The Importance Of Childhood Vaccination

This assignment requires that I develop and thoroughly analyze a public policy in order to advocate for one that improves the health of the public and/or the nursing profession globally (local, state, national or international). To do this, I must reflect on several aspects of being a policy maker within the nursing profession. I was instructed to consider the following:

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.

To vaccinate or not to vaccinate? Parents with infants and young children have been tussling with this proverbial question for several decades now. With the advent of the internet and the World Wide Web, parents have been bombarded with a plethora of information about pros and cons of vaccines from all kinds of sources, some creditable, and some are not. To the non-scientific community, these conflicting information can create problems in the decision making process; thus, forcing parents to make the wrong choices and putting their offspring and others at risk. However, this article will attempt to address the importance of vaccinations, how vaccines work, why we should vaccinate, and why parents should not be afraid to vaccinate their offspring.

Many infectious diseases that once quickly spread and easily killed have been controlled or eradicated due to vaccinations. The efficacy of vaccines in reducing morbidity and mortality, particularly in children, is undeniable. Per the World Health Organization, childhood vaccinations prevent approximately 2-3 million deaths per year worldwide (WHO, 2016). In the United States, the value of immunizations is clearly displayed by comparing pre-vaccine era morbidity/mortality rates to post-vaccine era in regards to vaccine-preventable diseases. For example, prior to the diphtheria vaccine in the 1920’s, 206,000 people annually contracted the disease resulting in 15,520 deaths (History of Vaccines, 2009). However, between 2004 and 2014, only

In the United States we are very fortunate. For the most part we do not live in fear of disease outbreaks from day to day. Our government along with the Centers for Disease Control and Public Health Departments have managed to have adults and children vaccinated and set up recommendations regarding those vaccinations. Despite all that is done our country allows freedoms. One of these freedoms is to not vaccinate your child from communicable diseases due to personal beliefs. With the worlds populations becoming more mobile, that sets your child up for dangerous encounters; because some countries are not as strict on laws regarding vaccinations and some

In early April 2013 a measles outbreak was discovered in North Carolina. By mid-May the outbreak had been identified in Stokes and Orange Counties via 23 active cases. Every case was linked back to a family that had spent 3 months in India and had not been vaccinated. By the 16th of April the state laboratory of Public Health was able to confirm the diagnosis, with the last known case being confirmed on May 7th. The investigation of this outbreak revealed 4 patients with a confirmed diagnosis that had received one of vaccination of the two part series. The other 19 cases had not ever been vaccinated.

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).

Every person that has not been vaccinated by the MMR is at risk of contracting the disease. In the CDC’s vigilance to keep the United States free of measles, it has listed several key challenges. They are the following:

People in the United States are urged from day one that vaccinations are important for the well being of their children and for everyone that your child may come in contact with. Recently, childhood vaccinations have been stigmatized as a negative process. Parents have become increasingly concerned about the effects and side effects of vaccinations. The problem being, that the infectious diseases that are being prevented for, are being forgotten about. Vaccinations have been doing their job in protecting us for so long that the infectious diseases are less scary than vaccination process itself (Austvoll-Dahlgren & Helseth, 2012, p. 271). Vaccinations are a preventative measure and one that will continue to be implemented in children for their individual safety and for the safety of the public. However, it is still the families’ choice whether or not they want to proceed with the vaccination process or not. Most vaccinations are going to be administered by a registered nurse, therefore, it is the role of the nurse to supply information, and answer questions when counseling families through this process. The goal is to make people feel as comfortable and as informed as possible so that they can make a decision on whether to submit to the vaccination process or not.

After reading and hearing about multiple news reports about parents refusing to vaccinate their children over the years, it might come as a surprise that American children actually receive more vaccinations than ever before due to government policies. Less than 0.5 percent of children receive no vaccines at all. In Vaccine Nation, Elena Conis argues that the widespread adherence to vaccination is as important of a study as vaccine resistance is. She turns her perspective on to the spread of vaccines in the postwar era when new vaccines targeted the “milder” diseases of childhood such as measles, mumps, and whopping cough. More recently, vaccines have been developed and promoted that protect against diseases that largely affect adults. Elena

“In 2011 alone, 1.5 million children died [worldwide] from diseases preventable by currently recommended vaccines” (“Immunization” 2). The magnitude of this tragedy is in part caused by the fact that some of those children simply weren’t reached by organizations like UNICEF, which aim to vaccinate children (“Immunization” 2). However, there are other reasons for the recent deaths and epidemics—such as the whooping cough epidemic of 2012, with 48,000 cases nationally in the United States—involving vaccine preventable diseases (McClay 1).

Often debated, with strong convictions on each side, timely immunizations for children do more good then harm. Over the last few years, a phenomenon has come to our door steps. It used to be that all parents would immunize their children, without fail, because doctors told them to. In the past, the only non-immunized children were the children with health deficiencies. These children depended on the “herd” mentality. However, times are changing and parents are choosing to not immunize their children mainly based on these reasons: the possibility of them getting autism, parental lack of education about immunizations and lastly they believe that the illnesses that children are being immunized against are gone and immunizations are no longer needed.

The importance of vaccines for children has a large impact on healthcare and my future practice. Therefore knowing what programs are available is critical to increasing the vaccine rates. Over the decades, there have been devastating consequences resulting from preventable communicable diseases as well as programs and strategies to assist in increasing the immunization rates. This paper will explain and critique the program called “Vaccines For Children”. This paper will also include how I will adapt this program in my future pediatric practice.

Throughout history, it has been shown that vaccines make a significant impact on the health of our communities and “administration of these vaccines led to dramatic reduction in the number of cases of, as well as deaths from smallpox, polio, diphtheria, pertussis, measles, mumps and preventable diseases” (Jacobson, 2012, p.36). Generally, those involved in campaigns for and research in these preventable diseases attribute vaccines for children as the main contributing factor to the overall decline in diseases such as measles, mumps, smallpox and pertussis (Jacobson, 2012). In the public health setting, there are many issues that threaten the health and safety of the public, not just in the local community but the nation and world-wide. One such issue, surfacing in public health, is the issue of vaccinations; those who choose to vaccinate, those who choose not to vaccinate and those who do not

The World Health Organization in 2010 established three major goals for global measles control by 2015: 1) increase regular first dose administration of measles-containing vaccine (MCV1) for children of age 1 year to more than 90% nationally and 80% in every district; 2) to reduce globally the measles incidence to less than 5 cases per million population; and 3)to reduce the measles mortality rate globally by 95% from the 2000 estimate (1). These goals were partially realised as global incidence of measles dropped to 36 cases per million population from 146 cases per million in year 2000 (about 75% decrease), and 109 countries were able to achieve an incidence of less than 5 cases per million population in 2015. However, the total estimate