Elsevier

Mayo Clinic Proceedings

Volume 75, Issue 2, February 2000, Pages 135-139
Mayo Clinic Proceedings

Editorial
Vaccine Safety: Injecting a Dose of Common Sense

https://doi.org/10.4065/75.2.135Get rights and content

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    • Evaluation of a multinational, multilingual vaccine debate on Twitter

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      Particularly at the time of programme introduction, they tend to be accompanied by public discussion [1,2]. This may increase public awareness of the vaccine and affect the programme beneficially [3]. However, public concern may lead to reduced uptake or even jeopardize the entire immunization programme [4,5].

    • Hurdles to herd immunity: Distrust of government and vaccine refusal in the US, 2002–2003

      2016, Vaccine
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      From 1995 to 2015, the Advisory Committee on Immunization Practices increased the number of immunizations included in recommended childhood vaccine schedule from 5 to 14 [23,24]. The increase in the number of vaccines required for school entry has been viewed by some with suspicion and has been cited by parents as a reason they do not vaccinate [25]. Perhaps most importantly, government distrust may influence where parents obtain their vaccine information and further serve as a filter that colors government-provided immunization resources with a layer of skepticism and suspicion.

    • Surveillance of Vaccine Safety: Comparison of parental reports with routine surveillance and a clinical trial

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      As the incidence of vaccine-preventable diseases is reduced or even close to be eliminated due to high coverage of efficacious vaccines, the rate of adverse events associated with immunisation becomes relatively more apparent which has lead to an increased public concern about vaccine safety [1,3,5,6,9,28–30]. Parents have little or no memory of the epidemics of diseases before the vaccine era and they may fail to see the vaccine's relevance for their child as they do not perceive the child to be at risk because of their unawareness of the consequences of the disease [31]. The medical community has been relatively slow to appreciate the importance the public now places on vaccine safety [32].

    • The challenge of vaccine safety

      2002, Seminars in Pediatric Infectious Diseases
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      Even when the majority does not hold strong views regarding the risks of a vaccine, the minority viewpoint or perception can inordinately influence decisions. Public perceptions can resemble a pyramid in this regard.21 Whereas the base of the pyramid represents the all-too-quiet majority, the point of the pyramid attracts attention (Fig 1).

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