Is physician dismissal of vaccine refusers an acceptable practice in Canada? A 2018 overview

Characteristics of Oklahoma Pediatricians Who Dismiss Families for Refusing Vaccines

Vaccine refusal is increasing. Objectives were to assess frequency of declining or dismissing patients who refuse vaccines, which vaccine(s) prompt pediatricians to decline/dismiss patients, and demographics of pediatricians who decline/dismiss patients. Active members of the Oklahoma American Academy of Pediatricians (AAP) were surveyed. Chi-square tests with non-overlapping 95% confidence intervals compared proportions of providers across various metrics. In all, 47% (48/103) versus 35% (34/98) reported declining versus dismissing patients for refusing vaccines, respectively. Pediatricians were unlikely to decline/dismiss patients if they refused influenza, human papilloma virus (HPV), or MenB vaccines. Pediatricians with more years in practice were less likely to decline 15% (9/62) versus 44% (16/36), P = 0.002 and dismiss 8% (5/62) versus 33% (12/36), P = 0.002 patients. Rural pediatricians were less likely than urban to decline 12% (2/17) versus 29% (26/89), P = NS and dismiss patients 0% (0/17) versus 21% (19/89), P = 0.04. Dismissing/declining patients for vaccine refusal is more common among Oklahoma pediatricians than nationally reported. Patterns differ by practice setting, years in practice, and specific vaccine refused.

Fake news and science denier attacks on vaccines. What can you do?

Misinformation and disinformation ("fake news") about vaccines are contagious-travelling faster and farther than truth. The consequences are serious; leading to negative impacts on health decisions, including vaccine acceptance, and on trust in immunization advice from public health and/or healthcare professional. This article provides a brief overview of evidence-based strategies to address vaccine deniers in public, in clinical practice and in social situations. As well, a strategy to help differentiate between vaccine deniers and simple vaccine refusers in a practice or clinic is provided. Five tactics are widely used by vaccine deniers: conspiracy; fake experts; selectivity; impossible expectations; and misrepresentation and false logic. Recognizing and understanding these tactics can help protect against misinformation and science denialism propaganda. Highlighting the strong medical science consensus on the safety and effectiveness of vaccines also helps. Carefully and wisely choosing what to say and speaking up-whether you are at a dinner party, out with friends or in your medical office or clinic-is crucial. Not speaking up implies you agree with the misinformation. Having healthcare providers recognize and address misinformation using evidence-based strategies is of growing importance as the arrival of the coronavirus disease 2019 (COVID-19) vaccines is expected to further ramp up the vaccine misinformation and disinformation rhetoric. Healthcare providers must prepare themselves and act now to combat the vaccine misinformation tsunami.