States Easing Up, Pediatricians Buckling Down on Childhood Immunizations

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.

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? […]

2016-11-21T13:10:41-05:00February 21st, 2012|Nursing|9 Comments

CDC Guidance for Relief Workers and Others Traveling to Haiti

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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2016-11-21T13:19:46-05:00January 28th, 2010|Nursing|0 Comments

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

By Christine Moffa, MS, RN, AJN clinical editor

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

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

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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