Vaccination policy Analysis
Adriana Ortega
Benjamin Tetteh
Ramona Abou Habib
Saera Sultana
PUAD 6260-01 Healthcare Policy Analysis
Professor Farida Sultana
July 27, 2015
Table of Contents
I. Executive Summary 3
II. Introduction 4
III. Examination and Analysis of the Policy 5
A. Background 5
B. Involvement and Work of Lobbying Groups 5
C. Analysis: Pros and Cons 6
D. Analysis: Evaluation Methods 10
E. Outcomes 11
IV. Conclusion 12
References 13
I. Executive Summary
Vaccination policy is one of the most important policies drafted in the United States. Major points concerning this policy is being criticized, evaluated and edited nowadays. In this paper we will be talking about the definition of the vaccination policy in general including its background, process, challenges, risks, benefits and advantages of this policy and finally in conclusion summarize all our findings objectively with some recommendations for future actions.
II. Introduction
When population in the country cannot alone solve a problem, governmental intervention in the form of policy becomes important. Throughout the history of United States, multiple policies were crafted. Some aimed to improve or save lives. Vaccination policy is one of those. But what makes it unique is that it promotes the notion of giving inactive agent of the disease in question to even a healthy person so his immune system can operate in a way to fight this specific disease later and yes, its aim
This essay will attempt to investigate the employment of the 23 plus vaccinations used today and how they defend the preventions and spread of diseases. The paper will support the pros and the cons of vaccinations that are supported by research statistics as well as the different symptoms that have been reported for each available vaccine.
Although some people believe that vaccinations are not the best choice for them or their children, many negative effects can be seen when people choose against vaccines. Paul A. Offit in Deadly Choices: How the Anti-vaccine Movement Threatens Us All, saying “We’ve reached a tipping point. Children are suffering and dying because some parents are more frightened by vaccines than by the disease they prevent” (191). Since the anti-vaccination movement began people have been believing that vaccines are unhealthy, when in reality vaccines are protecting people from the unhealthy diseases. This movement has lead to an increase in outbreaks of preventable diseases throughout the United States. Figure 3 is a list of the “notifiable diseases”, which are diseases that must be reported to the government authorities. This figure shows how diseases such as measles and tuberculosis had a high number of cases before the introduction of vaccinations. Although it is good that the number of
To the average individual, the word ‘vaccination’ means to prevent illness. Vaccinations have many advantages; they allow us to be less susceptible to a variety of illnesses and diseases. Many individuals believe that vaccinations should not be mandatory. However, the benefits from vaccinations greatly outweigh the risks from side effects. The judgments are factual and ethical and are supported by testing and research findings from multiple sources.
In this area of study related to Childhood Vaccination, we will discuss about the major and key stakeholders. These major stakeholders, those influencing and shaping the debate are; Government and Legislators (Policy Makers), Parents, NGO’s and Lobby Groups. We can also find some least influential stakeholders which do not have as such influence on this issue but they are the one who are most “affected by” group in term of the issue is concerned. These are New-Parents/Future Parents and Children. In this part, we will try to find out the perspective of major stakeholders, their agreement and disagreement as far as issue is concerned, and also, is there any interaction between those stakeholder exist or not?
It is very important for healthcare providers to be educated on the safety concern of vaccination. Proper protocols must be taken through evidence-based research on the issue of vaccination and the risk factors that can allow stakeholders better implementation on laws that can be beneficial to parents. The stakeholder’s in the healthcare field such as patients, healthcare providers, insurance companies, organizations, and those who enforce policy main concern are the safety of these patients. The decisions most of these stakeholders make can either benefit patients or affect them. For example, the consequences parents have if their child is not vaccinated. The mandatory law of children who are not vaccinated cannot enrolled in school is unfair to parents. I believe parents should not be penalized or forced for their child to be vaccinated. If all stakeholders can reunite through evidence based research on the topic of vaccinations risk concern it can cause a positive impact on parents and alternative ways children can prevent the side
Throughout history people have seen many public health innovations. Numerous advancements were made between 2001 and 2010. These advancements include “tobacco control, motor vehicle safety, public health preparedness and response, and occupational safety.” (Ten Great Public Health Achievements --- United States, 2001—2010) One of the most important innovations was vaccine preventable diseases. Many people believe that it is right for the government to necessitate children to be vaccinated. Others think it is wrong and that the parents should decide what is best for their children’s health. It is beneficial for the United States government to require young children in the United States to get vaccinations including hepatitis A and B,
Between 1924 and 2013, vaccinations prevented 103 million cases of polio, measles, rubella, mumps, hepatitis A, diphtheria, and pertussis (Bailey). Vaccinating is “the process by which pathogenic cells are injected into a healthy person in an attempt to cause the body to develop antibodies to a particular virus or bacterium—successful creation of antibodies is referred to as immunity to the disease caused by the particular pathogen” (Introduction to Should Vaccinations be Mandatory). Popular conflicts regarding vaccination include the worry that this form of immunization isn’t natural, the idea that vaccination schedule for children in the U.S. takes away parents’ rights to make decisions for their children, and the concern that vaccinations aren’t safe for all children. Most doctors and scientists advocate for vaccinations in the name of herd immunity, protection against foreign diseases and prevention against pockets of disease outbreaks. Vaccinations should be mandatory for all children in the United States for who they are deemed safe and effective.
The intended purpose of this presentation is to provide facts and scientific research that persuades the audience members regarding the use of vaccinations. My intention is that the audience will support the use of vaccinations and consider the facts before making decisions that affect the entire community. My central idea is that inaccurate data exists with regards to vaccination; instead, that vaccinations should be viewed as essential for protection of society, both from extreme illness as well as life threatening, and sometimes fatal, diseases.
Thesis: Vaccinations have many benefits including the prevention of certain diseases but they also can cause issues and be very riskful in using them to treat or prevent a disease. Some of these issues include the ethic dilemma behind the subject.
“Prevention is better than cure.” This common statement could not relate any better than it does with the controversy surrounding the morality, effectiveness, and safety of childhood immunizations. The major argument is whether or not laws should be established to declare vaccination mandatory for all children. “The US food and Drug administration (FDA) regulates all vaccines to ensure safety and effectiveness,” (ProCon.org, 2012) therefor there should not be any reason to risk the health of any child. Vaccinating our children not only ensures their safety but also that of their future to come.
This paper examines the controversy surrounding the public health issue of vaccinations in children. Following a careful review of the literature surrounding this issue, the possible reasons for and implications of having a large percentage of the population who remains unvaccinated are discussed. Possible interventions and purposed interventions for resolution of this problem are discussed and conclusions are drawn based on what it learned from the literature.
Vaccines save lives; fear endangers them. Vaccinations have been used since the 18th century to cure various deadly diseases, from smallpox to the influenza virus. On a global level, vaccination is one of the few cost-effective medical measures that result in universal benefit. Yet there have always been those opposed to vaccinations because of possible side effects. With the increase in technology and the ability to share ideas in modern society the anti vaccine movement has flourished making the eradication of disease and safety of the public a difficult task. The anti-vaccine movement in the United States is one which brings about a very serious issue of safety. Vaccinations are put in place to protect people; they are administered by trained professionals who weigh the costs and benefits of vaccines. Yet there are still people out there who refuse to be vaccinated out of fear and therefore decide for themselves the effectiveness of vaccines. In order to ensure a safe society the public needs to be educated about vaccine in order to make a truly informed decision.
Vaccination was first introduced globally for small pox and later on extended to other communicable diseases which are now known as vaccine preventable disease. Vaccination is beneficial both for individuals and community. This bring us to the ethical dilemma - Vaccination of a healthy child with the intention of protecting both the individual child and the community at the same time exposing the child to the theoretical risk of exposure to disease products whether live, attenuated or killed. There was a time when people never questioned the government or their physicians. Now because of more public awareness and accessibility to medical information, they are questioning the safety aspects of vaccines.
Despite significant progress in the fight against preventable disease, millions still die needlessly each year. According to UNICEF, originally known as the United Nations International Children’s Emergency Fund, a vaccine preventable disease is responsible for 2 million fatal infections worldwide each year. About 75% of these deaths occur in children under five years of age. (N) In more vivid terms, UNICEF notes that vaccine-preventable diseases kill a child every 20 seconds. (D) Due to high rates of childhood vaccination, the United States has experienced a dramatic reduction in such deaths. A comparison of the years 1950 and 2010 clearly illustrates the benefits of vaccinations. During this 60-year period, deaths from diphtheria reduced from 410 to 0, tetanus from 336 to 3, pertussis from 1,118 to 26, and polio from 1,904 to 0. Measles deaths dropped from 468 in 1950 to 0 in 2008, the last year a United States death rate was recorded. It’s not surprising that vaccinations have been touted as one of the top ten health achievements of the 20th century by the Centers for Disease Control and Prevention (CDC).
Vaccinations are one of public health’s greatest achievements, with talented sciencetist to make this ever so possible. America has been able to keep outbreaks of these diseases on the down low from families who choose to vaccinate