The objective of this resource is to provide primary care physicians with clinical guidance for addressing parental vaccine hesitancy. Practical tips for addressing parental vaccine hesitancy in primary care include starting early, presenting vaccination as the default approach, building trust, being honest about side effects, providing reassurance on a robust vaccine safety system, focusing on protection of the child and community, telling stories, and addressing pain. Also provided are statements that providers could use in vaccination-related conversations; answers to commonly asked questions on benefits, safety, and immunologic aspects of vaccines; and links to a number of online resources for physicians and parents.
Chart that shows adults how frequently they need to get certain vaccines.
Canadian Immunization Guide Chapter on Influenza and Statement on Seasonal Influenza Vaccine for 2019–2020 - An Advisory Committee Statement
This document, the National Advisory Committee on Immunization (NACI): Canadian Immunization Guide Chapter on Influenza and Statement on Seasonal Influenza Vaccine for 2019–2020, updates NACI’s recommendations regarding the use of seasonal influenza vaccines.
Chapitre sur la grippe du Guide canadien d’immunisation et Déclaration sur la vaccination antigrippale pour la saison 2019-2020 - une déclaration d'un comité consultatif
Le présent document, intitulé Comité consultatif national de l'immunisation (CCNI) : Chapitre sur la grippe du Guide canadien d'immunisation et Déclaration sur la vaccination antigrippale pour la saison 2019-2020, met à jour les recommandations du CCNI concernant l'utilisation de vaccins antigrippaux saisonniers.
Despite scientific evidence supporting the fact that vaccines are fundamental tools for preventing infectious diseases, a percentage of the population still refuses some or all of them. Vaccine hesitancy has become a widespread issue, and its complexity lies in the great variety of factors that can influence decisions about immunization, which are not just vaccine-related concerns, but also involve personal and societal levels. Our research group performed an extensive literature review to analyze: (1) different age groups, their relation to the problem and their characteristics; (2) the most important information (key messages) about immunization that could be used to counteract hesitancy; and (3) best approaches to transmit the messages to the target groups. We propose a long-term approach to overcome vaccine hesitancy that involves the education of children and adolescents on the basics about immunization and critical thinking, using different communication channels.
Equity and impact: Ontario’s infant rotavirus immunization program fiveyears following implementation. A population-based cohort study
The introduction of routine infant rotavirus immunization has had a substantial population impact in Ontario. Our study confirms herd effects and suggests the program may have reduced previous inequities in the burden of pediatric rotavirus hospitalizations.
Involving stakeholders in informing the development of a Knowledge Translation (KT) intervention to improve the vaccination experience at school
Pain, fear, and fainting management during school-based vaccinations is suboptimal. The objective was to examine stakeholder perceptions of barriers and facilitators to better practices. Method: Six semi-structured focus groups were conducted in Niagara Region, Ontario: two parent groups (n=7); one grade 7 to 8 student group (n=9); two nurse groups (n=12); and one school staff group (n=6). Participants shared perceptions about school vaccination clinics and the implementation of specific strategies and tools. Focus groups were audio recorded and transcribed. The Consolidated Framework for Implementation Research (CFIR) was used as the framework for analysis.
Les maladies évitables par la vaccination : un aperçu des maladies peu fréquentes pour le professionnel de la santé de première ligne
Le présent point de pratique de la Société canadienne de pédiatrie fournit aux professionnels de la santé de première ligne un aperçu des maladies évitables par la vaccination qui, grâce au succès des programmes d’immunisation au Canada, sont devenues rares ou peu fréquentes. Les enfants et les adolescents du Canada et d’ailleurs peuvent encore contracter ces infections, dont le dépistage clinique a des conséquences importantes pour la santé publique. Afin d’offrir des soins préventifs, il est essentiel de connaître les signes et symptômes de ces maladies, de vacciner les voyageurs et les nouveaux arrivants au Canada, de connaître les éclosions dans la communauté et ailleurs et de consulter rapidement un expert en infectiologie et les services de santé publique pour les cas présumés.
Overview of a Knowledge Translation (KT) Project to improve the vaccination experience at school: The CARD™ System
Students experience fear, pain, and fainting during vaccinations at school. While evidence-based interventions exist, no Knowledge Translation (KT) interventions have been developed to mitigate these symptoms. A multidisciplinary team—the Pain Pain Go Away Team—was assembled to address this knowledge-to-care gap. This manuscript provides an overview of the methodology, knowledge products, and impact of an evidence-based KT program developed and implemented to improve the vaccination experience at school.
Pertussis vaccine effectiveness in a frequency matched population-based case-control Canadian Immunization Research Network study in Ontario, Canada 2009–2015
Researchers estimated pertussis vaccine effectiveness through a case-control study of 1335 cases statutorily reported to public health in Ontario and occurring between January 1, 2009 and March 31, 2015, compared with 5340 randomly selected population controls, frequency-matched by age, primary-care provider and year of diagnosis. Pertussis cases met provincial confirmed or probable case definitions. Researchers used multivariable logistic regression to estimate crude and adjusted odds ratios.