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Top Ten Questions of Vaccine Hesitancy -

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Making the Case for Vaccines:TopFifteen Questionsof Vaccine Hesitancy
Paul A. Offit, MDDirectorof the Vaccine Education Center at the Children’s Hospital of PhiladelphiaMauriceR. Hilleman Professor of VaccinologyProfessorof Pediatrics at the Perelman School of Medicine at the University ofPennsylvania
Vaccine hesitancyis a behavior, influenced by a number of factors including issues of confidence (do not trust vaccine or provider), complacency (do not perceive a need for a vaccine, do not value the vaccine), and convenience (access).The SAGE Vaccine Hesitancy Working Group, WHO
Top Fifteen Questions of Vaccine Hesitancy
Learning Objectives:Tounderstand the main issuespresented by parents, medical providers, and others involved with providing vaccines to children of vaccine hesitant parentsToaddress concernsthat are presented andprovide datathat enhances administration of vaccines along recommended guidelinesToencourage dialoguein settings that supportparents’medical education on averting vaccine preventable diseases
Top Fifteen Questions of Vaccine HesitancyConfidence
Why aren’t all vaccines 100% effective?Isn’t natural immunity better than vaccine-acquired immunity?
Top Fifteen Questions of Vaccine HesitancyConfidence
Vaccineinformation sheets list lots of potential side effects. Why is vaccination recommended if it can cause all of these side effects?The media and websites have reported that vaccines are linked to long-term health problems such as multiple sclerosis, diabetes, and autism.Is that true?
Top Fifteen Questions of Vaccine HesitancyConfidence
Whydo vaccines contain ingredients such as mercury, thimerosal, formaldehyde, and gelatin?How are safety studies conducted on vaccines and is the data available for parents and providers to review?“My chiropractor has advised me and my family not to be immunized”…How do other medical professionals respond to this?
Top Fifteen Questions of Vaccine HesitancyComplacency
Pediatricians have asked: How do we deal with parents that choose the Dr. Robert Sears schedule (delaying polio andHepB, etc.) or other alternative schedules as they feel their children are not at risk of exposure to these diseases early in life?  (What convincing evidence can we get across to them?)Any ideas/examples of whatpublic health officialscan say or do with parents who are vaccine hesitant and with providers who accept a lot of patients who don’t wish to follow the recommended schedule? Any specific studies or materials we can offer to physicians to strengthen their ability to endorse vaccines to parents?
TopFifteen Questionsof VaccineHesitancyComplacency
Parents(and some providers) have never seen a case of some of these diseases. Why do we need to vaccinate for something that isn’t in our community?Certain vaccines (like HPV)are notrequired for school entry. Does that mean that they are not as important?
TopFifteenQuestions of VaccineHesitancyConvenience
How do we address religious exemptions in our practice? (Safety of other patients; parents opting children out for convenience)Why so many vaccines? (Won’t that overwhelm my child’s immune system?)
TopFifteenQuestions of VaccineHesitancyConvenience
Why can’t I (as a parent) just wait until my children are older?“As a daycare provider/school nurse, it is frustrating to have to keep up with so many shot requirements, especially since I’m not sure that I agree with the need.” How can I work with parents to be compliant and avoid exclusion from our program/school?
Top Fifteen Questions of Vaccine Hesitancy
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Top Ten Questions of Vaccine Hesitancy -