Report backs pediatricians who need to dismiss vaccine-refusing parents

An article by FiercePharma
August 30, 2016

In response to an upswell of vaccine hesitancy and refusal since 2007, the American Academy of Pediatrics (AAP) is arming pediatricians with another tool to force the issue. In a new report, AAP says as a “last resort,” pediatricians may dismiss families who don’t listen to the science and ultimately refuse vaccines.

It’s a reversal from AAP’s stance in the past, but one that was justified as “practitioners were having problems” with parents who wouldn’t comply with vaccine schedules, Kathryn Edwards, director of the Vanderbilt Vaccine Research Program and report co-author, told AAP News.

As the report notes, “there is anecdotal evidence that when pediatricians give parents the choice between immunizing their child or being dismissed, some parents accept vaccination, even when other efforts at persuasion have failed.”

The new position comes as pediatricians are increasingly encountering parents who have doubts about vaccines or who flat-out refuse them. According to a survey cited in the report, 9.1% of parents refused one or more vaccine in 2007; the figure grew to 16.7% in 2013. The parents said they believed vaccines are unnecessary or can cause autism.

The authors made it clear that a pediatrician’s decision to dismiss families should not be taken lightly and should be made only after exhaustive efforts to encourage vaccinations.


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