Herd immunity? Don't count on it. Not if that "herd" is the U.S. military.
According to news reports, at least a third of active-duty military personnel or those in the National Guard have opted out of getting the coronavirus vaccine. That figure, by the way, doesn't even include American troops stationed around the world, many of whom have yet to be offered the chance to be vaccinated. As a Navy spouse whose husband has moved to five separate U.S. duty stations in the decade we've been together, one thing is hard for me to imagine: an administration pledging to do everything it can to beat this pandemic has stopped short of using its executive powers to ensure that our 2.3 million armed forces members are all vaccinated.
From the point of view of those in the military refusing the vaccine, there's a simple reality (or perhaps I mean surreality) to this situation. There's so much disinformation about Covid-19 and the vaccination programs meant to deal with it floating around, particularly in the world of social media, that no one should be surprised that a third of the military here has flatly refused the shots. Even public efforts of the armed forces to dispel myths about the vaccine have not made a dent in these figures. For example, the decision of Army commanders at Fort Bragg, North Carolina, to develop a local podcast on the subject and create what they call "vaccine ambassadors" in their own ranks have still left them facing an uphill battle. (Vaccine acceptance at that base was, as of February, below 50%.)
And note as well that vaccination rates are lowest among young soldiers. Sadly enough, in the midst of this country's incipient fourth wave of the disease, it's younger people who are increasingly catching it. Keep in mind that the military is disproportionately made up of evangelical Christians, a population among whom vaccine skepticism and resistance are already rampant. And take my word for it, much of the toxic rhetoric floating around American social media on such subjects is already seeping into the military's command culture as well.
In the communities where my husband and I have worked since the pandemic hit these shores, for example, I've met one commander who believes that God, not a vaccine, will decide whether he lives or dies. Another young officer I ran into believes that the risk of side effects from such vaccines outweighs any risk from the virus itself. Such attitudes are also sweeping into the larger military community, which is why a military spouse and mother assured me that our immune system is capable of beating the virus, no vaccine needed.
Reactions like theirs suggest how hard it will be, not just in the military, but in the country at large, to achieve "herd immunity." Sadly, despite the quarantining of those who test positive for the coronavirus, there has been far less action within the military (as in American society at large) to contain those who could become vectors for the disease than would be desirable, though it's long been known that asymptomatic spread is a significant contributor to the pandemic.
What stuns me as a military spouse is how little the Pentagon — a distinctly top-down organization that operates by command, not wish — is doing about the problem of troops opting out of being vaccinated. Why isn't Defense Secretary Lloyd Austin more forcefully denouncing those within the military community who discourage vaccination and don't get vaccinated themselves? What better use of his public position than to protect the lives of those troops being offered the vaccine, as well as those military personnel and their families who, as yet, have no access to such shots, and civilians still vulnerable to the virus in military communities around the world? Why isn't every commander photographing himself or herself getting a needle in the arm?
It's true that the military can't order troops to be vaccinated (as with many other vaccines) because the Federal Drug Administration has not yet officially "approved" any of the Covid-19 vaccines except under an "emergency-use authorization." And despite calls to do so by some Democratic lawmakers, President Biden has not made such shots mandatory for all military members and seems reluctant to do so in the future.
However, as Nation journalist Andrew McCormick has explained, there are many things the military could still do (but isn't doing) until such a moment arrives. These include offering paid time off, financial bonuses, and upgrades in military healthcare plans as incentives to those willing to get vaccinated. So far, there's no evidence that the Pentagon (which I reached out to on the subject without response) is willing to move in such a direction. Sadly, it seems that the health of our military, their families, and the communities they live and serve in just isn't the foremost concern of either the high command or an administration that in other areas has been impressive in its response to the pandemic.
Vaccine Passports? Not in This Military
Under such circumstances, the U.S. military, whose members have already sustained hundreds of thousands of cases of Covid-19, poses an ongoing threat not just to its own communities or Americans more generally, but to the world. It could lend a hand elsewhere in spreading a deadly virus that has to date killed more than 560,000 Americans and 2.9 million other people around the world.
Lack of testing and contact tracing make it impossible to tell just how big a role the military already plays in spreading the virus, but hundreds of thousands of service members and those associated with them, including family members and contractors, have gotten it. By one count, despite the youth and health of the military, about 0.9% of total recorded U.S. coronavirus cases to date are among its members, its contractors, or its dependent family members — a military community that comprises roughly .7% of the population. That means it's definitely pulling its weight when it comes to contributing to recorded cases around the country.
Such cases and deaths among the troops (and those associated with them) have been due in no small part to the Department of Defense's negligence in keeping its own personnel safe from the virus. For that, you can blame, at least in part, sloppy, piecemeal safety protocols and the continued circulation of troops from one station to another around the country and the world. It's not even clear whether the 3,000 military personnel assigned to vaccinate American civilians at hundreds of sites globally have themselves received the vaccine.
Consider it an irony, then, that the military's insistence on training its troops to fill a variety of roles — in other words, on rotating them through various garrisons and jobs during their careers — is meant to prepare them for a situation in which national security threats might not allow that sort of circulation to continue. With more than half a million Americans already dead from an easy-to-spread disease (more than the dead from both world wars, Vietnam, and the 9/11 attacks combined), what better moment than this to make sure that the troops stay put for a while? Why not order that each member of the armed forces assigned to rotate among duty stations have a vaccine passport? But no such luck. Not in this military. Not now.
And that's not all. In many cases, there is no vaccine available even for service members stationed at bases overseas who actually want to be vaccinated. For example, at Ramstein Air Base in Germany, where nearly 60,000 troops and their families are currently stationed, only key personnel like medical workers and food staff have received vaccinations so far. In some cases, even where first doses have been administered, second doses are simply not available. Only about 20% of the U.S. forces stationed in South Korea, a country known for its successful management of the virus, had been vaccinated by mid-March.
At a time when the United States has achieved an average rate of three million inoculations daily and more than a third of U.S. adults have already received at least one shot, lack of military access should be (but isn't) considered shameful.
And keep in mind that the dangers of a significantly unvaccinated military are high. Given their jobs and the proximity of their homes to U.S. military installations, a striking number of people have little choice but to come in contact with American military personnel. I'm thinking now of the hundreds of millions of civilians living in the many countries where the United States military now operates, often from significant-sized military bases. When it comes to the dangers of Covid-19 spreading, add in Americans living in close proximity to the 440 military bases in this country.
In nations where the virus remains uncontained, unvaccinated American troops are both threatened and threatening. Afghanistan and Iraq, where the United States has been at war for the better part of two decades, are no exceptions. As elsewhere, it's unclear how many of the approximately 6,000 U.S. troops (and thousands of American contractors attached to that military) still stationed in those countries are vaccinated.
My Life in Pandemic America
Now, let me turn to my own family. My husband is a naval officer and we're privileged. We have three graduate degrees between us and dual incomes. I can do most of my job as a clinical social worker serving people from the armed forces and war-afflicted countries at home. My husband recently transferred from a remarkably pandemic-exposed Pentagon to a civilian agency post where he can also largely work from home (except — sigh — when someone from the Pentagon must be greeted in person). We've been lucky to be able to juggle the work and childcare demands of this pandemic period largely from the safety of our rural home. We're both vaccinated as well.
And yet, we're worried. For his job, my husband has had to calculate the risk to life of countless real and potential military catastrophes. He's also focused professionally on damage control when war-traumatized troops drive drunk, beat their wives, or abuse their children. He carries with him memories and fears of violence, most of it from within the armed forces. Given the unnecessary threats to life and limb he's witnessed through his work, he's vigilant about our family not being exposed any more than necessary to the threat of Covid-19.
All of this means that we've remained relatively isolated in our new home. In this pandemic year-plus, we haven't attended events in the community, eaten in restaurants, gone to friends' houses for dinner, or traveled at all. And yes, we're lucky because we're so untypical of most of our military. With so much at stake, its leadership needs to focus on containing the virus within its ranks in a way it simply hasn't, particularly with more contagious variants of the disease spreading rapidly.
I wish that President Biden would listen to the small group of lawmakers currently pressing his administration for greater safety within the military and for him to use his executive powers to mandate vaccinations among the troops. I wish he would devote as much effort and time to ensuring that military bases carried out their vaccination efforts in a competent and accountable manner, as his administration has in so many civilian locales throughout this country.
Imagine what it would mean for troops and families to pose no more than a negligible risk when it comes to the transmission of this virus. At least that would allow us to check off one major risk to health and life on the list of our mounting human rights abuses as a country and to go back to the long project of reckoning with the costs of endless armed conflict around the world.
Copyright 2021 Andrea Mazzarino
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Andrea Mazzarino, a TomDispatch regular, co-founded Brown University's Costs of War Project. She has held various clinical, research, and advocacy positions, including at a Veterans Affairs PTSD Outpatient Clinic, with Human Rights Watch, and at a community mental health agency. She is the co-editor of War and Health: The Medical Consequences of the Wars in Iraq and Afghanistan.