From Google Scholar & other sources: Selected Journal Articles, Dissertations, Theses, Commentary
Social Media and the Empowering of Opponents of Medical Technologies: The Case of Anti-Vaccinationism
Kumanan Wilson1, MD, MSc, FRCP; Jennifer Keelan2, PhD
J Med Internet Res 2013;15 (5):e103)
Social media has contributed positively to the interaction between proponents of medical products and technologies and the public by permitting more direct interaction between these two groups. However, it has also provided opponents of these products a new mechanism to organize opposition. Using the example of anti-vaccinationism, we provide recommendations for how proponents of medical products and technologies should address this new challenge.
Dissertation: U Maryland
Improving the rates of pertussis vaccination in the retail clinic setting through provider education
Problem: Pertussis is an emerging public health risk with the infant population posing greatest risk of morbidity and mortality. Over the past two decades, the incidence of pertussis has been increasing in the United States, making it the most common preventable childhood illness by vaccine. Despite recommendations from the Advisory Committee on Immunization Practices (ACIP) and the Centers for Disease Control (CDC), the rates of vaccination against pertussis remain low, with only 56 percent of adolescents and 5.9 percent of adults having obtained the Tdap vaccine. The National Foundation for Infectious Diseases posited that many providers are unaware of the ACIP guidelines for adolescents and adults or have personal reservations about vaccination, therefore, are less likely to recommend routine vaccinations. Retail clinics present an opportunity to reach target patient populations through convenience and affordability; every patient visit is an opportunity to address patients’ vaccination status. There is evidence that education can be an effective tool to increase immunization frequency, both for providers and patients when combined with other strategies such as making vaccinations affordable and convenient.
Purpose: The purpose of this capstone project was to determine if an electronic educational intervention in the provider’s weekly newsletter increased the number of Tdap vaccinations in a clinical retail setting. Methods: The educational intervention and retrospective chart review was conducted over a ten week period from February to April 2013 across twelve states. Data were collected four weeks prior to the first educational intervention, two weeks following the first educational intervention, two weeks following the second educational intervention, and four weeks following the second intervention. The rate of Tdap vaccination per visits was analyzed across each of the five two week periods.
Results: Twelve states were selected to participate in this project. On average, each state had an average of 6,583 visits per two-week period, with 5.7 Tdap vaccines being given. Using Friedman’s ANOYA, there was a difference in the rates of Tdap vaccinations (x2 (4) = 11.25, P < 0.05. Wilcoxon signed-rank tests were used to follow up on this finding. A Bonferroni correction was applied so all effects are reported at the 0.005 level. None of the tested pairs were statistically significant at the 0.005 level.
Conclusion: Despite a lack of statistical significance, the project demonstrated the importance of using an electronic educational intervention as a plausible method to educate providers in clinical retail settings on standards of practice. Individually, some of the states demonstrated changes in trends, which indicates the clinical significance of the intervention. Educating providers on best standards for routine vaccinations is a necessary strategy in order to promote adherence to national guidelines.
[PDF] Advances in Biopharmaceutical and Vaccine Manufacturing Plants
S Murakami, EH Suzuki – Hitachi Review, 2013
OVERVIEW: The development of innovative pharmaceuticals with potential for meeting unmet medical needs and vaccines that protect against infectious diseases is very important for ensuring people’s health and welfare. However, biopharmaceuticals and vaccines that …
Fear factor Deferring, forgoing vaccination to avoid seizures is not always necessary
M Wiznitzer – AAP News, 2013
… Given the amount of information available, some vaccine providers may be unclear as to when they should defer vaccines to prevent seizures in certain patients as well as the contraindications for vaccination.
On the Trail of Preventing Meningococcal Disease: A Survey of Students Planning to Travel to the United States
HL Huang, SY Cheng, LT Lee, CA Yao, CW Chu… – Journal of Travel Medicine, 2013
… Many Taiwanese students preparing to study in the United States are required to have the
vaccination, which is not a routine immunization in Taiwan. In addition, the vaccine is available only at 12 Centers for Disease Control contracted hospitals due to the scarceness of the …