A Critical Choice ■ 33
No one is
vaccinated
Sick people are contagious; disease
spreads through the population.
Some people are
vaccinated
Most people are
vaccinated
Fewer sick and contagious people;
disease spreads, but not as much.
Very few sick, contagious people;
disease does not spread much.
Not vaccinated, healthy
Vaccinated, healthy
Not vaccinated, sick and contagious
Before an outbreak After an outbreak
Figure 2.11
Vaccine prevalence and herd immunity
When the majority of the population is not vaccinated, an outbreak of disease will spread further and
may cause disease and death in members of the population who are too young to be vaccinated or
have a compromised immune system. However, when most of the population is vaccinated against
a contagious disease, the disease will spread little during an outbreak; this tighter containment of a
disease is the result of what is known as herd immunity. Image modified from the National Institute of
Allergy and Infectious Diseases (NIAID).
Q1: What happens to an immunized person when a disease spreads through a population?
(Hint: In the graphic, follow an immunized individual before and after a disease spreads.)
Q2: Explain why a disease is less likely to spread to vulnerable members of a population if most
people are immunized.
Q3: How does vaccination help an individual person? How does it help that person’s community?