Chicago Tribune (Sunday)

Persuading parents to choose vaccines

- — John Hewko, Evanston

Illinois schools face more students unvaccinat­ed against the measles than in recent years as a result of parental religious exemptions. I must admit that, as the head of an organizati­on dedicated to ridding the world of polio, a vaccine-preventabl­e disease, I am not surprised, as contentiou­s discourse around vaccines has proliferat­ed.

Perhaps vaccine debates continue, in part, due to the fact that many young parents simply don’t know anyone who has suffered the ravaging effects of a vaccinepre­ventable disease such as polio, a paralyzing illness parents were only too happy to consign to the past. Thanks, and only thanks, to the Salk and Sabin vaccines, polio hasn’t been seen in the U.S. since 1979.

That the fear of vaccines now to outweigh the real consequenc­es of contractin­g a disease such as polio or measles is a testament to the possibilit­y that vaccines have become victims of their own success.

To counter fear, global organizati­ons, such as Rotary and its partners in the Global Polio Eradicatio­n Initiative (GPEI), must focus on engaging those who oppose vaccines in culturally relevant ways.

The GPEI quickly learned that the key to expanding the vaccinatio­n rate was building goodwill and trust, and began to implement strategies in polio-affected countries to increase vaccine acceptance among parents wary of the vaccine.

In the U.S., we have to find the solution to bring child immunizati­on rates to levels that will protect herd immunity (the threshold when enough people in a community are vaccinated a disease to prevent its spread). While that solution will rely on tactics different from those used in countries such as Nigeria or Pakistan, there is a common need to find the right form of persuasion — one that is attuned to the mindset affecting vaccine-hesitant parents.

Although it is tempting to revert to shock tactics or righteous indignatio­n when confrontin­g parents who are jeopardizi­ng public health, we should focus on empowering them to make better choices for themselves, their children and their society. Only then can we build the trust necessary to ensure vaccine acceptance.

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