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vaccination from the patient perspective

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page of notes describing the patient perspective on vaccination including information on anti-vaccination movements

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  • December 21, 2023
  • 1
  • 2020/2021
  • Class notes
  • Dr paul whybrow
  • All classes
  • Unknown
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Hull York Medical School
Dr Paul Whybrow
Vaccination: from the patient’s perspective

 There have only been three advancements which have prolonged human longevity –
clean water, antibiotics, and vaccines
 Protests and resistance to vaccines have been around as long as vaccines have
 Andrew Wakefield linked the MMR to autism – this gained traction as people were
sceptical of vaccines and because the age of signs of autism and the giving of the
MMR are around the same time
 Many are sceptical of vaccines – wealthier countries have more scepticism possibly
since they don’t see the devastation of the disease -1/3 of people in France think
vaccines may be unsafe
 If we lose the public’s trust and belief, they will not vaccinate themselves or their
children
 Vaccines protect the individual but the community as well such as those who cannot
have the vaccine for various reasons
 Herd immunity - Having a critical mass of people immunised so the disease has
nowhere to go
 For measles herd immunity needs to be around 95% but other diseases have lower %
 Measles outbreaks common due to less uptake of the MMR vaccine though this is
now going up
 Following the work of Edward Jenner, the government made vaccination free and
compulsory – there was suspicion of the vaccine, and this was all unpopular with the
public
 Many antivaccination groups due to this – pamphlets were handed out and
protested widely by these groups – there was a smallpox epidemic after all these
which polarised views
 Conscientious object was used in a court case to object to vaccination
 Britain and Germany both made smallpox vaccination mandatory at the same time –
in Britain this was treated with mistrust but in Germany it was popular and
successful
 While Germany got smallpox under control due to vaccines Britain had to do this
through disease surveillance and containment and active public engagement to build
up trust
 The act of vaccination is treated with suspicion due to how it works
 Many arguments are based in the idea that vaccines are ineffective and that they
cause further harm
 These both contribute to the idea that public trust is key
 Must be confident in telling patients vaccines are safe as many who don’t vaccinate
their children fear some form of harm to their child
 All vaccines have been rigorously tested
 Important to get across the point that not vaccinating your child is more dangerous
than vaccinating them as some diseases such as measles are highly contagious
 Parents should have all the information to make an informed decision
 When vaccines become more successful the publics interests start to diverge – more
people will have adverse effects from vaccines than from the disease
 Individuals may choose to rely solely on herd immunity

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