What do you understand by Vaccine Hesitancy? What are the reasons for it? What negative outcomes does it carry? (15 Marks)

Mentors Comments:
  • 1. Explain the term and how WHO responded to it recently
  • 2. Examine various reasons behind the phenomenon
  • 3. What’s the impact? 
  • 4. Suggest solutions for the same.

Answer:

WHO defines Vaccine hesitancy as a delay in acceptance or refusal of vaccines despite the availability of vaccination services. Vaccine hesitancy has been reported in more than 90% of countries in the world.

Reasons for Vaccine Hesitancy

  • The main issue with Vaccine hesitancy is misinformation.
  • Religious propaganda that the vaccine may contain microbes, chemicals, and animal-derived products which is forbidden by religious laws.
  • Social media is used in stirring fear in people by falsely blaming vaccines for unrelated diseases is the bedrock of the Vaccine hesitancy all across the globe.

    • For example, recently some sections in India are refraining from the polio vaccine. This is due to the misconception that the polio vaccine caused illness, infertility and was ineffective.
  • Vaccine-derived diseases: Oral Polio Vaccines (OPV) contains weakened but live poliovirus. This virus from the vaccine is excreted by immunized children which can move from one person to another.

  • Inconvenience in accessing vaccines is also the leading cause of Vaccine hesitancy.

Benefits of Vaccine

  • According to WHO, vaccination prevents between two-three million deaths each year, a figure that will rise by another 1.5 million if vaccine coverage improves.
  • Vaccination protects children from serious illness and complications of vaccine-preventable diseases which can include amputation of an arm or leg, paralysis of limbs, hearing loss, convulsions, brain damage, and death.

    • A study in 2017 that looked at flu seasons between 2010 and 2014 found that vaccination reduced flu-associated deaths by 65% among healthy children.
  • The vaccine can also prevent hospitalization (thereby it can check out of pocket expenditure), reduce the severity of illness and prevent severe, life-threatening complications in children.

Way Forward

  • Practical tips for addressing Vaccine hesitancy in primary care include
  • Vaccination as the default approach: Some countries have implemented specific sanctions for Vaccine hesitant families.

    • France has made vaccination with 11 vaccines mandatory for children—unvaccinated children cannot be enrolled at nurseries or schools.
    • In Australia, parents of children who are not vaccinated are denied the universal Family Allowance welfare payments.
  • Building trust: Vaccine manufacturers can provide honest information about side effects and reassurance on a robust vaccine safety system.

    • They can also provide vaccination-related FAQ’s, answering questions on benefits, safety, and immunologic aspects of vaccines and links to a number of online resources for physicians and parents.
  • Digital Algorithms: Google, Facebook, and other such platforms can be requested to make sure that users only get to see the credible, science-based information about the vaccines.
  • The influential person or celebrities should come forward to dispel the myths leading to Vaccine hesitancy.

Vaccine hesitancy is threatening the historical achievements made in reducing the burden of infectious diseases, which have plagued humanity for centuries. A collaborative effort between pediatricians, family doctors, parents, public health officials, governments, the technology sector, and civil society will allow myths and misinformation around vaccination to be dispelled.

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