Dispelling the Myths and Rumors of Immunization. September 15, 2016

Transcription

1 Dispelling the Myths and Rumors of Immunization September 15, 2016

2 Objectives Use the CASE method to discuss vaccination with vaccine-hesitant individuals. Use DSHS core competencies to dispel myths and rumors

3 WHY do we vaccinate? To keep healthy people healthy To prevent disease, death and disability To save time and money To stop diseases from spreading To protect those who cannot protect themselves because of age/allergies/ medical conditions It s not just about you.

4 POLL QUESTION Did you get a flu vaccine last flu season (August 2015-May 2016)? a. Yes b. No c. I don t remember.

5 WHO do we vaccinate? Children Adolescents Young Adults Pregnant Women Older Adults Everyone

6 WHEN do we vaccinate? Source: Centers for Disease Control and Preven5on, h8p:// to- read/index.html

7 WHEN do we vaccinate? INFORMATION FOR PARENTS 2016 Recommended Immunizations for Children 7-18 Years Old Talk to your child s doctor or nurse about the vaccines recommended for their age. Flu Influenza Tdap Tetanus, diphtheria, pertussis HPV Human papillomavirus MenACWY Meningococcal MenB Pneumococcal Hepatitis B Hepatitis A Inactivated Polio MMR Measles, mumps, rubella Chickenpox Varicella 7-8 Years 9-10 Years Years Years Years More information: Preteens and teens should get a flu vaccine every year. Preteens and teens should get one shot of Tdap at age 11 or 12 years. Both girls and boys should receive 3 doses of HPV vaccine to protect against HPVrelated disease. HPV vaccination can start as early as age 9 years. All year olds should be vaccinated with a single dose of a quadrivalent meningococcal conjugate vaccine (MenACWY). A booster shot is recommended at age 16. Teens, years old, may be vaccinated with a MenB vaccine. These shaded boxes indicate when the vaccine is recommended for all children unless your doctor tells you that your child cannot safely receive the vaccine. These shaded boxes indicate the vaccine should be given if a child is catching-up on missed vaccines. These shaded boxes indicate the vaccine is recommended for children with certain health or lifestyle conditions that put them at an increased risk for serious diseases. See vaccine-specific recommendations at This shaded box indicates the vaccine is recommended for children not at increased risk but who wish to get the vaccine after speaking to a provider. Source: Centers for Disease Control and Preven5on, h8p:// to- read/index.html

8 WHEN do we vaccinate? INFORMATION FOR ADULT PATIENTS 2016 Recommended Immunizations for Adults: By Age If you are this age, talk to your healthcare professional about these vaccines Flu Influenza Td/Tdap Tetanus, diphtheria, pertussis Shingles Zoster Pneumococcal Meningococcal MMR Measles, mumps, PCV13 PPSV23 MenACWY or MPSV4 rubella HPV Human papillomavirus MenB for women for men Chickenpox Varicella Hepatitis A Hepatitis B Hib Haemophilus influenzae type b years years years years years 65+ year 1 or 2 doses More Information: You should get flu vaccine every year. You should get a Td booster every 10 years. You also need 1 dose of Tdap. Women should get a Tdap vaccine during every pregnancy to protect the baby. You should get shingles vaccine even if you have had shingles before. You should get 1 dose of PCV13 and at least 1 dose of PPSV23 depending on your age and health condition. You should get this vaccine if you did not get it when you were a child. You should get HPV vaccine if you are a woman through age 26 years or a man through age 21 years and did not already complete the series. Recommended For You: This vaccine is recommended for you unless your healthcare professional tells you that you cannot safely receive it or that you do not need it. May Be Recommended For You: This vaccine is recommended for you if you have certain risk factors due to your health, job, or lifestyle that are not listed here. Talk to your healthcare professional to see if you need this vaccine. If you are traveling outside the United States, you may need additional vaccines. Ask your healthcare professional about which vaccines you may need at least 6 weeks before you travel. For more information, call CDC-INFO ( ) or visit Source: Centers for Disease Control and Preven5on, h8p:// to- read/index.html

9 HOW do vaccines work? Source: Centers for Disease Control and Preven5on, h8p:// gen/howvpd.htm

10 POLL QUESTION About how many K-12 students in Texas had nonmedical exemptions to school vaccination requirements on file during the school year? a. 5,000 b. 10,000 c. 25,000 d. 45,000

11 POLL QUESTION About how many K-12 students in Texas had nonmedical exemptions to school vaccination requirements on file during the school year? a. 5,000 b. 10,000 c. 25,000 d. 45,000 Source: Texas Dept. of State Health Services Annual Report of Immuniza5on Status

12 Exemption Rates in Texas K- 12th Grade Students With Personal Belief Exemp<ons, Texas, ,000 45,000 Number of Personal Belief Exemp5ons 40,000 35,000 30,000 25,000 20,000 15,000 10,000 5, to to to to to to to to to to to to to 2016 School Year Source: Texas Dept. of State Health Services Annual Report of Immuniza5on Status, through

13 POLL QUESTION During which time period did the childhood vaccination schedule have a greater burden on the immune system? a. 1980s b. Present Day

14 POLL QUESTION During which time period did the childhood vaccination schedule have a greater burden on the immune system? a. 1980s b. Present Day Source: Children s Hospital of Philadelphia, h8p://media.chop.edu/data/files/pdfs/vaccine- educa5on- center- too- many- vaccines.pdf

15 Combatting Misinformation Question #1: Do kids today get too many shots, too early? I mean, I didn t get that many. NO. 3,217 3,041 Es2mated # of an2gens in childhood schedule 200 < Source: Addressing Parents Concerns: Do Mul5ple Vaccines Overwhelm or Weaken the Infant s Immune System? Paul A. Offit, Jessica Quarles, Michael A. Gerber, Charles J. Hacke8, Edgar K. Marcuse, Tobias R. Kollman, Bruce G. Gellin, Sarah Landry Pediatrics Jan 2002, 109 (1) ; DOI: /peds , Accessed: h8p://pediatrics.aappublica5ons.org/content/109/1/124

16 Combatting Misinformation Question #2: Are there toxins in vaccines? NO. Mercury? Aluminum? Formaldehyde? There is more formaldehyde in a pear than in any one vaccine. Sources: Children s Hospital of Philadelphia, Vaccine Educa5on Center Thimerosal: h8p:// programs/vaccine- educa5on- center/vaccine- ingredients/thimerosal#.v87z0z4rk2w ; Aluminum: h8p:// programs/vaccine- educa5on- center/vaccine- ingredients/aluminum#.v87z9j4rk2w ; Formaldehyde: h8p:// programs/vaccine- educa5on- center/vaccine- ingredients/formaldehyde#.v87rqt4rk2y, Interna5onal Programme on Chemical Safety, h8p://

17 POLL QUESTION What medical item is more rigorously tested for safety prior to being released into the market? a. Nutritional supplements and multivitamins b. Vaccines

18 POLL QUESTION What medical item is more rigorously tested for safety prior to being released into the market? a. Nutritional supplements and multivitamins b. Vaccines Sources: Centers for Disease Control and Preven5on, h8p:// of- child- vaccine.html Na5onal Center for Complementary and Integra5ve Health, h8ps://nccih.nih.gov/health/providers/digest/children- science

19 Combatting Misinformation Question #3: Are vaccine side effects dangerous/common/worse than the disease? NO. Source: Centers for Disease Control and Preven5on, h8p:// of- child- vaccine.html

20 Source: VacciNews.net, h8p://visual.ly/risk- perspec5ve NOTE: Image modified to improve legibility. Have severe allergic reactions after the MMR and Hepatitis B vaccines:

21 Combatting Misinformation Question #4: If vaccines work so well, why should you care if my kids aren t vaccinated? WE ABSOLUTELY SHOULD. Source: Centers for Disease Control and Preven5on, h8p:// gen/wha5fstop.htm

22 Combatting Misinformation Question #5: Didn t we wipe out polio? Why vaccinate for something that s not around anymore? THESE DISEASES ARE STILL AROUND. Sources: Medical Daily, h8p:// finds- polio- virus- sewage- world- cup- host- city- who- says- it- case- importa5on NBC Los Angeles, h8p:// Cases- Disneyland- Disney- California- Adventure- Park- Orange- County html

23 THESE DISEASES ARE STILL AROUND. Source: Council on Foreign Rela5ons, h8p://

24 Combatting Misinformation Question #6: I ve heard vaccines cause autism. Is this true? NO. the body of epidemiological evidence favors rejec<on of a causal rela<onship between thimerosal- containing vaccines and au2sm. Sources: Ins5tute of Medicine, h8p:// Safety- Review- Vaccines- and- Au5sm.aspx Centers for Disease Control and Preven5on, h8p://

25 Combatting Misinformation How can we discuss vaccination with parents who have concerns? One strategy is the CASE method Developed by Allison Singer of the Autism Science Foundation to discuss vaccine safety with parents who have questions or doubts regarding vaccination Source: Allison Singer, h8p://

26 CASE Method Corroborate Acknowledge the parents concern and find some point on which you can agree. Set the tone for a respectful, successful talk. About Me Describe what you have done to build your knowledge base and expertise. Science Describe what the science says. Explain/Advise Give your advice, based on the science. Source: Allison Singer, h8p://

27 Corroborate I don t think all the vaccines are necessary. I mean, why do we even vaccinate against polio anymore? What do you have in common? I understand why you feel that way. We don t see these diseases very often anymore, so it can be hard to understand why they are necessary.

28 About Me I don t think all the vaccines are necessary. I mean, why do we even vaccinate against polio anymore? What have you done to educate yourself on the topic? As a Community Health Worker, I spend a lot of time learning about different aspects of health, including vaccination. In fact, I recently attended a webinar on vaccine-preventable diseases, where I learned

29 Science I don t think all the vaccines are necessary. I mean, why do we even vaccinate against polio anymore? What does the science say? It is because of vaccines that polio doesn t exist anymore. Since the vaccine became available, cases have gone down by 99%. But not all countries have had successful vaccination campaigns. In today s world, polio is really just a plane ride away. Source: PATH, h8p://

30 Explain/Advise I don t think all the vaccines are necessary. I mean, why do we even vaccinate against polio anymore? What is you recommendation based on science? Given that the risk of diseases like polio still exists, it is very important that all children be up-to-date on their vaccinations. I vaccinate my kids, I want yours to be protected, too.

31 Scenario 1 PARENT: I think I might want to spread the vaccines out so they don t overwhelm my baby s immune system. How would you respond using the CASE method?

32 Summary Be compassionate. Share your story. Keep it simple. Be confident. The science is on your side!

33 Questions? Please feel free to contact: Robyn Correll Carlyle, MPH, CHWI (281)