Siegrist Claire-Anne, Balinska Peroutkova Marta A
2Department of Paediatrics, Centre de Vaccinologie et d'Immunologie Néonatale, Université de Genève, C.M.U., 1 rue Michel-Servet, 1211 Genève 4, Switzerland.
Via Graziano 57, 00-165 Roma, Italy.
Z Gesundh Wiss. 2008;16(4):247-252. doi: 10.1007/s10389-008-0201-1. Epub 2008 Jun 27.
In this original article, we seek to analyse the environment in which immunisation policies are adopted and, more specifically, the way the public perception of vaccines influences decision-making, by looking more closely at the case of Switzerland.
Historical and present-day examples of attitudes towards immunisation and specific vaccines, both on the part of the public and of health-care workers, are reviewed.
Decision-making with regard to vaccine policy implementation has been and is still most often driven by fear: fear of disease (when perceived as rampant and/or dangerous), but also fear of vaccine-associated adverse events (when the disease is less or no longer "visible"). However, methodology for introducing evidence-based immunisation policies exists and can be used by public health authorities, while vaccination information systems (such as the Swiss InfoVac) have proven their usefulness in providing trustworthy, peer-based knowledge to health-care workers.
Only information based on clear, evidence-based data gathered and analysed according to solid methodological criteria coupled with adequate information of health-care workers (and thus patients) can ensure in future the implementation of scientifically coherent, publicly acceptable, and equitable immunisation policies.
在这篇原创文章中，我们试图通过更深入地研究瑞士的案例，分析采用免疫政策的环境，更具体地说，分析公众对疫苗的认知影响决策的方式。
回顾了公众和医护人员对免疫接种及特定疫苗的历史和当前态度实例。
疫苗政策实施方面的决策过去是、现在仍然大多由恐惧驱动：对疾病的恐惧（当被视为猖獗和/或危险时），但也有对疫苗相关不良事件的恐惧（当疾病不那么“明显”或不再“明显”时）。然而，引入基于证据的免疫政策的方法是存在的，公共卫生当局可以采用，而疫苗接种信息系统（如瑞士的InfoVac）已证明在为医护人员提供可靠的、基于同行的知识方面很有用。
只有基于根据可靠方法标准收集和分析的清晰、基于证据的数据的信息，再加上对医护人员（进而对患者）的充分信息，才能在未来确保实施科学连贯、公众可接受且公平的免疫政策。
