Dittmann S
Communicable Disease and Immunization Programmes, World Health Organization, Regional Office for Europe, Copenhagen, Denmark.
Vaccine. 2001 Mar 21;19(17-19):2446-56. doi: 10.1016/s0264-410x(00)00470-9.
The complexity of risks connected with both vaccine-preventable diseases as well as with immunization will be discussed and used as the basis for conclusions: -what should be done to avoid damage to current and future immunization programs and -how to improve risk communication. The need for more complete data on true, perceived and unknown immunization risks necessitates strengthening our research capabilities as well as surveillance and vaccine safety programs, and to critically examine the factors influencing public sentiments, taking into account that public perceptions of risk vary depending on the characteristics of risk. A concerted effort is needed to improve benefit and risk communication at all levels. The medical community should play a key role for improved communication.
将讨论与疫苗可预防疾病以及免疫接种相关的风险复杂性，并以此为基础得出结论：一是应采取哪些措施避免对当前和未来的免疫规划造成损害，二是如何改善风险沟通。由于需要更全面的关于真实、感知到的和未知的免疫风险数据，因此有必要加强我们的研究能力以及监测和疫苗安全计划，并严格审查影响公众情绪的因素，同时要考虑到公众对风险的认知会因风险特征而异。需要各方共同努力，在各个层面改善收益和风险沟通。医学界应在改善沟通方面发挥关键作用。
