understand the impact of vaccines: A Conversation with the National Coalition of information of public health
Why vaccinate? Throughout August, National Immunization Awareness Month (NIAM), MHA @ GW went to help answer that question in a series of messages and customer interviews. Recently we sat down with National Information on Public Health Coalition (NPHIC), which collaborates with the vaccination Coalition in California, the Vermont Department of Health and the Centers for Disease Control and Prevention (CDC) to spread the word about NIAM and raise awareness about why vaccines are so important.
NPHIC When he started working on the National Immunization Awareness Month at the CDC?
Nancy Erickson (nE), communications director of the Vermont Department of Health.
This is the third year we have offered the NIAM toolbox by NPHIC and worked with the CDC National Center for Immunization and Respiratory Diseases
Catherine Flores Martin ( CM), director of the California immunization Coalition:
When we first took it on, most materials already existed and they needed refreshment. So it was really fun to work with Nancy and the people of CDC and NPHIC to be able to refresh them for not only the content but also for the use of social media.
Brad Christensen (BC), director of communications NPHIC:
one of the great features of the toolkit is that it is divided in four weeks with a different accent every week. This keeps all the fresh campaign throughout the month and it really helps increase our coverage
NE:
I think I speak for Vermont - but I think it's right for California and for many. other states - it has been very important in recent years to have voices that are loud and clear that there are vaccines. This is a tool that can really help a lot of these voices there in a concerted manner, throughout the month of August, but also throughout the year
BC :.
People should remember. They do not remember the dangerous nature of some of these diseases and the benefits of vaccination. For example, studies have shown that the measles virus can really wreak havoc on the immune system and allow those infected vulnerable to measles various other infectious diseases for up to three years. So the importance of vaccination can not be underestimated
DO :.
Another thing that is great about the toolkit is that all the information has been reviewed by the CDC, which makes it easier for the state health services to know it is good, credible, current information. They can just basically cut and paste as much as possible and customize their own news and issues and localities. We have added many more tools - primarily by CDC, but also by a large number of partner organizations. Infographics and videos and podcasts and posters and things that can be really pushed especially through social media.
CM:
I know we have encouraged people to take these materials, but above all the tweets and Facebook messages and customize. I know some groups simply use exactly as they are written, which is really a time saver, but ... if there is any way to locate or customize it for my health organization perspective I encourage people do.
BC:
If you can attach it to something that is happening locally in terms of new or in terms of coverage for your community or state, which is a great help both in terms of raising coverage.
there new activities or initiatives you are looking to try in the coming years to increase the impact of this awareness month
BC:
I think obviously just continue this effort and each August by the toolbox better and better as we go every year and find new ways to distribute its impact, as the Thunder Clap this year.
What do you think all the needs of evolving to prevent these diseases and superbugs - such as the epidemic of measles Disneyland - to become fully fledged homes? What needs to change in the conversation
CM:
Following the measles epidemic, we in California eventually pass a bill that removed the belief exemption personal school required vaccinations. So in other words, parents can not simply say, "I do not believe in vaccines" unless a child has a medical reason Effective 1 January 2016, all children [in California]. must be vaccinated before going to school. So this was a big problem for us. one of our strategies is to remind people for the return to school time in August you have to get your vaccinations.
Locally, we try to celebrate the declaration was made by our legislators and our governor about vaccines. Yes, science is correct. We do not want to focus on some of the bad messages and lies that are out there on vaccinations, and negative publicity ... that is associated with this bill
DO :.
this is true for the Vermont as well. We also went through a legislative session this year that ended surprisingly in eliminating the exemption of philosophical or personal beliefs for vaccines required for school entrance. It was right on the wire, but what really helped was that we had moms and doctors also testify passionately anti-vaccine [advocates]. Our health commissioner was able to put it in very personal terms about children who are too young or can not be vaccinated for medical reasons. They are not protected
"One of the messages that is reflected in the toolbox is a strong recommendation of the supplier is really, really important [in order] for parents to feel confident in their decision vaccinated. "-. Nancy Erickson
one of the messages that is reflected in the toolbox is a strong recommendation of the supplier is really, really important for parents to feel confident in their decision vaccinated. so part of the reason for this toolkit is to help the supplier as well. There is another public for the toolbox. this just makes it easier for votes to be confident and heard
BC :.
We are grateful that the views of American parents about childhood vaccines have become more favorable over the past year. This is according to a new poll conducted by the University of Michigan CS Mott Children's hospital. He showed that, compared to a year ago, 34 percent of parents surveyed believe vaccines are more beneficial than they thought it a year ago and 61 percent believe that vaccines are always beneficial (not change since last year), but only 5 percent thought vaccines are less beneficial than they thought last year. I think the tide is turning to a greater acceptance of the vaccine community
DO :.
I agree with that. It is important to make an effort to provide parents, health professionals and others with information they feel they can trust. This is the idea behind the launch of our website OkaytoaskVp.org Vermont. . Over time, as having easy access to credible information that recognizes that people have questions and even addresses these issues really helped us along the way
CM:
For us is a kind of exit NIAM a bit, but it's all connected. This is to give the right resources because I love what Nancy did in Vermont - it's OK to ask questions because sometimes these parents who hesitate feel very threatened by the doctor-patient interaction and think, " they will be angry against me, they will tell me what to do, and I am afraid to challenge them. So I'll just say no to vaccines sometimes. "physicians must recognize these concerns and that it is natural to be afraid to five needles coming to your baby at a time, but here's why it's important.
therefore, work also with suppliers, as Nancy said, and parents. Tell them it is okay to ask. It is normal to have these concerns. It is natural, but that is why it is important and this is why we really, really need you to do it. So it's just change the subject. This is what I have spoken to many people.
California recently passed a bill (SB 277) that eliminates personal exemptions for vaccines. Do you think that other States will follow that lead and start adopting similar laws or do you think that this was a unique scenario
CM:
I certainly think of other states think about it. They are encouraged not only by the supplier groups, but also by the media. The media were really favorable in this bill. We only had a major newspaper in California that does not come in favor of it and we had [support from] several national newspapers.
What do you think people do not get vaccinated and why?
nE
We certainly know that adults are not getting the vaccines they need. There [also] much emphasis on teens and tweens now [getting] vaccine against HPV and other vaccines they need. Every single age group, there is a need to promote the vaccines you need at every stage of your life. You are not only made in childhood
CM:
Demographically, it is a challenge because - in California and I think in some other Western countries in particular - people who used to refuse vaccinations were. people were more concerned about the government telling them what to do. Other people felt very confident in their healthy lifestyle: drink clean water, healthy food and live a very healthy lifestyle was enough and therefore do not need medication. For some people, it is fear of vaccines. Over the past 10 years, I would say at least in California but I think it is true in other areas that parents who have the luxury not to vaccinate their children because if their child becomes ill, they can be home with them or they feel like everyone is vaccinated my child is safe and I do not see the need, things like that.
In California, there are many well-educated, well-off-areas that have the greatest number of personal belief exemptions. These are not urban pockets of California [or the] Central Valley, where we have many migrant children. [In well-to-do areas], parents influence other parents, that's why [it] is really important to take a stand. It really is a statement of our health care providers and public health care that we are in danger now; we do not want to see the illness and possible death and disability in our community, period
DO :.
I agree with everything Catherine said. Our research in Vermont showed that it is the more affluent, educated parents who have made the most questioning of [vaccines]. It also showed that they were very socially connected, especially online, and that is why social media and an Internet-centered campaign made much sense to [us]
BC :.
I 'have a Los Angeles Times editorial that just a little brought to the point I think. It cites this editorial and this is not my quote. He says the anti-vaccination movement is a corner of the United States who is unfaithful in medieval ignorance. Alarmingly, there is a warm embrace of more wealth and ostensibly educated communities such as Morin County. entertainment figures such as the starlet Jenny McCarthy and talk show host Katie Couric played their role in the spread of darkness.
How do media influence conversations about the importance of vaccines in 2015?
BC:
I think all of the coverage on the Disneyland measles outbreak and other outbreaks across the US [in the] last year helped opinions people changed on the benefits of vaccines. I think it was, in a weird way, helped
DO :.
[In Vermont], it started with Pertussis. We have not really all of measles, but that was in the background after our great epidemic of whooping cough. I think as said Catherine, media coverage [regarding] this idea of parental choice has really changed, and it changed the fact that there is no debate about the science of vaccines.
"All these outbreaks have garnered little coverage in both local and national level, and I think people are starting to wake up about the importance of vaccines" - Brad Christiansen]
BC :.
last year was really a great year. There were so many homes. It had the epidemic involving national hockey League (NHL) against mumps. It there was a large outbreak of over 350 cases of measles which began among vaccinated Amish in Ohio and Pennsylvania, and a mumps outbreak of over 450 cases from students at Ohio State University. All these homes have garnered little coverage in both local and national level, and I think people are starting to wake up about the importance of vaccines.
"I think [the process of passing SB 277] have helped some journalists understand that this is one of those situations where there are not two sides. There was and there is opinion "- Catherine Flores Martin]
CM :.
One of the other things about the media coverage of this year: there [have] had some journalists in California [and internationally] who always wrote very positive stories, but this year we had more. So much of my time spent at the beginning of this year was around writing and research data and education a little more on the concerns of parents. I think [the process of passing SB 277] helped some journalists to understand that this is one of those situations where there are not two sides. There fact and there is opinion, and in addition to this opinion there are crazy there, "We are not against vaccines, we are for safe vaccines, we just want to have a choice of the parents." - but it is just a spin. I think it has helped some journalists see that this is not a double challenge. It is not a debate. It's not really a controversy
How can people participate in NIAM
BC.?
By simply going to the Toolbox, which is available to everyone - individuals and organizations - and using its many resources as often as possible during the month. Even in terms of return to school, you can use to ensure that you are updated on all your vaccines
DO :.
What is interesting for me for NIAM is the number of organizations and individuals I have not heard of or seen before ... using hashtags like NIAM15. What I'm interested in is when non-traditional partners share things on immunization and encourage [the public] to have conversations. If you have concerns [about vaccines], ask about [them] first and then share this information [with] network.
It is difficult because you do not want people getting into arguments. [But] I think it's really important to call misinformation. Just say, "That's not true," No, Mercury is in vaccines There is no monkey brains it is important to educate yourself first... "- Nancy Erickson
It is difficult because you do not want people getting into arguments [But] I think it's really important to call misinformation Just saying.. "It is not true." No, Mercury is in vaccines. There is no monkey brains. It is important to educate yourself first, and then be able to call people on it in a nice way
CM :.
Keep positive; to correct information is important
DO :.
There is actually a role in many different groups, whether Meals on Wheels, Boy Scouts or gardening clubs remind people about their vaccinated each year. You need to have this conversation with your doctor about vaccinating your child.
to access the National Immunization Month Awareness Toolkit (also available in Spanish) and other educational resources, including graphics that can be shared on social media, please visit https://www.nphic.org/niam. This interview has been edited for length
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