Bulwark Takes
Bulwark Takes
March 20, 2026

Measles Outbreaks Are Changing Minds—Fast (w/ Therese Vogel)

Quick Read

As measles outbreaks resurface, a nurse and 'Grandparents for Vaccines' advocate shares her sister's lifelong struggle with measles-induced disability, revealing how personal stories are now critical to overcoming collective amnesia and vaccine misinformation.
Measles, once nearly eradicated, is resurfacing due to declining vaccination rates, threatening public health.
Personal stories from trusted figures, like grandparents, are proving more effective than facts in combating vaccine misinformation.
A 'collective amnesia' about the severity of preventable diseases makes populations vulnerable to anti-vaccine rhetoric.

Summary

This episode features Therese Vogel, a retired RN and nurse educator, who discusses her involvement with 'Grandparents for Vaccines.' Vogel shares the personal tragedy of her older sister, Nancy, who contracted measles at age four, leading to lifelong intellectual disabilities and the need for extensive support services. This experience drives Vogel's advocacy as measles outbreaks re-emerge due to declining vaccination rates. The discussion highlights a 'collective amnesia' where newer generations, unfamiliar with the severe consequences of preventable diseases, are more susceptible to anti-vaccine misinformation. Jonathan Con, author of the Breakdown newsletter, and host Sam Stein explore how personal narratives from trusted community members, particularly grandparents who lived through these diseases, are proving more effective than facts alone in shifting public opinion and increasing vaccine uptake, even influencing political discourse as outbreaks become more visible.
The resurgence of measles, a highly contagious and potentially devastating disease, poses a significant public health threat. This episode underscores how societal complacency and misinformation have eroded herd immunity, putting vulnerable populations at risk. It highlights that personal, credible storytelling from those who experienced the pre-vaccine era is a powerful, perhaps essential, tool to re-educate the public and counter the political and social forces driving vaccine hesitancy, ultimately protecting community health.

Takeaways

  • Therese Vogel's sister suffered lifelong intellectual disabilities from measles contracted at age four, underscoring the severe, non-fatal consequences of the disease.
  • Measles requires a 95% vaccination rate for herd immunity; many communities are now below 92%, leading to outbreaks.
  • Generations unfamiliar with the pre-vaccine era's diseases have developed a 'collective amnesia,' making them susceptible to misinformation.
  • Outbreaks in places like Florida and South Carolina have prompted a rapid increase in local vaccination rates, suggesting direct experience changes minds.
  • The 'Grandparents for Vaccines' movement uses personal stories to connect with communities, emphasizing the collective impact of vaccination decisions.

Insights

1Measles Can Cause Lifelong Disabilities, Not Just Death

Therese Vogel's sister, Nancy, contracted measles at age four and developed encephalitis, resulting in intellectual disabilities that affected her learning and required lifelong support. This personal account highlights that measles' impact extends beyond mortality, causing severe, lasting neurological damage.

My sister... contracted measles. She was one of the ones who developed encephalitis as a complication... she was left with intellectual disabilities that affected her for the rest of her life.

2Herd Immunity Requires High Vaccination Rates, Now Falling

Measles is one of the most contagious diseases globally, requiring a 95% vaccination rate for effective herd immunity. Communities dropping below this threshold, some as low as 75-78%, are experiencing outbreaks because the virus can easily find new hosts.

Measles is one of the most contagious diseases in the world and it takes a vaccination rate of 95% to achieve herd immunity... we're seeing some communities now that are down to 75-78% and that's where you start seeing outbreaks.

3Collective Amnesia Fuels Vaccine Hesitancy

The current rise in vaccine hesitancy is largely attributed to a 'collective amnesia.' Generations who did not experience the widespread devastation of diseases like polio and measles before vaccines were available do not appreciate the gravity of these illnesses, making them more vulnerable to misinformation.

There's a lot of evidence that this collective amnesia is a big part of why we see vaccination rates falling... people have forgotten and they don't remember these things.

4Local Outbreaks Drive Rapid Increases in Vaccination

Despite widespread misinformation, actual measles outbreaks in communities, such as those seen in South Carolina and Florida, lead to a quick uptick in vaccination rates. This suggests that direct, local experience of the disease's consequences can rapidly shift public perception and behavior.

One thing I saw was a really quick uptick in vaccination in the communities where there was low vaccination... all of a sudden your neighborhood, your school... people are getting the measles... people start to like, oh, I'm going to get my kid vaccinated.

5Trusted Messengers Outperform Facts in Combating Misinformation

Research indicates that personal stories from credible, believable messengers, such as grandparents, are more effective in increasing vaccine uptake than simply presenting facts. People are more influenced when they see individuals they know or trust getting vaccinated or sharing their experiences.

The messenger matters and having people who are credible, believable messengers I think does make a sense – make a difference... people I know are getting vaccinated. Wait a minute, that maybe this thing is okay.

Bottom Line

The political landscape around vaccines is shifting rapidly due to public sentiment, with the White House reportedly recognizing anti-vaccine rhetoric as unpopular with voters.

So What?

This political awareness suggests that the increasing visibility of measles outbreaks and the public's direct experience with their consequences are creating a tangible political cost for anti-vaccine stances, potentially leading to policy changes or more proactive public health messaging.

Impact

Advocacy groups can leverage this political sensitivity by amplifying the real-world impact of outbreaks and personal stories, framing vaccine promotion as a politically advantageous position for leaders.

Key Concepts

Collective Amnesia

Society tends to forget the severity and impact of diseases once they are largely controlled or eradicated by medical advancements. This forgetfulness makes populations susceptible to misinformation and complacency regarding preventative measures, leading to a resurgence of previously contained health threats.

Lessons

  • Share personal stories about the impact of preventable diseases with your community, especially if you or your family experienced them before vaccines were widespread.
  • Support and amplify the efforts of organizations like 'Grandparents for Vaccines' who use credible, personal narratives to educate the public.
  • Understand and communicate the concept of herd immunity, emphasizing that vaccination is a collective responsibility that protects the most vulnerable members of society.

Leveraging Personal Stories to Combat Vaccine Misinformation

1

Identify and empower credible, trusted messengers within communities, particularly older generations who have firsthand experience with preventable diseases.

2

Encourage these messengers to share their personal stories and experiences, focusing on the human impact rather than just scientific data.

3

Utilize diverse platforms (community meetings, social media, local media) to disseminate these narratives, ensuring they reach target audiences who may be skeptical of traditional sources.

Notable Moments

Therese Vogel recounts her sister Nancy's lifelong intellectual disability caused by measles contracted at age four, vividly illustrating the severe, non-fatal consequences of the disease.

This personal narrative provides a powerful, emotional anchor for the discussion, making the abstract threat of measles tangible and highlighting the often-overlooked long-term disabilities it can cause.

The discussion introduces the concept of 'collective amnesia,' explaining how generations unfamiliar with the devastating impact of pre-vaccine diseases are more susceptible to misinformation.

This insight provides a core explanation for the rise in vaccine hesitancy, reframing it not just as a failure of information, but as a societal forgetting of historical realities, thereby informing more effective communication strategies.

Quotes

"

"She was one of the ones who developed encephalitis as a complication. She was hospitalized for a number of weeks... she was left with intellectual disabilities that affected her for the rest of her life."

Therese Vogel
"

"Measles is one of the most contagious diseases in the world and it takes a vaccination rate of 95% to achieve herd immunity."

Therese Vogel
"

"There's a lot of evidence that this collective amnesia is a big part of why we see vaccination rates falling."

Jonathan Con
"

"The messenger matters and having people who are credible, believable messengers I think does make a sense – make a difference."

Jonathan Con
"

"It's not just a personal decision. It affects everyone around you that you come in contact with."

Therese Vogel

Q&A

Recent Questions

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