Potential Strategies To Improve Childhood Immunisation Rates In Canada Flashcards
What are common reasons for under immunisation?
Forgetting child is due
Difficulty getting to clinic during regular hours
Unconvinced that VPD is a real threat
Believing child is too young for certain vaccines
Believing they get too many vaccines
Believing children should develop natural immunity
Concerns about trustworthiness of HCP or the safety/efficacy of vaccines
What percent of the population needs to be vaccinated to prevent measles from spreading?
95%
What percent of 19-35mo are fully up to date with vaccinations?
70%
What percent of 19-35mo have
- 3 doses of DTaP?
- 1 dose MMR + varicella?
- 94%
2. 91%
What percent of females received the HPV vaccine?
50%
What are limitations to have mandatory vaccinations for school entry
Parents feel that you are impinging on their rights to choose what I s best
May feed into anti-vaxxer campaigns about about rights-based objections
No medical exemptions are still allowed
Studies supporting this method were done in low baseline immunisation rate communities
may cause parents to delay immunisation until school time instead of their routine times
Ability to bypass by doing homeschooling
What are recommendations to improve immunisation uptake?
- Electronic registries - online, searchable records that can be accessed by HCP
- Automatic notification for parents when they are due for immunisation
- CANimmunize app to help parents keep track of immunisation
- Convenient hours and locations of clinics for working parents, at least 1 walk-in clinic, wait times <2wk from date of request, vaccines given by GPs
- Providing accurate immunisation records should be mandatory for school entry - helpful for PH in outbreak
- Offer school-based immunisation program, and contact all parents who dont return the form
- Provide short local courses at school or online for vaccine hesitant parents
- School curriculum to include education on VPD and benefits of vaccines
