CV #51: More On Vaccine Hesitancy Research, Convincing People It’s Safe
Go onto Health Canada’s site and search the term “vaccine hesitancy”. You will find over 200 papers, studies, and listings — some very in depth work. Keep in mind, this is ONLY Health Canada. See #6 for mandatory CV-19 vaccines.
1. Other Articles On CV “Planned-emic”
The rest of the series is here. See the lies, lobbying, conflicts of interest, and various globalist agendas operating behind the scenes. There is a lot more than most people realize. For background, check this and this article. The Gates Foundation finances many things, including: the World Health Organization, the Center for Disease Control, GAVI, ID2020, John Hopkins University, Imperial College London, the Pirbright Institute, and individual pharmaceutical companies.
2. Motivational Interviewing
According to the World Health Organization, vaccine hesitancy is among the top threats to global health and few effective strategies address this growing problem. In Canada, approximatively 20% of parents/caregivers are concerned about their children receiving vaccines. Trying to convince them by simply providing the facts about vaccination may backfire and make parents/caregivers even more hesitant. In this context, how can health care providers overcome the challenge of parental decision-making needs regarding vaccination of their children?
Motivational interviewing aims to support decision making by eliciting and strengthening a person’s motivation to change their behaviour based on their own arguments for change. This approach is based on three main components: the spirit to cultivate a culture of partnership and compassion; the processes to foster engagement in the relationship and focus the discussion on the target of change; and the skills that enable health care providers to understand and address the parent/caregiver’s real concerns.
With regard to immunization, the motivational interviewing approach aims to inform parents/caregivers about vaccinations, according to their specific needs and their individual level of knowledge, with respectful acceptance of their beliefs. The use of motivational interviewing calls for a respectful and empathetic discussion of vaccination and helps to build a strong relationship.
Numerous studies in Canada, including multicentre randomized controlled trials, have proven the effectiveness of the motivational interviewing approach. Since 2018, the PromoVac strategy, an educational intervention based on the motivational interviewing approach, has been implemented as a new practice of care in maternity wards across the province of Quebec through the Entretien Motivationnel en Maternité pour l’Immunisation des Enfants (EMMIE) program.
To be absolutely clear, the above research, and what follows has nothing to do with research into CREATING safe vaccines. Instead, the goal is to CONVINCE you that they already are.
3. Challenges And Approaches
Because causes of vaccine hesitancy and determinants of vaccine acceptance are complex and multidimensional, there is no “magic bullet” that can address vaccine hesitancy and enhance vaccine acceptance. A summary of the findings from 15 published literature reviews or meta-analysis of the effectiveness of different interventions to reduce vaccine hesitancy and/or to enhance vaccine acceptance reveals that simply communicating evidence about vaccine safety and efficacy to those who are vaccine hesitant has done little to stem the growth of hesitancy related beliefs and fears (41). Furthermore, failure to properly and systematically evaluate the relevance and effectiveness of these interventions across the spectrum of vaccine hesitant individuals and specific vaccines makes it difficult to know whether the results can be transferable or suitable for widespread implementation.
Should the public health community respond to anti-vaccination activists (48)? Leask suggests that adversarial approaches against such activists can in fact enliven the battle and contribute to a false sense that vaccination is a highly contested topic (49). Most of the time, pro-vaccine advocates should “play the issue, not the opponent” (49). Efforts should be made to stop them only when anti-vaccination activists’ advice could lead to direct harm.
Future public health vaccine promotion efforts need to embrace Internet and social media possibilities and proactively promote the importance and safety of vaccines rather than adopt a reactive approach to anti-vaccination activists’ arguments (47,50,51). The role of social media in vaccine hesitancy creates a need to develop appropriate strategies for online communication. Such strategies should aim to provide vaccine supportive information, address misinformation published online and correspond to parents’ needs and interests (29).
In a parallel with the climate change scam, a technique suggested is to be dismissive of the idea that there is any debate. If you can’t win with facts, then avoid the discussion altogether.
It’s interesting that the recommendation is to avoid engaging with people “vaccine deniers” who bring well researched and well thought out arguments.
4.Best Practices For Addressing Hesitancy
1. Identify target audience and establish trust
“Understanding the perspectives of the people for whom immunization services are intended, and their engagement with the issue”, wrote Goldstein and colleagues, “is as important as the information that experts want to communicate” (8). The amount, content and type of information that is needed to move a vaccine-hesitant individual toward vaccine acceptance differs greatly from the basic information needed by a person who is already favourable to vaccination and intends to vaccinate. Research has shown that vaccine-hesitant individuals are “active information-seekers” that are looking for “balanced” information presenting both pros and cons of vaccination in order to make an informed decision about vaccines (9,10). Their information needs are usually not fulfilled with typical information from public health authorities, as this information generally does not usually provide references to scientific studies and is often perceived as focusing on the benefits of vaccines and not discussing the potential risks of vaccines (11). Addressing those who are strongly anti-vaccines merit specific strategies. This is not the subject of the current paper but will be addressed in a future CANVax Brief.
5. Test communication prior to launching
It is important to test a communication material prior to launching to make sure it is working as intended for the target audience. The results might be surprising: a study showed that information given in frequency formats (e.g. one out of 10 infants will have a fever after a vaccination) were perceived as more risky than the same information conveyed in probabilistic terms (e.g. 10% of infants will have a fever after a vaccination) (27). Studies have also shown that as many as one out of two adults do not have the necessary skills to interpret probabilities and other mathematical concepts
This works just like commercial marketing. Target your audience, and avoid getting into “factual” arguments with people who have actually done their homework.
5. Progress Against Vaccine Hesitancy
Fortunately, researchers like Dr. Ève Dubé, with Université Laval are looking into this important issue. Dr. Dubé is an anthropologist, a researcher, and a professor, who works on vaccine hesitancy. Her research aims at understanding the social, cultural, and political contexts that influence individuals’ and groups’ beliefs and practices around vaccination.
She works with various health organizations to transfer research into practice.
One of the aims of her research program is to address vaccine hesitancy by supporting parents to make informed vaccination decisions and by ensuring that healthcare providers are prepared to communicate effectively with vaccine-hesitant parents.
She is currently leading different projects on vaccine hesitancy such as a study based on interviews with vaccine-hesitant parents to look at information sources on vaccination and information needs and preferences of parents to make an informed decision about vaccination. She is also leading a project to develop and pilot-test interventions to address vaccine hesitancy around the HPV vaccine in the context of school-based programs in Canada.
Vaccine hesitancy is a very, VERY widely researched field. A lot of money is tied up in ensuring that people don’t start asking the wrong questions and putting the pieces together.
Ève Dubé also co-authors the next piece, which includes entertaining the idea of making this coronavirus vaccine mandatory.
6. Legislating Vaccine Compliance
Given that queries have also been raised in the press about whether coronavirus disease 2019 (COVID-19) vaccine(s), when available, should be made mandatory for some or all in Canada, this Canadian Vaccination Evidence Resource and Exchange Centre (CANVax) Brief provides an overview and brief discussion of what mandatory childhood vaccination means followed by discussions of scope and framework factors to consider. Also discussed are the reported outcomes, including reports of unintended consequences.
COVID-19 vaccines and consideration for a mandatory approach
While a poll in Canada in late April 2020 reported strong support amongst the general public for making COVID-19 vaccination mandatory (21), this strategy can only be considered when these vaccines become widely available in Canada. Given that a mandatory program has costs both in terms of implementation and monitoring (5), decisions need to rest on what additional benefit is hoped to be achieved. If vaccine uptake is already expected to be high amongst groups deemed necessary for the control of the spread of COVID-19, then the added costs of a mandatory program are likely not justified. In contrast, if the rates of uptake are low and the ease of access and other strategies known to improve uptake have been addressed, then a mandatory approach may be worth pursuing. Careful attention must be paid to whether this will be an incentive or penalty program, how it will be monitored and by whom (5).
At least some honesty here. It is acknowledged in writing that the public is wondering if CV-19 vaccines will ever become mandatory. Interestingly, it doesn’t address that concern. Instead, it just defers the issue until later.
This is a 2011 publication, but the World Health Organization sets national standards for what vaccinations countries need apparently.
12. WHO’s July 9, 2020 Guidance
How to prevent transmission
The overarching aim of the Strategic Preparedness and Response Plan for COVID-19(1) is to control COVID-19 by suppressing transmission of the virus and preventing associated illness and death. To the best of our understanding, the virus is primarily spread through contact and respiratory droplets. Under some circumstances airborne transmission may occur (such as when aerosol generating procedures are conducted in health care settings or potentially, in indoor crowded poorly ventilated settings elsewhere). More studies are urgently needed to investigate such instances and assess their actual significance for transmission of COVID-19.
In this latest version, the World Health Organization has removed earlier comments about there being no evidence to support wearing masks. Now, the deadliest virus in history can be stopped by a simple piece of cloth.
Note: the World Health Organization doesn’t have an issue with mass vaccination of an entire population during this “pandemic”. They just want people to be safe, apparently.
14. “Vaccine Hesitancy” Is Just Marketing
They refer to it as overcoming vaccine hesitancy. However these are marketing techniques to convince people that these vaccines are safe, and only crazies are questioning it.
Some of the techniques include pretending to care about people’s concerns, and feigning a legitimate relationship. Also, strong critics should be treated dismissively, and questions evaded. It should not be even entertained that there might be serious questions about these drugs.
There is a strong parallel with the climate change hoax. Both use psychological manipulation to ward off valid questions about what is going on.
This is just a small sample of the work deployed to convince people that these are safe. There is much more to look into.