Leask J
Department of Public Health & Community Medicine and National Centre for Immunisation Research & Surveillance, University of Sydney, New South Wales, Australia.
J Paediatr Child Health. 2002 Apr;38(2):124-8. doi: 10.1046/j.1440-1754.2002.00791.x.
The declining incidence of vaccine-preventable diseases has led to an increased public focus on the issue of vaccine safety. In an environment of increased consumerism, interest in alternative health practices and anti-vaccination lobbying, media reports that call into question the safety of scheduled vaccines can significantly raise parents' concerns. Recent media coverage of a suggested but unproved link between the measles-mumps-rubella vaccine and autism has highlighted the challenges of providing a consistent and co-ordinated response. For those concerned about effectively communicating the benefits and risks of vaccination, the field of risk communication can provide helpful insights. This paper summarizes the Workshop on Vaccine Communication held in the USA during October 2000. It highlights the perspectives given by consumers, providers, journalists and risk-communication experts and discusses implications for Australia. These centre around how government and health professionals might respond to vaccine safety scares in the public arena, and to parental concerns raised in clinical encounters. Finally, the potential risks and benefits of engaging with the anti-vaccination lobby are outlined.
疫苗可预防疾病发病率的下降使得公众更加关注疫苗安全问题。在消费主义抬头、人们对替代健康疗法兴趣增加以及反疫苗游说活动盛行的环境下,质疑常规疫苗安全性的媒体报道会显著加剧家长们的担忧。近期媒体对麻疹、腮腺炎和风疹疫苗与自闭症之间可能存在但未经证实的联系的报道,凸显了提供一致且协调回应所面临的挑战。对于那些关注如何有效传达疫苗接种利弊的人来说,风险沟通领域能提供有益的见解。本文总结了2000年10月在美国举办的疫苗沟通研讨会。它突出了消费者、疫苗接种提供者、记者和风险沟通专家的观点,并讨论了对澳大利亚的启示。这些启示主要围绕政府和卫生专业人员如何应对公众领域的疫苗安全恐慌,以及如何回应临床诊疗中家长提出的担忧。最后,概述了与反疫苗游说团体接触的潜在风险和益处。