Posts Tagged ‘vaccination’

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States Easing Up, Pediatricians Buckling Down on Childhood Immunizations

February 21, 2012

By Shawn Kennedy, MA, RN, AJN editor-in-chief

Two newspaper reports last week showed the dichotomy that exists in attitudes about mandating vaccines for children.

On February 15, the Wall Street Journal reported that more pediatricians are turning away families who refuse to have their children receive immunizations.

Day 4 measles rash/ CDC, via Wikimedia Commons

The next day, USA Today reported that several states are considering changing laws that currently allow parents to opt out of mandatory vaccines only for religious reasons, and extending the opt-out to include “philosophical reasons.” These reasons invariably come back to parental fears that vaccines put their children at high risk for autism. (See the our November 2011 report on what fueled this controversy.)

Highly publicized resurgences of measles and pertussis seem to have done little to change some parents’ mindsets about the need for immunizations. Has the success of the vaccines campaigns lulled some into a false sense of security—that the “risks” of vaccines, though unproven, are more dangerous than the diseases or their complications?

I shared in an editorial a story of a childhood friend who was left paralyzed in his lower extremities from contracting polio in childhood. And a cousin has a child, now almost 40 years old, who was left blind and speechless from encephalitis following measles contracted when she was five years old.

Cases like these are rarely seen anymore, but will they become more commonplace with more parents refusing to let their children receive vaccines? These are very real risks that many don’t think about. We need to continue to educate parents on the science that supports vaccine administration.

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CDC Guidance for Relief Workers and Others Traveling to Haiti

January 28, 2010

This notice is to advise relief workers and other personnel traveling to Haiti to assist with the humanitarian response following the January 12th earthquake near Port-au-Prince. Conditions in the area remain hazardous, including extensive damage to buildings, roads, and other infrastructure.

The above is the start of a guidance document for relief workers heading to Haiti that is now available at the Centers for Disease Control and Prevention (CDC) Web site. It gives useful information on recommended vaccines; insect-borne and other infectious diseases; key items to bring; safety precautions related to accident risk, exposure to human remains, and animals; and psychological and emotional difficulties.

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Ignorance May Be Bliss — But It’s Certainly Not Professional

November 25, 2009

By Christine Moffa, MS, RN, AJN clinical editor

Head in the Sand, by jvh33, via Flickr

A few weeks ago I attended an orientation provided by the New York City Department of Health for a school-based H1N1 vaccination program. Years ago I worked as a school nurse here in New York and I thought participating in the program would be a great way to keep up some clinical skills and spend time with patients. A physician from the bureau of immunization gave an informative lecture reviewing the epidemiology, signs and symptoms, prevention, and treatment of influenza.

There were about 100 nurses in attendance, many of them new graduates who were unable to find full-time work. During a break one of the new grads said to me, “why do we have to sit through this irrelevant lecture?” I couldn’t believe it. If you’re administering a medication, I told her, of course you’d want to understand how it works and why you’re giving it. In addition you need to be able to explain it to the patient or their parent. She rolled her eyes and walked away. And I thought, once again: this is why nurses are not taken seriously as professionals.

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“Pitiable Indeed” – AJN Archives Reveal Nurse’s Firsthand Account of 1918 Flu

October 28, 2009

1918LetterDoSomething
The above is an excerpt from a North Dakota nurse’s vivid and painful letter to the editor about the Spanish influenza, published in the December 1918 issue of AJN. To read the entire letter, click here (and then click on the PDF link in the upper right corner of the page) or click on the excerpt itself. We’ve combed through our archives for articles dealing with various influenza epidemics and threats of epidemics, and found some fascinating material that puts what we’re currently going through in some perspective. To see the entire collection of articles, covering 1918 to the present, click here. (Note: some articles are free and some are accessible only to AJN subscribers. The older articles are available only in PDF format.)

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AJN Vaccine Poll Results

October 13, 2009

Update: Oct. 21: Thanks to everyone who took part in the vaccination poll (interestingly, only a fraction of those who visited the poll actually answered the simple yes/no question). The poll is now closed. The results: approximately 170 respondents (nurses?) answered the question “should the H1N1 vaccine be mandated for nurses?” Of these, 77% answered “no” and 23% answered “yes.”

Judging from comments we’ve received in response to other posts (here, here, and here) about the H1N1 vaccine, we surmise that not every nurse who answered no is actually opposed to getting the vaccine. They just don’t want to be told they have to get it. Others, of course (as some of the strongly worded comments left in response to this poll show) are entirely against it, whether it’s mandated or not. And others are wholeheartedly for it, firm believers that decisions made by experts using available evidence usually, if not always, lead to benefits for us all.

But there’s obviously a lot more to say on this topic, and we’ll be posting about it soon.

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Nurses Express Safety Concerns About H1N1 Vaccine

September 9, 2009

By Jacob Molyneux, blog editor

Nurse blogger Not Nurse Ratched has written a post on her decision not to get the H1N1 vaccine shot until she is more convinced of its safety.

I’m just urging caution against the knee-jerk fear reaction that is, no doubt, going to make hordes of people swarm out to clamor for this vaccine. I’ll be watching for more data on it and might modify my decision, but for now I’m going to just say no.

Judging from responses to a recent post we ran on the topic (“cancel my subscription” appeared more than once), the loudest clamor may be from those who are driven by fear of the vaccine rather than fear of the H1N1 virus. In the post in question, Doug Olsen, a nurse ethicist, examined the ethical side of the question of whether or not nurses should get vaccinated. 

(Whether or not you agree with Olsen’s guarded conclusion in favor of vaccination, his post demonstrated how a professional ethicist uses a set of concepts as tools—not to come up with a definitive answer that can be called “right” or “wrong” but instead to examine the moral dimensions of a decision. We hope that some of the concepts he used will be seen as tools to help nurses make their own informed decisions.) 

By way of update, here’s an addendum we received from Olsen that addresses some of the concerns about vaccine safety expressed in the various comments:

Any obligation of nurses to protect the patient by getting flu vaccine depends on trust in the science and in the system for doing and reporting the science. Reasons for not trusting the system run the gamut from easily dismissed conspiracy theories to healthy, well-founded skepticism. Read the rest of this entry ?

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