title: Addressing the emergence of pediatric vaccination concerns: recommendations from a Canadian policy analysis.
abstract: Ever since the advent of pediatric vaccination, individuals have expressed concerns about both its risks and benefits. These concerns have once again resurfaced among some segments of the population and could potentially undermine national vaccination programs. The views of the public, however, must be considered and respected in the formulation of vaccination policy. We have conducted an analysis of the pediatric vaccination "debate" in the Canadian context. We believe that there is common ground between those who support pediatric vaccination and those who are concerned about these programs. Based on our findings, we believe that the goal of public health authorities should be to maintain trust in vaccines by continuing to meet certain reciprocal responsibilities. To do so, we recommend the following: 1) increased investment in adverse event reporting systems; 2) request for proposals for consideration of a no-fault compensation program; 3) developing pre-emptive strategies to deal with potential vaccine risks; 4) further examination of mechanisms to improve communication between physicians and parents concerned about vaccination. All of these approaches would require additional investment in pediatric vaccination. However, such an investment is easy to justify given the benefits offered by pediatric vaccination and the ramifications of failing to maintain confidence in vaccination programs or missing a vaccine-related adverse event.
authors.affiliation: Department of Medicine, University of Toronto, Toronto, ON. Kumanan.Wilson@uhn.on.ca
authors.forename: Kumanan
authors.initials: K
authors.lastname: Wilson
authors.forename: Meredith
authors.initials: M
authors.lastname: Barakat
authors.forename: Edward
authors.initials: E
authors.lastname: Mills
authors.forename: Paul
authors.initials: P
authors.lastname: Ritvo
authors.forename: Heather
authors.initials: H
authors.lastname: Boon
authors.forename: Sunita
authors.initials: S
authors.lastname: Vohra
authors.forename: Alejandro R
authors.initials: AR
authors.lastname: Jadad
authors.forename: Allison
authors.initials: A
authors.lastname: McGeer
mesh_terms: D016907:Adverse Drug Reaction Reporting Systems; D001294:Attitude to Health; D002170:Canada; D002648:Child; D035881:Compensation and Redress; D006291:Health Policy; D006801:Humans; D017589:Immunization Programs; D016365:Liability, Legal / Q000191:economics; D009937:Organizational Objectives; D010372:Pediatrics; D011635:Public Health Administration; D018570:Risk Assessment; D035502:Trust; D014612:Vaccines / Q000008:administration & dosage / Q000009:adverse effects*
chemical_list: D014612:Vaccines