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Immunization Hesitancy: A Rising Tide that Challenges the Public Health
Published on Dec 16, 20098850 Views
Societal support for traditional childhood immunization is changing. Increasingly, parents are renegotiating recommended immunization schedules with pediatricians. Marcuse, also associate medical dire
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Chapter list
Howard A Schneiderman00:00
Immunization Hesitancy: A Rising Tide00:13
A Syllogism00:29
Acknowledgement01:20
Disclosures01:30
Cartoon01:46
Vaccine-Preventable Diseases02:05
Recommended Childhood Vaccines02:54
A Rising Tide of Immunization Hesitancy04:08
Proportions of parents who reported vaccine doubt indicators04:44
Parents Who Refuse Vaccines05:25
Parental Concerns circa 200906:09
Origins of Immunization Hesitancy I06:47
Origins of Immunization Hesitancy II09:23
From the Scientific American, April 200511:42
News Value of Controversy12:27
History of School Immunization Laws13:36
1905 – Jacobson vs. Massachusetts - 114:31
1905 – Jacobson vs. Massachusetts - 215:04
The Harm Principle15:40
When is it justifiable to restrict individual freedom?16:16
What constitutes a threat to the public health or public harm?17:08
What level of vaccine safety is required?20:27
Rotashield® Vaccine – withdrawn from market in 200022:00
Balance of Benefits & Burdens23:16
Enforcing School Laws by Exclusion23:29
Measles in 6 States Strictly Enforcing School Laws vs. Other States, 197824:16
Impact of Exemptions on Disease Transmission24:55
Types of Exemptions:Medical, Religious, Personal Belief26:05
US Immunization Exemptions 2005 - 2006 School Year26:42
WA State Counties’School Entry Exemption Rates1999 - 200027:12
WA State Counties’School Entry Exemption Rates 2007 - 200828:13
123 Measles Cases US Residents January 200828:56
Trend in Cases of Imported Measles* as a Proportion of All Measles Cases, US 1997 – 200829:38
School Laws: Key Success Factors – Parents’ Attitudes Toward Mandates30:35
School Laws: Key Success Factors – Physicians’ Support31:21
Immediate Challenges31:57
Alternative Strategies: Australia32:49
Prudent, Limited Use of Mandates34:27
Ensure Informed Decision Making35:54
Example of a Widely Held Erroneous Belief37:35
Immunogenic Proteins & Polysaccharides in Vaccines37:50
Problem with Selective & Alternative Schedules38:29
Invest in Safety Science39:55
Sample Sizes Needed to Detect Rare Events41:05
Some Challenges of Risk Communication41:44
Effective Public Health Communication43:14
Credibility on Issues of Low Concern44:01
Credibility on Issues of High Concern44:11
Effect of Clinician Style on Motivation for Change44:31
Concerned Parents / Intentional Misinformers45:10
Jonathan Swift45:29
National Campaign to Influence Immunization Behaviors45:44
Expand Public Engagement in Immunization Policy46:17
What Oprah and Larry King should be discussing…46:59
Cartoon - 247:27
Newer Strategies for Vaccine Development47:46
Major Uncontrolled Infectious Diseases48:20
Poster48:32
From 1954 to 200948:56