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Vaccination policies and rates of exemption from immunization, 2005-2011.2005 - 2011年疫苗接种政策及免疫豁免率
N Engl J Med. 2012 Sep 20;367(12):1170-1. doi: 10.1056/NEJMc1209037.
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Measles - United States, 2011.麻疹 - 美国,2011 年。
MMWR Morb Mortal Wkly Rep. 2012 Apr 20;61:253-7.
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Health care-associated measles outbreak in the United States after an importation: challenges and economic impact.美国一起输入性麻疹疫情引发的医疗保健相关麻疹爆发:挑战和经济影响。
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Measles outbreak in a highly vaccinated population, San Diego, 2008: role of the intentionally undervaccinated.2008 年圣地亚哥高度免疫人群中的麻疹爆发:故意免疫不足的作用。
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Geographic clustering of nonmedical exemptions to school immunization requirements and associations with geographic clustering of pertussis.学校免疫要求的非医学豁免的地理聚集性以及与百日咳地理聚集性的关联。
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Economic evaluation of the 7-vaccine routine childhood immunization schedule in the United States, 2001.2001年美国7种儿童常规免疫接种疫苗时间表的经济学评估
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Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children.儿童回肠淋巴小结增生、非特异性结肠炎与广泛性发育障碍
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社会应该如何应对疫苗接种抵触的风险。

How society should respond to the risk of vaccine rejection.

机构信息

Harvard University; Cambridge, MA USA.

出版信息

Hum Vaccin Immunother. 2013 Aug;9(8):1815-8. doi: 10.4161/hv.25250. Epub 2013 Jun 6.

DOI:10.4161/hv.25250
PMID:23807359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3906287/
Abstract

While vaccine acceptance remains high in general, fear of vaccines has grown dramatically in the past several years in many developed countries. In some communities, this fear has led to significantly increased rates of vaccine refusal which are associated with increases in illness and death from vaccine-preventable diseases, and large economic costs for health care and society. Despite overwhelming evidence supporting the safety and benefits of vaccination, this fear has proven resistant to information campaigns, a phenomenon well-explained by psychological research which has established that risk perception is subjective, a product of both the facts and how those facts feel. Given the innately emotional and instinctive nature of risk perception, and the risks to public health these perceptions produce, and consistent with well-established legal principles supporting government action to protect the common good, society has the right and responsibility to establish laws, regulations, and choice frameworks that discourage vaccine refusal.

摘要

虽然总体而言,疫苗接种的接受率仍然很高,但在过去几年中,许多发达国家对疫苗的恐惧急剧增加。在一些社区,这种恐惧导致疫苗接种率显著下降,从而导致可通过疫苗预防的疾病发病率和死亡率上升,以及医疗保健和社会的巨大经济成本。尽管有压倒性的证据支持疫苗接种的安全性和益处,但这种恐惧已被证明对信息宣传活动具有抵抗力,这一现象很好地解释了心理学研究,该研究已经确定风险感知是主观的,是事实和事实感觉的产物。鉴于风险感知具有内在的情感和本能性质,以及这些感知给公共卫生带来的风险,并且符合支持政府采取行动保护公共利益的既定法律原则,社会有权也有责任制定法律、法规和选择框架,以劝阻人们拒绝接种疫苗。