M. Martin, V. Badalyan / Open Journal of Pediatrics 2 (2012) 228-235
While most pediatricians and pediatric specialists
(95% and 93%) have adhered to the recommended ACIP
vaccination schedule up until 2009, a potential for change
emerged with 10% of pediatricians and 21% of pediatric
specialists claiming they would not follow the recom-
mendations for future progeny. Despite their education,
physicians in this study expressed concern over the
safety of vaccines. This study points to the need to focus
on education efforts, including safety data, for those
particular vaccines physicians displayed the greatest
concern over including hepatitis A, rotavirus, meningo-
coccal, and measles. Pediatric specialists should be in-
cluded in this education as they have the greatest
concerns, may be the most removed from the diseases
protected by the immunizations, but also care for some
of the most vulnerable populations. It has been shown
that the more convinced physicians are of the benefits of
vaccines, the more likely they are to immunize their
Researchers might look to correlate whether patients
of physicians who choose not to follow current recom-
mendations are indeed more likely to also not follow the
published schedule. Continued control of communicable
disease will rely on the success of efforts to educate the
public and physicians. Future study should thus focus on
how to best address safety concerns which presents the
greatest threat to sustained high vaccination level.
An educational grant for this study was provided by Inova Health Sys-
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