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539 N. Grand Blvd., Suite 403 St. Louis, MO 63103 Phone: (314) 289-5685 Fax: (314) 289-5681 www.stl-mcfhc.org www.startwithfour.org. Responding to Resistance. The Gateway Immunization Coalition
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539 N. Grand Blvd., Suite 403 St. Louis, MO 63103 Phone: (314) 289-5685 Fax: (314) 289-5681 www.stl-mcfhc.org www.startwithfour.org Responding to Resistance The Gateway Immunization Coalition A program of the Maternal, Child and Family Health Coalition
What is the situation? • Immunization rates receiving media attention • St. Louis Post Dispatch (www.stltoday.com), September 17, 2010: “Missouri last in toddler vaccines” • KMOV.com, November 16, 2010: “Fewer plan to get the flu shot this year” • St. Louis Public Radio (90.7 KWMU), October 19, 2010: “Whooping cough suspected in St. Louis Co district”
Vaccine preventable disease outbreaks • Local • CDC Flu View: http://www.cdc.gov/flu/weekly/WeeklyFluActivityMap.htm
What are the concerns? • Are vaccines safe? • Why these ingredients: Aluminum, Thimerosal? • Do immunizations cause autism? • Too many vaccines? Too many vaccines at once? • Why start so early? • What about natural immunity? • Haven’t we gotten rid of these diseases? • Why so many changes? Who makes the recommendations? • Distrust
How do parents make vaccine decisions? • Believers • Relaxed – less knowledgeable but trust health care provider • Cautious – need a lot of information • Unconvinced
Responding to Resistance • National Immunization Conference April 2010 • Communicating with unsure parents (Alison Springer, Autism Science Foundation): CASE Framework Corroborate – Acknowledge parent’s concerns and find some point on which you can agree About me – Describe what you have done to build your knowledge base and expertise Science – Describe what science says Explain/Advise – Give advice to patient, based on science
Case studies “I want what is best for my child and my patients and that’s why I recommend vaccinating.”
Immunization PR • AMC refuses to air anti-vaccine ads in movie theaters over Thanksgiving holiday • National Influenza Vaccination Week (Dec 5-11) • Keri Russell, Julie Bowen, Amanda Peet • Hallmark Cards receives award from Mid-America Immunization Coalition • Immunization Alliance • You and me
Resources for Health Professionals • Immunization Action Coalition • ANA & ECBT “Bringing Immunity to Every Community” e-learning tool for continuing education credithttp://www.anaimmunize.org/webcast • University of Albany webinar Dec 9: “Making the CASE for Vaccine Safety: A new model for communicating with parents” http://www.albany.edu/sph/coned/phl/case.htm
Resources for consumers • Adultvaccination.org (NFID) • Children’s Hospital of Philadelphia (CHOP) Vaccine Education Center • Every Child by Two • American Academy of Pediatrics • California Immunization Coalition • vaccines for teens (NBA & WNBA/SAM & Sanofi) • http://twitter.com/SCCHealth/status/18355025197 • CDC