • at this time • therefore • furthermore • in addition • in conclusion • as well as 66
  • 67. Conclusion Write a conclusion for your essay reviewing your main points and discussing why this issue is so important for our future.
  • 68. Write a Strong Conclusion for Your Essay
  • 69. What does a good conclusion do?
  • 70. Let’s Review a Good Conclusion
  • 71. Review, Edit, and Rewrite 1. Re-read your essay several times. 2. How can you improve your sentences to communicate more clearly? 3. Are your main ideas supported by examples and details? 4. Exchange papers with another student and read each other’s essay out loud. 5. Make final corrections and write the final draft of your polished essay. 71
  • 72. 72 Copyright Protected © 2013 Dean R. Berry All Rights Reserved No part of this document may be reproduced without written permission from the author