The clinician’s guide to the anti-vaccinationists’ galaxy

Trust and the demand for autonomy may explain the low rates of immunizations among nurses

“…Poland and Jacobson (2011) claim that "antivaccinationists tend towards complete mistrust of government and manufacturers, conspiratorial thinking, denialism, low cognitive complexity in thinking patterns, reasoning flaws and a habit of substituting emotional anecdotes for data." 25,26 Up till now, this was not considered a major problem among HCW compared with the general population. The recent reviews on barriers to HCW vaccination emphasize the Health Belief Model components as barriers and not low levels of trust.…”

“…24 Negative attitudes toward vaccines have existed since the first development of vaccines two hundred years ago, relentlessly influencing the acceptance of vaccines. Lately, Poland and Jacobson 25,26 highlighted the struggle against the antivaccinationists. It seems that the A(H1N1) influenza pandemic revealed a strong fear of vaccinations backed by the antivaccinationists, and these authors believe that the antivaccinationist have done much harm to public health.…”

Anti-vakcinalni pokreti i naučna medicina

“…Sa druge strane, postoje određene odlike koje su zajedničke za sve, ili gotovo sve anti-vakcinalne pokrete, što omogućava da se anti-vakcinalni pokreti objektivno odrede i time izbegne "etiketiranje". Za potrebe ovog teksta, pojam "anti-vakcinalni pokret" će biti omeđen definicijom koju su ponudili Poland i Jacobson [4]: "…takav [pokret] koji se suprotstavlja aktivnoj imunizaciji na nenaučan način i čije su aktivnosti usmerene na odbacivanje vakcina i vakcinacije uz poricanje ili neosnovano omalovažavanje recenzirane naučne literature, dostupnih dokaza, naučnog metoda i, konačno, časnosti motiva ljudi koji proizvode, preporučuju i primenjuju vakcine. "…”

“…Ovo čini vakcine najbližim idealu "prirodnog" sredstva u medicini. Sa druge strane, broj i učestalost ozbiljnih komplikacija prirodnog toka infekcije organizmima protiv kojih postoji delotvorna vakcina, po pravilu, stotinama ili hiljadama puta nadmašuju broj i učestalost ozbiljnih neželjenih efekata vakcinacije [4]. Dugotrajna imunost se, doduše, zbilja ostvaruje nešto lakše nakon infekcije nego nakon vakcinacije (usled razlike u jačini i trajanju imuno-stimulišućih signala), ali se ova razlika umanjuje i najčešće potpuno otklanja primenom odgovarajućeg režima imunizacije (dovoljnog broja doza) [4], iz čega je sasvim jasno da prepuštanje "prirodnom toku događaja", kada su u pitanju oboljenja sprečiva vakcinacijom, nije svrsishodno.…”

Guillain–Barre syndrome following quadrivalent human papillomavirus vaccination among vaccine-eligible individuals in the United States

“…The continued post-marketing surveillance of adverse events is invariably necessary for guarding public health, but the cumulative evidence thus far does not suggest overt safety concerns about Guillain-Barre syndrome following HPV4 vaccination. Misinformation about HPV vaccine safety is cited as one reason for parental refusal to vaccinate their children 35 and ultimately contributes to the current suboptimal HPV vaccination coverage in the United States. 36 Given that healthcare providers have a key role in addressing misinformation, 37 our findings, as part of the cumulative evidence about the risks and benefits of HPV vaccination, may be useful information for healthcare providers to share with parents and patients.…”