title: The anti-vaccination movement and resistance to allergen-immunotherapy: a guide for clinical allergists.
abstract: Despite over a century of clinical use and a well-documented record of efficacy and safety, a growing minority in society questions the validity of vaccination and fear that this common public health intervention is the root-cause of severe health problems. This article questions whether growing public anti-vaccine sentiments might have the potential to spill-over into other therapies distinct from vaccination, namely allergen-immunotherapy. Allergen-immunotherapy shares certain medical vernacular with vaccination (e.g., allergy shots, allergy vaccines), and thus may become "guilty by association" due to these similarities. Indeed, this article demonstrates that anti-vaccine websites have begun unduly discrediting this allergy treatment regimen. Following an explanation of the anti-vaccine movement, the article aims to provide guidance on how clinicians can respond to patient fears towards allergen-immunotherapy in the clinical setting. This guide focuses on the provision of reliable information to patients in order to dispel misconceived associations between vaccination and allergen-immunotherapy, and the discussion of the risks and benefits of both therapies in order to assist patients in making autonomous decisions about their choice of allergy treatment.
authors.affiliation: Programmes de bioéthique & Département de médecine sociale et préventive Faculté de médecine, Université de Montréal Pav, Margeurite d'Youville (7e étage) C,P, 6128, succursale centre-ville Montréal (Québec), H3C 3J7, Canada. jason.behrmann@umontreal.ca.
authors.forename: Jason
authors.initials: J
authors.lastname: Behrmann