Vaccine Hesitancy: A Case Study

Although the negative claims behind anti-immunization stances are deceptive and discredited, some parents find it difficult to accept that vaccines are necessary and safe. Many of these reasons are due to personal or religious beliefs that have persuaded parents to bypass immunizations for their children. Consequently, health officials are seeing disquieting rises of diseases that are easily preventable. The CDC (Center for Disease Control and Prevention) has reported hundreds of measles cases in the United States in 2011, the largest number in 15 years (Ben-Joseph, Elana). Essentially, almost all of these cases were in individuals who had not received a vaccine shot. Also found in the article was that a great amount of the quarrel over the shots comes from a 1998 study that tried to connect autism to a type of vaccine that defends against measles. However, there has been no scientific evidence that a vaccine or a combination of any of the shots induces autism. Undoubtedly, the doctor that wrote the article, calling vaccines a “deliberate fraud” ,lost his license for not submitting any evidence of his claim and causing people to neglect shots for that year. Sadly, due to that article, 1 in 4 parents still believe that vaccines are

Although the arguments against vaccines have remained consistent for over two centuries, the ways in which information is disseminated to the public through media has changed. Technological advancements of the internet and social media have allowed everyone quick and easy access to anti-vaccination propaganda. These false messages can negatively influence parental attitudes and beliefs regarding vaccines (LA County Department of Public Health, 2015). Currently, most women of child-bearing age who will be making vaccination decisions for their children are Millennials - a term used to describe those born between 1980 and the early 2000s. Millennials are less inclined than older generations to vaccinate their children. This can mainly be attributed to their utilization of readily available health information regarding vaccines from the media and internet rather than asking and trusting a doctor. For example, a recent study shows that 70 percent of people are influenced by what they read on the internet regarding vaccination information (Kata, 2012). This is a dangerous way to form opinions about health and vaccination, as the information on social media is not scientific, can be created by anyone, and lacks

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.

​Over the past decade, the concern among parents regarding the safety and effectiveness of childhood vaccinations has become a concern in the United States and other countries around the world. A survey of physicians showed that 89% of the physicians who were surveyed reported at least one refusal of childhood vaccinations by parents each month (Gowda & Dempsey, 2013). Other researchers have noted that as many as 77% of parents have concerned about one or more of the childhood vaccinations that are recommended for children (McKee & Bohannon, 2016). However, organizations such as the World Health Organization (2017) note that not only are childhood vaccinations safe, the reduction in children receiving childhood vaccinations has brought back diseases such as measles that had been completely wiped out in the United States. It is clear that there are opposing viewpoints about childhood vaccinations that need to be understood and examined to determine which side has a better argument.

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.

Controversy concerning the risks of vaccinations will always exist. As is the nature of a preventative intervention, it is difficult to rationalize giving a completely healthy child an injection that is known to have varying degrees of sides affects5. Additionally, these injections are to provide immunity to children for diseases that have an extremely low risk of circulating within a population. Since these vaccines have been able to protect so many individuals from experiencing these dangerous infections, most parents do not even have personal experiences regarding the impact of these diseases. As such, many parents do not see the vaccine-preventable disease as a threat to their child. This often causes parents to not fully understand the risk their child has for contracting a disease and the subsequent danger of a vaccine-preventable disease infection verses the potential side effect of a vaccine which is normally only mild to moderate discomfort for their child15.

Parents are bombarded with information when it comes to their children and their children’s health and it happens the moment they are born. One main question they face off the bat is whether to immunize or not. For children ages 0-18, the CDC recommends vaccinations against 16 diseases, many of which could result in devastating illnesses and even death. Several injections coupled with several possibilities of severe reactions, pain, irritation, itching, ect. But through extensive, heavily monitored research and effectiveness, and evidence-based science illustrating the improvements and protection of the community it is clear that their benefits outweigh their risks. This paper will outline why the decision to immunize is one less

“Sustaining high vaccination coverage among school-age children is vital to prevent outbreaks and avoid reestablishment of diseases that have been eliminated in the United States” (Zangger, 2017). Most of the articles found, stated a variety of issues involved with noncompliant parental decisions made about not vaccinating their children. Of these issues, to my attention, the main problem with compliance of vaccines comes from the lack of knowledge about adverse effects and contraindications. What parents are missing is the fact that these childhood diseases are totally preventable diseases. We also are seeing a lot of parents choose to use an alternative vaccination schedule (AVS) instead of what is recommended by the Center for Disease Control and Prevention (CDC) that leads to the same kind of issue (Committee on Practice and Ambulatory Medicine and council on the community, 2011). The studies show that parents have an increased likelihood of refusing to vaccinate due to the lack of education provided on the subject itself.

Vaccine controversies have been ongoing for the past eight decades. Some parents are hesitant to vaccinate their children because they question the effectiveness, necessity, and safety of vaccines. The hesitancy or refusal to vaccinate is called vaccine hesitancy. Vaccine hesitancy has been increasing over the past few decades due in part to the impact of social media, specifically the Internet. Vaccine hesitancy can cause refusal of parents to vaccinate their child. The more children that are unvaccinated, the less herd immunity that is generated in the community. By increasing the number of children vaccinated, despite the vaccine hesitancy enhancing effects of the Internet, herd immunity can be generated, and this can be cost-effective.

It is apparent that most parents feel safer vaccinating their children than they do not vaccinating which is reflected by the high vaccination rate in the U.S. (Largent, 2012)

In healthcare, we are seeing an influx of children with diseases that were once eradicated by vaccinations. It does not help that in recent years many public figures, be it actors or politicians, have begun speaking out about the effects vaccinations potentially have on children. Whether they have done the proper research or not, their fame and notoriety brings about attention that most would not. So, what does the increase in non-vaccinated children mean to the rest of those that accepted the vaccinations. A closer look at immunizations for adults and children, the herd immunity that is in jeopardy, and the culture and reasoning of the anti-vaccination group may shed some light on the culture of anti-vaccination.

Many parents stress over the choice of deciding whether or not to vaccinate their children. The reason why deciding to vaccinate children is so difficult is due to the wide range of myths and side effects that are connected with vaccinations. Myths spread to parents all over the United States that the diseases don’t even exist anymore, rumors of vaccinations weakening a child’s immune system, and the risk of a child becoming autistic due to thimerisol in vaccinations. Side effects also scare parents out of getting their children vaccinated like brain damage, seizures, or allergic reactions, but then parents are pulled back to the thought of the possibility of

This topic is extremely significant to my audience because a growing number of parents do not vaccinate their children due to fear of side effects. Parents today have lost confidence in in the vaccination industry as a consequence of sensationalism brought about by false evidence published and the celebrities that latched onto that claim. Sadly, some people have taken to considering the strong opinions and may not research vaccinations before making decisions

The number of individuals who are unvaccinated or infected in the United States has increased (Sun). Vaccines recommended for children are crucial and result in fewer health risks and greater healthy lifestyles. Proponents agree that vaccines are safe and effective, while opponents disagree and believe that vaccines create more negative outcomes than positive ("Should Any Vaccines..."). Opponents attempt to influence and persuade the majority of individuals to stray away from their viewpoints relating to the encouragement of vaccinating children. The rising percentage of children and parents who reject immunization and protest safe vaccines indicate less triumph for sufficient immunization for the population. There are many detrimental risks that affect unvaccinated children, and supporting childhood vaccinations profoundly benefits each parent and child.

Despite vaccinations being credited for the control and elimination of several childhood diseases, there are still many critics who raise concerns about the necessity of vaccination. In a national study of parents performed in 2000, 19% indicated they had “concerns about vaccines” whereas in a subsequent survey performed in 2009 this number had risen to 50%. There has also been a rise in non-medical vaccine exemptions that has occurred over the last several years. In a 2010 national survey of physicians, 89% of respondents reported at least one vaccine refusal by a parent each month (Dempsey & Gowda, 2013). Opposers argue that making school vaccination mandatory is against their right to make personal medical decisions. They feel that the government has no place to force parents to vaccinate their children if the parents decide it is not in their child’s best interest. Many parents are disagreeable about the multiple vaccinations received at one time, which results in possible pain and discomfort for the child. Another argument against vaccination is the safety and efficacy of vaccines. Critics are concerned about the unknown risks vaccines pose to children. Some parents noted their child acquiring a “high fever” or beginning to “act different” after the administration of a vaccine. There is a belief that there is a connection between the measles vaccination and autism. Another theory is that the influenza