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Immunization Hesitancy: A Rising Tide that Challenges the Public Health
Published on 2009-12-168847 Views
Societal support for traditional childhood immunization is changing. Increasingly, parents are renegotiating recommended immunization schedules with pediatricians. Marcuse, also associate medical dire
Presentation
Howard A Schneiderman00:00
Immunization Hesitancy: A Rising Tide03:47:32
A Syllogism08:07:17
Acknowledgement22:16:04
Disclosures25:02:06
Cartoon29:28:14
Vaccine-Preventable Diseases34:44:44
Recommended Childhood Vaccines48:31:26
A Rising Tide of Immunization Hesitancy69:07:54
Proportions of parents who reported vaccine doubt indicators78:59:23
Parents Who Refuse Vaccines90:30:44
Parental Concerns circa 2009102:44:03
Origins of Immunization Hesitancy I113:17:44
Origins of Immunization Hesitancy II156:38:26
From the Scientific American, April 2005195:03:27
News Value of Controversy207:36:51
History of School Immunization Laws226:55:43
1905 – Jacobson vs. Massachusetts - 1242:00:55
1905 – Jacobson vs. Massachusetts - 2251:22:48
The Harm Principle261:17:58
When is it justifiable to restrict individual freedom?271:13:47
What constitutes a threat to the public health or public harm?285:37:32
What level of vaccine safety is required?340:51:06
Rotashield® Vaccine – withdrawn from market in 2000366:50:10
Balance of Benefits & Burdens387:48:39
Enforcing School Laws by Exclusion391:34:59
Measles in 6 States Strictly Enforcing School Laws vs. Other States, 1978404:35:23
Impact of Exemptions on Disease Transmission415:32:32
Types of Exemptions:Medical, Religious, Personal Belief434:56:31
US Immunization Exemptions 2005 - 2006 School Year445:02:28
WA State Counties’School Entry Exemption Rates1999 - 2000453:21:49
WA State Counties’School Entry Exemption Rates 2007 - 2008470:29:44
123 Measles Cases US Residents January 2008482:25:59
Trend in Cases of Imported Measles* as a Proportion of All Measles Cases, US 1997 – 2008494:09:24
School Laws: Key Success Factors – Parents’ Attitudes Toward Mandates509:54:29
School Laws: Key Success Factors – Physicians’ Support522:44:13
Immediate Challenges532:38:58
Alternative Strategies: Australia547:13:00
Prudent, Limited Use of Mandates574:21:16
Ensure Informed Decision Making598:26:05
Example of a Widely Held Erroneous Belief626:38:30
Immunogenic Proteins & Polysaccharides in Vaccines630:33:45
Problem with Selective & Alternative Schedules641:25:49
Invest in Safety Science665:31:38
Sample Sizes Needed to Detect Rare Events684:46:15
Some Challenges of Risk Communication695:49:48
Effective Public Health Communication720:34:30
Credibility on Issues of Low Concern733:52:37
Credibility on Issues of High Concern736:35:40
Effect of Clinician Style on Motivation for Change741:56:41
Concerned Parents / Intentional Misinformers753:02:54
Jonathan Swift758:18:57
National Campaign to Influence Immunization Behaviors762:15:57
Expand Public Engagement in Immunization Policy771:30:02
What Oprah and Larry King should be discussing…783:19:30
Cartoon - 2790:57:27
Newer Strategies for Vaccine Development796:19:20
Major Uncontrolled Infectious Diseases805:48:08
Poster809:09:12
From 1954 to 2009815:39:33