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Resurgence of Vaccine-Preventable Disease: Ethics in the Pediatric Emergency Department
Naomi Dreisinger1, Czer Anthoney Lim
1From the Pediatric Emergency Medicine and Short Stay Unit, Mount Sinai Beth Israel; and Department of Emergency Medicine and Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY.
Insights
Childhood illnesses like measles and polio are resurging due to decreased vaccination rates. Understanding parental concerns is crucial for pediatricians to encourage vital childhood immunizations.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Background:
- Vaccine-preventable childhood illnesses have seen a global resurgence after decades of decline.
- Factors contributing to this include resource scarcity, global travel, and vaccine hesitancy fueled by misinformation.
- This has led to frequent local and widespread epidemics, notably measles outbreaks.
Purpose of the Study:
- To examine the multifactorial causes behind the resurgence of vaccine-preventable diseases.
- To highlight the role of pediatric emergency departments as frontline responders to these cases.
- To emphasize the need for healthcare providers to engage families, understand their concerns, and promote vaccination.
Main Methods:
- Review of global health trends and contributing factors to decreased vaccination rates.
- Analysis of the impact of misinformation and media on vaccine decisions.
- Clinical observation of pediatric emergency department encounters with vaccine-preventable diseases.
Main Results:
- A complex interplay of factors has led to a rise in diseases like polio and measles.
- Increased global travel and hesitancy towards childhood immunizations are significant drivers.
- Pediatric emergency departments are increasingly encountering these preventable illnesses.
Conclusions:
- The resurgence of vaccine-preventable diseases is a serious public health concern.
- Effective communication and education are essential to address parental concerns and combat misinformation.
- Encouraging positive health behaviors, including timely childhood immunizations, is critical to prevent future epidemics.
Abstract:
After a decades-long reduction in vaccine-preventable illnesses worldwide, there has been a reappearance of childhood illnesses once thought to be eradicated. This resurgence in illnesses such as polio and measles is a consequence of multifactorial events leading to decreased vaccination rates. A lack of resources in poor and war-torn countries, coupled with increasing global travel, and decisions to delay or defer vaccinations because of inaccurate studies further emphasized by media have combined to result in current state of frequent local and widespread epidemics, specifically the current outbreak of measles. As providers in the pediatric emergency department, we are often the first to encounter children manifesting these diseases. It is imperative that we understand the circumstances leading to these encounters, so that we can have engaged conversations with families, gain an understanding of their motivations, dispel any misinformed beliefs, and encourage positive health behaviors for their children.
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