B.C., we need to talk about vaccinations

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The challenge for doctors is to form long-term relationships with people whose views are not initially — or not ever — altered by evidence

She did not get pneumonia. She did not go deaf nor suffer brain damage from encephalitis. She did not die.

Finlay books a full hour for each family’s vaccine consultation at B.C. Children’s Hospital. Often, it’s not enough.“These conversations can take a long time and sometimes you get into these circular arguments,” said Finlay, B.C. Pediatric Society liaison to the B.C. Centre for Disease Control’s immunization committee. “It can be exhausting sometimes, but it’s great when you can seal the deal with a vaccination.

A small number of fundamentalist Christians consider vaccines as an unwanted intervention into God’s will for their lives, while some Christian Scientists believe they can better manage their well-being with prayer, said Paul Bramadat, director of the Centre for Studies in Religion and Society at the University of Victoria.

The challenge for clinicians is to form long-term relationships with people whose views are not initially — or not ever — altered by evidence, he said. While multiple studies over the past 15 years have debunked a vaccine-autism link, they appear to have little impact in the maelstrom of social media.

The real pixie dust for overcoming vaccine fears is the long-term bond between doctors and their patients, she said. Some parents worry their children will be more susceptible to the illness if they get the vaccine or that vaccine additives are a hazard. They won’t and they aren’t, experts say. The relative rarity of vaccine-preventable diseases such as measles has hobbled the public health debate about vaccination, as living memory of the horrifying consequences of these illnesses fades over time.From the mid-1920s through to the introduction of the first measles vaccines in the 1960s, between 30,000 and 83,000 cases were reported each year in Canada.

When the disease flares up, some parents rush to get their children vaccinated as the fear of an extremely rare vaccine reaction is overcome by the real threat of infection. Vaccine avoidance is often associated with religious conviction, but wealth, poverty and attendance at non-religious private schools also appear to be associated with low vaccination rates for a host of diseases, according to a study by Bettinger published in the journal Vaccine Reports.

 

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