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WEDNESDAY, Oct. 23 (HealthScoutNews) -- Smallpox, diphtheria, whooping
cough and measles can be extremely dangerous to children's health.
But so can parents' misconceptions about the vaccines that prevent these
devastating illnesses, according to two of the U.S.'s preeminent
immunization specialists.
Speaking at the American Academy of Pediatrics' National Conference and
Exhibition in Boston this week, Dr. Bruce Gellin and Dr. Edgar Marcuse
encouraged pediatricians and other medical personnel to tackle these
parental misconceptions head on.
Doctors and nurses need to have a better understanding of exactly what
aspects of vaccination parents are concerned about, especially if the
concerns lead them to avoid having their children immunized, the doctors
say.
Gellin is executive director of the National Network for Immunization (NNii).
Marcuse is a professor of pediatrics and adjunct professor of epidemiology
at the University of Washington, and a member of the NNii Steering
Committee.
The best way to assess parental concerns is by acknowledging the
complexities of the immunization issue with parents and engaging them in
conversations that focus exactly on what they are most concerned about, the
doctors say.
"The topic of childhood vaccinations is complex," Gellin says. "There are
issues about how many vaccines a child needs, when they are needed and how
often they are administered, how much vaccines cost and how they actually
work."
"It is impossible for a physician to know which of these is of greatest
concern to parents without involving them in a dialogue that teases out an
individual parent's specific questions and concerns and provides
appropriate, accurate responses," he adds.
Such a dialogue can be difficult one, Gellin notes, in part because of
larger issues such as vaccine supply, vaccine safety and the sheer number of
vaccines that parents and pediatricians have to keep straight.
Furthermore, parents often have access to a dizzying amount of
information about immunizations from other sources -- including television,
newspapers, friends and the Internet -- some of which may be conflicting or
misleading, he says.
"Although there's lots of information available, most parents have few
ways of sorting out which of it is valid," Gellin says. "That is why we
believe in-depth conversations with pediatricians and other trained medical
personnel are essential, as well as why we strongly recommend that such
conversations revolve around exactly what a parent wants to know or is most
confused or concerned about. Especially if the confusion or concern would
keep them from having their children vaccinated."
Gellin points out that such conversations can badly miss their mark if
pediatricians don't base them on an individual parent's concerns. That's why
the presentation focused on "engaged dialogue," as opposed to encouraging
doctors to simply lecture parents or provide them with printed information
on the benefits of vaccines or how vaccines protect against infections.
"If someone asks the time, they usually don't want or need a lecture on
how a clock works," Gellin says. "It's the same with providing parents with
information they need to know and can use about childhood vaccination. It's
important for medical personnel to find what parents want to know or are
confused about, then give them just that specific information during a
discussion of their concerns. Otherwise, they will have a difficult time
sorting out good, quality information from all the hearsay or rumors they
are exposed to on this topic."
Gellin adds that pediatricians and other health-care providers who work
with the parents of young children should increasingly initiate childhood
vaccine discussions, rather than wait for parents to ask.
The pair's presentation included excerpts from a 1999 NNii study that
highlighted the dangers associated with falling rates of childhood
immunization, including the likelihood that many of the once-dreaded
diseases presently under control could re-emerge if too few children are
vaccinated. Among the study's conclusions: A parent's decision not to
immunize a child places not only that child but also all other children in a
community at greater risk of infectious disease.
Dr. Gilbert Ross, medical director of the American Council of Science and
Health, says vaccines have had a greater impact on protecting children from
death and illness from infectious diseases than any other public health
intervention.
"The benefits of childhood vaccination are more evident today than at any
time in the past half century," Ross says. "And evidence shows that vaccines
are likely to provide even greater benefits to public health and children's
health in the future."
What To Do
For a schedule of which shots children and teens need and when, visit the
Immunization Action Coalition. Learn more about vaccines and childhood
immunization at Every
Child By Two.
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