NEW YORK – Late Tuesday evening during the worst epidemic of measles for decades, and doctors, nurses and other health care providers gather at a medical center to learn better ways to talk with parents who do not want to vaccinate
Blima Marcus, a nurse in oncology, is conducting a two-hour session on how to get a better job of listening and responding to parents' questions – and in the process of cultivating their trust. The key, she says, hears people's questions about the science behind the vaccines and deals with them directly. To discredit the false claim that childhood illnesses strengthen the immune system, she says that doctors can explain that the immune system is not a muscle that becomes stronger with exercise. "It is not a good idea to deliberately expose your children to a disease than you would break the bone of their feet because you think it will get stronger," she told the group at the Ezé Medical Center in Boro Park, Brooklyn. Marcus, part of the Orthodox Jewish community in Brooklyn, helped create a volunteer group of healthcare professionals this year to counter fluctuations in the vaccine and disinformation that employees are blaming for the outbreak of measles ̵
Now and other nurses teach doctors themselves how to react with respect and effectiveness to such concerns
Health authorities in New York and across the country are increasingly trying to develop new strategies for distributing accurate information about vaccines. They rely more on community groups than on government agencies in recognition of widespread distrust of science and government, especially in culturally isolated communities.
"We think that if we just talk harder, people will just accept that," said Jeremy Farr, Director of Wellcome Trust, a global health foundation based in London. "We have to raise science and find out why people question it." Another newly formed group – The Jewish Orthodox Women's Medical Association, runs a confidential hotline that families can call to request private vaccinations in the home, their children can be protected from measles without risking disapproval by anti-activists In the Portland, Oregon, where strong anti-vaccination sentiments are, Boost Oregon, a nonprofit organization, runs free vaccination seminars for new and expectant parents. Seminars by medical professionals are often held two hours or more to allow parents to answer all of their questions. The organization also organizes seminars for doctors, nurses, midwives, naturopaths and others on how to deal with patient misconceptions about vaccinations.
A recent global survey of public attitudes on health and science from Wellcome Trust conducted by Gallup World Poll that more than 8 out of 10 people trust health care workers for health counseling and that the most reliable source of health advice is a doctor or nurse.
Nurses can play a critical role. the first and last person the patient sees before making a final decision, "said Melody Butler, an infectious disease specialist at Good Samaritan Hospital on Long Island, who also heads a group called" Vaccinated nurses "[19659012"ThefullengagementoftheOrthodoxcommunitywithregardtovaccinationis"reallyalessonforus"saidNewYorkhealthcommissionerOxirisBarbortatarecentdiscussionatTishHospitalinNewYorkWiththepublicmistrustofthegovernmentJewish"Publichealthdoesnotalwayshavetobeamessenger"saidBarbot
At a recent session in Brooklyn, Marcus turned to the most common misinformation messages disseminated by anti-vaccination activists. the presentation was short and complete with practical tips: Here's how doctors can show their parents how to find reputable research online. Here are the answers to 13 general concerns about vaccines, from ingredients to side effects.
If patients worry about vaccine ingredients, Marcus told suppliers that they had prepared pizza and potato chips, they explain, for example, that aluminum hydroxide is used. to improve the immune response and increase the effectiveness of the vaccine. Half of the aluminum in the vaccine clears the body within 15 minutes, and 99% is excreted within two days, she said.
Studies have found no connection between babies who have received aluminum-containing vaccines and cognitive development
Moreover, she said, some foods contain natural chemicals that are toxic to humans. Pears have more formaldehyde than vaccines, she said. But the chemicals are in very small quantities, far below the harmful dose.
In order to refute the anti-vaccination disinformation that links the rise of chronic childhood illness with increasing childhood immunizations, doctors can explain that correlation is not a causal link. She pulled a slide showing a decline in the Maine divorce rate, which corresponds to a decline in margarine consumption per capita. That does not mean there is a connection between the two, she said, urging herself to laugh.
She also provided materials containing dozens of evidence-based studies that support her points. but nobody has shown their studies, "she explained in an interview after the meeting. "Well, here they are, with references, results, population sizes."
The outbreak of measles has slowed down in New York and across the country, but officials are concerned about the potential for continued summer camps to travel to Europe and other regions where an outbreak of measles is occurring and the beginning of the school in the autumn. service providers. She hopes that parents will receive information more easily. "They now know they need to be vaccinated, come to really learn and not to challenge you," she said.
Pediatrician Jeffrey Tatebaum, director of the medical center, was among those attending the session. The center receives about 70,000 visits per year; Teitelbaum, at the age of 55, has about 2,000 patients. Over the years, he has encountered parents who are reluctant to vaccinate their children.
But this time he saw a big difference.
In recent years, he said, the parents were stupid when they explained that they wanted to delay or avoid shooting. Now they are challenging.
"They challenge the trust of the government and the medical establishment, which is a much greater challenge to overcome," he said in an interview. In addition, vendors are often required to provide evidence of their recommendations to patients.
Alice Minkin, a Long Island pediatrician who attended the meeting, said it was practically impossible for doctors to have all the details of "anti-vox erudition" at the fingertips and be able to reject points with patients during a 15-minute visit.
Teitelbaum said that the advice, like the one for pear chemicals, proved comfortable and attracted by the patients. Most patients are being vaccinated, he said, but for the few who "do not want to take my word for it," he said, it is useful to have other ways of transmitting information.
At a time when many patients choose doctors based on insurance coverage, there is often not enough time to establish a deep relationship between a doctor and a patient, Tetelbaum said. Marcus' speaking points can help doctors keep in touch with patients. Hope, he said, is to build on it, "so in the future they have the ability to be vaccinated."