Risky Business: Talking to Parents about Vaccines. NC Immunization Conference August 2011 Kristina Simeonsson, MD, MSPH Karin Hillenbrand, MD The Brody School of Medicine at ECU. Educational Objectives. Recognize factors that contribute to the controversy surrounding vaccines
NC Immunization Conference
Kristina Simeonsson, MD, MSPH
Karin Hillenbrand, MDThe Brody School of Medicine at ECU
Freed et al, Pediatrics 2010
Cases Of Whooping Cough Plague Chapel Hill-Carrboro Schools
Whooping Cough Outbreaks Show Vaccine’s Limits
More than 50% of parents interviewed believed that equal evidence existed for both sides of the debate
Less than 25% were aware that bulk of evidence favors supporters of the vaccine
Hargraves et al, Economics and Research Council, 2003
Freed GL et al, Pediatrics 2011
Diekema D and the Committee on Bioethics, Pediatrics 2005
Cooper LZ, Larson HJ, Katz SL. Pediatrics, 2008
Crisis and Emergency Risk Communication
Centers for Disease Control and Prevention, September 2002
Gellin BG, Maibach EW, Marcuse EK. Pediatrics. 2000.
the cost is pain, discomfort and the potential for complications, disability, death
vaccines are one of the safest most effective disease prevention tools knownIsn’t natural immunity better?
GS 130A-152(a): Every child in this state shall be immunized… Parent shall have the responsibility…
GS 130A-155(a): No child shall attend school, whether public, private, or religious, or a child care facility unless [immunized]…The principal or operator shall not permit the child to attend
GS 130A-155.1: No person shall attend college…unless [immunized]
NCAC 41A .0401
NCAC 41A .0401
Medical (NC 130A-156)
There is no exception to these requirements for the case of a personal belief or philosophy or a parent or guardian not founded upon a religious belief.
Offit. Deadly Choices. 2011
Benefit must clearly outweigh risk
Honda H, Shimizu Y, Rutter M. J Child Psych 2005.
Learn more about additives: vaccine.chop.edu.
aborted human fetus cells
fetal bovine serum
Acknowledge fears, and parents’ right to decide
Identify specific concerns, and provide a targeted, accurate response
State your recommendation clearly, but be nonconfrontational.
Avoid scientific lectures
Recommend valid websites and books