Communicating risk Dr. Tan says many physicians haven’t been appropriately trained in communi- cating vaccine risks to patients, most of whom haven’t witnessed the effects of smallpox, polio, or other forgotten but deadly diseases.
“In the absence of disease, the percep- tion of and acceptance of risk changes. There comes a tipping point when pa- rental concerns about adverse events outweigh what they perceive as benefits from vaccines,” Dr. Tan said.
When communicating about vaccine risks to parents, Dr. Tan says physicians need to realize many parents have a lim- ited understanding of vaccine science. “Data disprove the link between au- tism and vaccines, but some parents con- tinue to give weight to that claim,” he said. “The anti-vaccine community tells a compelling story and has captured the attention of many people. That’s why it’s important for physicians to address the perceived risks and educate patients about the benefits of vaccines.” Carol J. Baker, MD, past ACIP chair
and executive director of the Texas Children’s Hospital Center for Vaccine Awareness and Research, has advice for busy physicians.
“Physicians must listen compassion- ately to identify concerns and establish early, open, ongoing, nonconfrontational dialogue. Most importantly, physicians should communicate that the infectious diseases prevented by the vaccines are much worse than the risks associated with vaccines,” she said.
An article in the July 2004 issue of
Pediatrics titled “Children Who Have Received No Vaccines: Who Are They and Where Do They Live?” examined the unvaccinated child population. Re- searchers concluded unvaccinated chil- dren are typically white, have a married and college-educated mother, and live in a household with an annual income exceeding $75,000. Their parents tend to express vaccine safety concerns and indicate that physicians have little influ- ence over their vaccination decisions. Dr. Tan says the Internet is a haven for the anti-vaccination crowd. “Anyone can pose as an expert and contribute their own content on anti-
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