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6 Vaccination Rates in Certain Populations
Pages 55-62

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From page 55...
... Participants noted that it is important to consider how to address barriers to vaccination and to increase rates of acceptance of vaccine in this population before another public health emergency occurs that similarly affects pregnant women. Participants also suggested that efforts focus on increasing vaccination among healthcare workers, not only because they are at higher risk of contracting disease from contact with patients, but also because their attitude toward vaccination may heavily impact whether or not their patients decide to be vaccinated.
From page 56...
... Complicating matters, many OB/GYNs referred patients to their primary-care physicians because they do not routinely give seasonal flu vaccinations, but primary-care physicians referred women back to the OB/GYNs because they were unsure about vaccinating pregnant women. Public health authorities, medical associations, and the OB/GYN provider community should work together, participants said, to improve vaccination rates for pregnant women by ensuring that influenza vaccine is routinely recommended for pregnant women and "institutionalizing" access to vaccine where obstetrical care is provided.
From page 57...
... The department used CDC focus group data to address challenges associated with vaccine safety perceptions. In West Virginia, concerns about poor vaccine uptake in pregnant women led the state to change its media campaign to focus in part on that population.
From page 58...
... Racial Disparities in Vaccine Uptake Vaccine uptake was not constant across racial and ethnic lines. In Washington, DC, where African Americans are the majority, public health officials noticed the large racial disparities early.
From page 59...
... Participants emphasized the need to understand the ethnic variations inherent in their communities and develop strong partnerships before events in order to appropriately engage the community. Opportunities for Improving Vaccination Rates in Certain Populations Numerous individual suggestions were made about opportunities to improve vaccination rates in certain populations, including pregnant women and healthcare workers.
From page 60...
... "The tangible low-hanging fruit seems to be things like how we better reach our pregnant women," said Slemp of West Virginia. "There is lots of room there to work with provider communities and networks that work with our pregnant women, to increase the understanding that not only is this safe and effective vaccine, but they are really at increased risk." Healthcare Workers There were several individual suggestions about improving vaccination rates among healthcare workers for consideration by public health authorities and health systems, among others.
From page 61...
... Participants stressed that "this can't be done on game day."


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