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Vaccine refusal

T Ilyicheva, A Durymanov, I Susloparov, N Kolosova, N Goncharova, S Svyatchenko, O Petrova, A Bondar, V Mikheev, A Ryzhikov
The influenza epidemic in 2015-2016 in Russia is characterized by a sharp increase of influenza cases (beginning from the second week of 2016) with increased fatalities. Influenza was confirmed in 20 fatal cases registered among children (0-10 years), in 5 cases among pregnant women, and in 173 cases among elderly people (60 years and older). Two hundred and ninety nine people died from influenza were patients with some chronic problems. The overwhelming majority among the deceased (more than 98%) were not vaccinated against influenza...
2016: PloS One
Melissa B Gilkey, William A Calo, Macary W Marciniak, Noel T Brewer
BACKGROUND: We sought to estimate the national prevalence of HPV vaccine refusal and delay in a population-based sample of parents of adolescents. We also compared parents who refused versus delayed HPV vaccine in terms of their vaccination beliefs and clinical communication preferences. METHODS: In 2014 to 2015, we conducted an online survey of 1,484 U.S. parents who reported on an 11- to 17-year-old child in their household. We used weighted multinomial logistic regression to assess correlates of HPV vaccine refusal and delay...
October 20, 2016: Human Vaccines & Immunotherapeutics
T M Kolben, C Dannecker, K Baltateanu, C Goess, T Starrach, A Semmlinger, N Ditsch, J Gallwas, S Mahner, K Friese, T Kolben
Purpose: In order to achieve a higher vaccination rate, education on HPV as well as options for prophylaxis performed by doctors is of great importance. One opportunity to increase the protection against HPV would be vaccinating boys. This study evaluated attitude and knowledge among German gynecologists regarding HPV vaccination, especially in boys. Material and Methods: A questionnaire with 42 questions about demographics, attitude and knowledge about HPV and HPV vaccination was sent to members of the German Society for Gynecology and Obstetrics (DGGG)...
October 2016: Geburtshilfe und Frauenheilkunde
Isabel Rossen, Mark J Hurlstone, Carmen Lawrence
Childhood vaccination is widely considered to be one of the most successful public health interventions. Yet, the effective delivery of vaccination depends upon public willingness to vaccinate. Recently, many countries have faced problems with vaccine hesitancy, where a growing number of parents perceive vaccination to be unsafe or unnecessary, leading some to delay or refuse vaccines for their children. Effective intervention strategies for countering this problem are currently sorely lacking, however. Here, we propose that this may be because existing strategies are grounded more in intuition than insights from psychology...
2016: Frontiers in Psychology
Paula M Frew, Allison Kennedy Fisher, Michelle M Basket, Yunmi Chung, Jay Schamel, Judith L Weiner, Jennifer Mullen, Saad B Omer, Walter A Orenstein
OBJECTIVE: Understanding the current status of parents' vaccine decision making is crucial to inform public policy. We sought to assess changes in vaccine decisions among parents of young children. METHODS: We conducted a web-based national poll of parents of children <7years in 2012 and 2014. Participants reported vaccine decisions for their youngest child. We calculated survey-weighted population estimates of overall immunizations decisions, and delay/refusal rates for specific vaccines...
October 6, 2016: Vaccine
James Colgrove
In recent years, vaccine refusal and associated declines in herd immunity have contributed to numerous outbreaks of infectious diseases, consumed public health resources, and provoked increasingly polarized debates between supporters and opponents of vaccines. Although the prominence of the..
October 6, 2016: New England Journal of Medicine
Euzebiusz Jamrozik, Toby Handfield, Michael J Selgelid
Mass vaccination has been a successful public health strategy for many contagious diseases. The immunity of the vaccinated also protects others who cannot be safely or effectively vaccinated-including infants and the immunosuppressed. When vaccination rates fall, diseases like measles can rapidly resurge in a population. Those who cannot be vaccinated for medical reasons are at the highest risk of severe disease and death. They thus may bear the burden of others' freedom to opt out of vaccination. It is often asked whether it is legitimate for states to adopt and enforce mandatory universal vaccination...
October 3, 2016: Journal of Medical Ethics
Karlen E Luthy, Sarah L Stocksdale, Janelle L B Macintosh, Lacey M Eden, Renea L Beckstrand, Katie Edmonds
BACKGROUND: All major hospital facilities in the state of Utah have employee vaccination policies. However, the presence of healthcare worker vaccination policies in outpatient oncology clinics was unknown. OBJECTIVES: The objectives of this article are to identify oncology outpatient employee vaccination policies in Utah and to identify what consequences, if any, are present for unvaccinated employees. METHODS: This was a cross-sectional, descriptive study design in which clinic managers from outpatient oncology clinics were asked, via questionnaire, to describe the clinic's employee vaccination policy and the consequences for refusing the policy...
October 1, 2016: Clinical Journal of Oncology Nursing
Heidi J Larson, Alexandre de Figueiredo, Zhao Xiahong, William S Schulz, Pierre Verger, Iain G Johnston, Alex R Cook, Nick S Jones
BACKGROUND: Public trust in immunization is an increasingly important global health issue. Losses in confidence in vaccines and immunization programmes can lead to vaccine reluctance and refusal, risking disease outbreaks and challenging immunization goals in high- and low-income settings. National and international immunization stakeholders have called for better monitoring of vaccine confidence to identify emerging concerns before they evolve into vaccine confidence crises. METHODS: We perform a large-scale, data-driven study on worldwide attitudes to immunizations...
September 13, 2016: EBioMedicine
Ian Njeru, Yusuf Ajack, Charles Muitherero, Dickens Onyango, Johnny Musyoka, Iheoma Onuekusi, Jackson Kioko, Nicholas Muraguri, Robert Davis
INTRODUCTION: Polio eradication is now feasible after removal of Nigeria from the list of endemic countries and global reduction of cases of wild polio virus in 2015 by more than 80%. However, all countries must remain focused to achieve eradication. In August 2015, the Catholic bishops in Kenya called for boycott of a polio vaccination campaign citing safety concerns with the polio vaccine. We conducted a survey to establish if the coverage was affected by the boycott. METHODS: A cross sectional survey was conducted in all the 32 counties that participated in the campaign...
2016: Pan African Medical Journal
Jennifer Lara Kriss, James Goodson, Zorodzai Machekanyanga, Messeret Eshetu Shibeshi, Fussum Daniel, Balcha Masresha, Reinhard Kaiser
INTRODUCTION: Vaccine hesitancy and refusal continue to be a global challenge to reaching immunization targets, especially among those in traditional or fundamentalist religions. The apostolic faith in Zimbabwe has been historically associated with objection to most medical interventions, including immunization. METHODS: We conducted a descriptive analysis of socio-demographic characteristics and vaccine coverage among apostolic and non-apostolic adults aged 15-49 years and children aged 12-23 months using the Demographic and Health Survey conducted in Zimbabwe during 2010-2011...
2016: Pan African Medical Journal
Aneela N Hussain, Abdullah Alkhenizan, Patricia McWalter, Nusrat Qazi, Amal Alshmassi, Samina Farooqi, Ahmed Abdulkarim
BACKGROUND: Rising incidence of human papillomavirus (HPV) infection and cervical cancer can be reduced by effective vaccination. Saudi Food and Drug Administration approved prophylactic HPV vaccine in 2010 for females of 11-26 years. OBJECTIVES: To determine the awareness of HPV infection, its health sequel and the attitude and barriers to the acceptance of HPV vaccine by young women in Saudi Arabia. Dynamics influencing the decision of patients and parents regarding vaccination were assessed to foster effective and strategically focused interventions...
September 2016: Journal of Family & Community Medicine
Kenneth Alexander, Tomas A Lacy, Angela L Myers, John D Lantos
One of the most divisive issues in pediatrics today concerns the proper response by pediatricians to parents who refuse routine childhood immunizations for their children. Many pediatricians refuse to care for such families. Others continue to provide care and continue to try to convince parents that the benefits of immunizations far outweigh the risks. Two of the most powerful arguments in favor of dismissing such parents are as follows: (1) their refusal suggests such lack of trust in the physicians' recommendations that it undermines the basis for a meaningful physician-patient-parent relationship; and (2) unimmunized children present an unacceptable risk to other children in the physicians' waiting rooms...
September 2, 2016: Pediatrics
Catherine Hough-Telford, David W Kimberlin, Inmaculada Aban, William P Hitchcock, Jon Almquist, Richard Kratz, Karen G O'Connor
BACKGROUND: Parental noncompliance with the American Academy of Pediatrics and Centers for Disease Control and Prevention immunization schedule is an increasing public health concern. We examined the frequency of requests for vaccine delays and refusals and the impact on US pediatricians' behavior. METHODS: Using national American Academy of Pediatrics Periodic Surveys from 2006 and 2013, we describe pediatrician perceptions of prevalence of (1) vaccine refusals and delays, (2) parental reasons for refusals and/or delays, and (3) physician dismissals...
September 2016: Pediatrics
Kathryn M Edwards, Jesse M Hackell
Immunizations have led to a significant decrease in rates of vaccine-preventable diseases and have made a significant impact on the health of children. However, some parents express concerns about vaccine safety and the necessity of vaccines. The concerns of parents range from hesitancy about some immunizations to refusal of all vaccines. This clinical report provides information about addressing parental concerns about vaccination.
September 2016: Pediatrics
Eman Y Abu-Rish, Eman R Elayeh, Lubabah A Mousa, Yasser K Butanji, Abla M Albsoul-Younes
BACKGROUND: Influenza is an underestimated contributor to morbidity and mortality. Population knowledge regarding influenza and its vaccination has a key role in enhancing vaccination coverage. OBJECTIVES: This study aimed to identify the gaps of knowledge among Jordanian population towards influenza and its vaccine, and to identify the major determinants of accepting seasonal influenza vaccine in adults and children in Jordan. METHODS: This was a cross-sectional study that enrolled 941 randomly selected adults in Amman, Jordan...
August 27, 2016: Family Practice
Michael J Sandhofer, Oliver Robak, Herbert Frank, Johannes Kulnig
BACKGROUND: Vaccine hesitancy is an emerging phenomenon particularly in industrialized nations. It has led to repeated epidemic outbreaks of otherwise vaccine-preventable, infectious diseases. Compared to other countries very low rates of influenza and measles vaccination rates have been reported in Austria. METHODS: We performed a single-center cross-sectional, questionnaire-based survey. A total of 350 adult patients attending our emergency room participated in this survey...
August 26, 2016: Wiener Klinische Wochenschrift
E David G McIntosh, Jan Janda, Jochen H H Ehrich, Massimo Pettoello-Mantovani, Eli Somekh
No abstract text is available yet for this article.
August 2016: Journal of Pediatrics
Andrzej Kajetanowicz, Aleksandra Kajetanowicz
Rates of child immunization are falling in many countries, leading to the increase of morbidity and mortality from diseases controlled by vaccinations. The simplified model of the natural history of immunization follows a sequence of fear of the disease before vaccination, followed by acceptance of the vaccination until plateau, where the population forgets the morbidity and mortality of pre-immunization. Historical factors including withdrawals of vaccines, and publications regarding the true or falsified dangers of vaccines still resonate with parents...
2016: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
Melissa A Cameron, David Bigos, Christopher Festa, Howard Topol, Kyung E Rhee
BACKGROUND AND OBJECTIVES: Hospitals are required to screen and administer the influenza vaccine to all admitted children unless contraindicated or refused by parents, yet vaccination rates remain low. Our goal was to examine reasons for refusal among pediatric patients admitted during influenza season. METHODS: All children age 6 months to 18 years admitted to 2 network community hospitals from October 1, 2013 to March 31, 2014, without contraindications, were offered influenza vaccination prior to discharge...
September 2016: Hospital Pediatrics
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