Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

We need vaccine advocacy now more than ever

Gretchen LaSalle, MD
Conditions
October 16, 2019
Share
Tweet
Share

It was flu season.

I was meeting the usual frustrations of trying to convince my patients to get the flu shot. The flu vaccine has such potential to save lives, yet its reputation is marred by misinformation, leading people to decline this simple, inexpensive, and effective way to limit disease and death. Day in and day out, I felt like I was beating my head against a wall.

This particular day, I was visiting with a patient for her annual wellness visit. Let’s call her Mary. Mary voiced a common response to my flu shot offer — “No thanks.” It would have been easy enough to let this slide. We had lots of other things to talk about. But I wanted to know why. So I asked, “What worries you about the flu shot?”. “I’ve heard all the stuff in vaccines can cause cancer, and so many of my family members have died from cancer,” she said. “Why would I do something that would increase my risk of dying?”

An “a-ha” moment

I learned three valuable lessons from this interaction.

1. If we don’t ask why patients are declining vaccination, we’ll miss an important opportunity for education.

2. There is a ton of misinformation out there. Patients are just trying to make the best decisions they can with what they know.

3. Fear is the primary driver of resistance to vaccines.

These “a-ha” moments allowed me to empathize. It’s a confusing world out there. With Facebook, Twitter, Google, and more, there is such easy access to information. And some of it is good and true, but much of it is not. There are statistics that are skewed to show certain outcomes. There are heart-yanking videos that scare the bejeezus out of us. There are “fake news” articles that are made to look like the real thing. How is your average non-medical person to know fact from fiction?

A constantly shifting goal post

I was able to speak to Mary’s fears, but there were so many other vaccine claims coming my way that I just didn’t feel equipped to handle. I knew what patients were claiming about vaccines was false, but I didn’t have the data to support my assertions. In medical school, we study infectious disease, pathophysiology, immunology, public health, and more. But what we don’t have is a sort of “putting it all together, putting it into practice” curriculum that helps us address the vaccine-hesitant patient sitting in front of us.

Knowing that my inability to confidently answer my patients’ concerns was negatively impacting their care didn’t sit well with me. I set out to educate myself. I took every anti-vaccine claim I had ever heard and begun researching any evidence I could find that would support or refute those claims. And what I found was overwhelmingly, without a doubt, contrary to what patients were asserting.

It’s not just about the data

I also learned that convincing people of the safety and efficacy of vaccines was actually more about the approach to the discussion. Building trust is of utmost importance. A presumptive approach, bundling recommendations, and motivational interviewing techniques can help patients gain confidence in the decision to vaccinate. I studied the psychology of the anti-vaccine movement and how people can continue to believe a claim when all evidence points against it. My research became not only a study of hard science and statistics but also a study of social science. Why do people do what they do and believe what they believe? Fascinating stuff!

How best to educate the masses?

ADVERTISEMENT

One of my passions in medicine is efficiency of care. And inefficiency drives me nuts! Imagine the frustration of knowing what I know and only being able to share it with one or two people at a time. All the while, competing against a social media machine that has access to our patients 24/7. I felt like I was fighting an impossible battle.

I was also beginning to recognize how much my fellow medical partners were struggling with the same issues. Some continued fighting, but others had given up completely, letting the subject drop when patients declined vaccines. This left patients unvaccinated and unprotected and left a bad taste in the mouths of those providers. It fostered resentment toward patients who chose not to vaccinate. I wanted to help. I wanted to take what I had learned and share it.

But who has the time?

During the course of my research, I found innumerable studies countering anti-vaccine claims. There are a multitude of organizations working to support vaccination and better the health of our communities. There are amazing websites, blogs, and videos with reliable vaccine information. But none of it was in one, easily accessible place.

Primary care providers are busy. We hardly have time to spend with friends and family or to pursue self-care, let alone spend the hundreds of hours necessary to find all this useful information. This is where I come in. I had already done the research. I had compiled the data. I had the time and the passion for putting it all together.

The birth of a book

I wrote my book for you … for the clinician who seeks to keep patients from falling victim to vaccine misinformation; for the educators, who want to arm our next generation of medical professionals with the tools they need to advocate for preventive care and public health; for anyone who desires to work together with those on the fence about vaccines, as opposed to facing off in an unrewarding adversarial relationship. My aim is to educate, facilitate discussion, increase vaccination successes, and to decrease the daily frustrations of our hard-working primary care colleagues.

The WHO named vaccine hesitancy one of the top 10 threats to global health in 2019. I don’t believe this to be an overstatement. Around the world, we have seen the highest numbers of measles cases in decades. Influenza killed 80,000 people in the U.S. in 2017-18. Mumps and pertussis cases are on the rise. Polio is making a comeback in the Philippines.

We need vaccine advocacy now more than ever. Get educated. Speak up. Let’s make the voices of science and reason the voices our patients hear when they seek out vaccine information on the internet.

Gretchen LaSalle is a family physician and author of Let’s Talk Vaccines.

Image credit: Shutterstock.com

Prev

Too few minorities become physicians. Why is that?

October 15, 2019 Kevin 8
…
Next

How vaping bans create a vaping electorate

October 16, 2019 Kevin 2
…

Tagged as: Pediatrics

Post navigation

< Previous Post
Too few minorities become physicians. Why is that?
Next Post >
How vaping bans create a vaping electorate

ADVERTISEMENT

More by Gretchen LaSalle, MD

  • Unveiling the truth: How headlines shape our world and the urgent need for reliable news

    Gretchen LaSalle, MD
  • Ignoring COVID-19 won’t make it go away

    Gretchen LaSalle, MD
  • In the midst of COVID-19, triage is a four-letter word

    Gretchen LaSalle, MD

Related Posts

  • School vaccine exemptions must be for medical conditions only

    Shetal Shah, MD
  • The basics of the MMR vaccine from a pediatrician

    Roy Benaroch, MD
  • No, the HPV vaccine isn’t optional

    Chad Hayes, MD
  • A view from Canada: Defending vaccine passports

    Bryan Thomas and Colleen M. Flood
  • Major medical groups back mandatory COVID vaccine for health care workers

    Molly Walker
  • Novavax may be able to provide equitable access to another vaccine alternative

    Vibhav Prabhakar, Tejas Sekhar, and Divya Srinivasan

More in Conditions

  • Clinical ghosts and why they haunt our exam rooms

    Kara Wada, MD
  • High blood pressure’s hidden impact on kidney health in older adults

    Edmond Kubi Appiah, MPH
  • How declining MMR vaccination rates put future generations at risk

    Ambika Sharma, Onyi Oligbo, and Katrina Green, MD
  • How one unforgettable ER patient taught a nurse about resilience

    Kristen Cline, BSN, RN
  • Why regular exercise is the best prescription for lifelong health

    George F. Smith, MD
  • When the weight won’t budge: the hidden physiology of grief, stress, and set point

    Sarah White, APRN
  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions
    • The physician who turned burnout into a mission for change

      Jessie Mahoney, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 8 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions
    • The physician who turned burnout into a mission for change

      Jessie Mahoney, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

We need vaccine advocacy now more than ever
8 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...