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.

Pediatric Emergency Care
|August 27, 2019
PubMed

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.

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