![]() Although some clinicians have discontinued or have considered discontinuing their provider relationship with patients who refuse vaccines, the American Academy of Pediatrics Committee on Bioethics advises against this and recommends that clinicians address vaccine refusal by respectfully listening to parental concerns and discussing the risks of nonvaccination. Health care providers are cited as the most frequent source of immunization information by parents, including parents of unvaccinated children. Clinicians can play a crucial role in parental decision making. Children with exemptions from school immunization requirements (a measure of vaccine refusal) are at increased risk for measles and pertussis and can infect others who are too young to be vaccinated, cannot be vaccinated for medical reasons, or were vaccinated but did not have a sufficient immunologic response. As of June 11 2020, more than 7,000,000 COVID-19 cases have been reported worldwide, and more than 400,000 patients have died, affecting at least 188 countries. Research has also shown that the ability to mount immune memory against other pathogens goes down when you are hit with measles. Coronavirus disease 2019 (COVID-19) is a rapidly evolving, highly transmissible, and potentially lethal pandemic caused by a novel coronavirus, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). ![]() We are as strong as the weakest link in the chain of protection against this virus. There is evidence of an increase in vaccine refusal in the United States and of geographic clustering of refusals that results in outbreaks. Omer: The breadth of the problem highlights the need for a coordinated regional and global response. 'Unfortunately, from what we know about the epidemiology of SARS-CoV-2. However, the success of an immunization program depends on high rates of acceptance and coverage. 'There is very little utility of these kinds of bans,' Saad Omer, director of the Yale Institute of Global Health, told NPR. ![]() Vaccines are among the most effective prevention tools available to clinicians.
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