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Understanding Vaccine Anxiety & Encouraging Vaccine Compliance - - PowerPoint PPT Presentation
Understanding Vaccine Anxiety & Encouraging Vaccine Compliance - - PowerPoint PPT Presentation
Understanding Vaccine Anxiety & Encouraging Vaccine Compliance in Michigan Mark Navin, Ph.D. Associate Professor, Oakland University Mark Largent, Ph.D. Professor, Michigan State University Mark Largent, Ph.D. Historian Michigan State
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Mark Navin, Ph.D. Philosopher Oakland University Mark Largent, Ph.D. Historian Michigan State University
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A Critical Moment for Compulsory Vaccination?
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A Critical Moment for Compulsory Vaccination?
Oregon NJ NY Conn VT California Arizona
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10 20 30 40 50 60 70 80 90 100 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Hib B MMR Hep A PCV Rotavirus Varicella DPT Polio
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Record High Vaccine Compliance Rates Record High Vaccine Waiver Rates
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Record High Vaccine Compliance Rates Record High Vaccine Waiver Rates Under- Vaccinated Children Without Waivers
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Record High Vaccine Compliance Rates Record High Vaccine Waiver Rates Under- Vaccinated Children Without Waivers
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Record High Vaccine Compliance Rates Record High Vaccine Waiver Rates Under- Vaccinated Children Without Waivers
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How Can We Increase Compliance?
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How Can We Increase Compliance?
Jacobson v. Mass. (1905) is Insufficient
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How Can We Increase Compliance?
Jacobson v. Mass. (1905) is Insufficient We Can Only Impose Burdens
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How Can We Increase Compliance?
Jacobson v. Mass. (1905) is Insufficient We Can Only Impose Burdens Daycare and School Attendance Paperwork, Education Session, Medical Only
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How Can We Increase Compliance?
Jacobson v. Mass. (1905) is Insufficient We Can Only Impose Burdens Daycare and School Attendance Paperwork, Education Session, Medical Only Burdensome= Higher Compliance Burdensome= Tension with Other Social Goods
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Research in Service of Vaccine Compliance
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Research in Service of Vaccine Compliance
The December 2014 MDCH Rule Change Created a Valuable Opportunity to Better Understand How to Increase Compliance
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Research in Service of Vaccine Compliance
Reveal how MI public health offices have implemented the December 2014 rules change
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Research in Service of Vaccine Compliance
Reveal how MI public health offices have implemented the December 2014 rules change Identify best practices for the exemption application process
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Research in Service of Vaccine Compliance
Identify the concerns of parents/guardians who request waivers
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Research in Service of Vaccine Compliance
Identify the concerns of parents/guardians who request waivers Explore whether parents/guardians with particular concerns are more persuadable than
- thers – and how?
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Research in Service of Vaccine Compliance
Identify the concerns of parents/guardians who request waivers Explore whether parents/guardians with particular concerns are more persuadable than
- thers – and how?
Discover whether particular burdens lead to lower exemption rates
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Research in Service of Vaccine Compliance
Provide educators a sense of the concerns the parent/guardian in front of them has so they can tailor education sessions
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Research in Service of Vaccine Compliance
Provide educators a sense of the concerns the parent/guardian in front of them has so they can tailor education sessions Give parents/guardians voice
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Research in Service of Vaccine Compliance
Provide educators a sense of the concerns the parent/guardian in front of them has so they can tailor education sessions Give parents/guardians voice Determine whether giving parents/guardians voice increases compliance
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Research in Service of Vaccine Compliance
Responding to the Opportunity: Survey of the Attitudes, Concerns, and Information Sources of Parents/Guardians Seeking Waivers Piloted by Oakland County Early in 2015
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Results from the Pilot Study
Where Do You Get Your Information About Vaccines? Family Physician or Pediatrician 92.0% Informational Websites 69.6% Friends or Family 54.5% News Reports 41.1% Chiropractor 38.4% Other Alternative Health Care Provider 33.9% Television or Radio Programs 31.3% Online Parenting Communities 31.3% Social Media (e.g., Facebook, Twitter) 20.5% Books 9.8% Research 7.1% Peer-Reviewed Scientific/Medical Lit 4.5%
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Results from the Pilot Study
% strongly or % strongly or moderately distrust moderately trust Pharma 54.7 5.3 Federal Government 33.7 15.8 FDA 43.2 13.7 CDC 30.5 13.7 Mich State Government 25.3 20.0 Scientists 12.6 30.5 Local School Admins 9.5 34.7 Medical Professionals 9.5 40.0
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Going Forward
1) Implementation of Revised Survey of Parents/Guardians Seeking Waivers
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Going Forward
1) Implementation of Revised Survey of Parents/Guardians Seeking Waivers 2) Survey of Michigan Health Departments’ Policies, Procedures, and Experiences with December 2014 Rule Change
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