Vaccine Safety- Attitudes, Training and Communication (VACSATC) Prof. Dr. Pierre Van Damme Ir. Alex...

Vaccine Safety- Attitudes, Training and Communication (VACSATC)

www.vacsatc.eu

Prof. Dr. Pierre Van DammeIr. Alex Vorsters

Centre for the Evaluation of Vaccination WHO Collaborating Centre for Control and Prevention of Viral

HepatitisUnit of Epidemiology and Social Medicine

University of Antwerp

FEAM Spring meeting Rome May 2007

Vaccine Safety- Attitudes, Training and Communication (VACSATC)

• September 2006-September 2009• 14 partners in 13 countries • Budget: 1.451.859 EURO• Funding:

– 60% DG SANCO– 40% Project partners

• CoordinatorSwedish Institute for Infectious Disease Control (SMI)

Harald Heijbel, MD, MPH


General Objectives of VACSATC

• Identify perceptions and unmet information needs of health consumers and health professionals

• Improve the effectiveness of vaccination programmes through better informed and educated health consumers and health professionals

• Provide objective science based information about immunizations and vaccine safety on web sites to the general public and to health professionals

• Improve possibilities for conducting epidemiological studies on causality by studying the feasibility of establishing large linked database systems


Rational/background of VACSATC

• Knowledge about attitudes to immunization

• Training of medical and paramedical personal

• Number of web sites which meet the GACVS (the WHO Global Advisory Committee on Vaccine Safety) good information criteria

Disease incidence

Vaccine safetyconcerns

The 'new' UK media environment

“Journalists aren’t employed to keep youhealthy, or even informed: it is our job to sellreaders to advertisers, to entertain you, andexperience has taught us that we can do this

very effectively with scare stories”. (Ben Goldacre,The Guardian 16 Sept, 2003)

“Health scares such as this protect no one, whatever the sanctimonious claims of the zealots

behind them. The MMR panic is more likely tocause death from measles than it is to save a

single child from autism. (Mark Henderson, The Times 20 Sept, 2003)

UK communication research• Twice a year, a market research company

interviews 1,000 mothers of children under 3 years

• Now have 27 waves of tracking research• Geographically representative and

represents all population groups• Sampling can be adapted, e.g. to increase

numbers from ethnic groups if relevant• Core questions can be adapted for new

concerns

Actual vs. Ideal source of info about immunisation (HPs)

25%

13%

18%

71%

30%

53%

13%

16%

19%

22%

57%

58%

Actual Ideal GP / Own doctor

Health visitor

Midwife

Practice nurse

Leaflets

Immunisation appointment

card

‘Children are immunised against too many diseases at one time’

41%

38%

43%

38%

41%

40%

42%

39%

38%

42%

41%

41%

34%

31%

40%

31%

32%

33%

C2DE

ABC1

35+

25-34

15-24

Agreenov/05mei/05nov/04

% A

gre

e

*

**

**

**

**

Trust advice about immunisation given by HPs and Government

49%

39%37%

44%44%40% 42%

37% 38%

34% 34%37% 37%

32% 33%

28% 30%28%

15%

9%

12%12%13%

10%

34%

28%24%

31%

0%

10%

20%

30%

40%

50%

60%

Nov 04

% S

trongly

Agre

e

Mar 03

Health visitors

GPs

Practice nurses

Oct 03 May 04 May 05 Nov 05

NHS

Government


Physicians are the key drivers for childhood vaccinations

GP: Q. B4c (c); Base: n = 727 General Public Respondents/ Subgroup Parents (weighted data: D: n = 188, E: n = 104, F: n = 163, I: n = 127, UK: n = 145)

When You Think About the Last Vaccine Your Child Received, Did Your Child get it because... :

67%

19%

8%

2%

3%

... your physicianrecommended it

... you asked for it

Following thevaccination card

Both (physicianand patient)

Others/ Don'tknow

84%

17%

D E F I UKTOTAL

General Subgroup Public Parents


Background cont’

According to vaccine coverage studies in Germany, Italy and Belgium, vaccinators are the most convincing source of information for parents

Schmitt et al. Vaccine 2002

Bonanni et al. Vaccine 2002

Swennen et al. Vaccine 2002


Background cont’

• “Most nursing and medical courses in this country, including those at postgraduate level, provide little core training in immunisation theory and practice, so this need has to be met through continuous professional development whilst in service.”

A Cummins, L Lane, D Boccia, NS Crowcroft ‘Survey of local immunisation training in England – the case for setting national standards’ Commun Dis Public Health 2004; 7:267-71


Background cont’

“Finally, not all medical schools do give courses in vaccination, and actually since there is no “infectious diseases speciality”, the training of German physicians is incomplete with regard to vaccination. This may at least in part explain, why many physicians in the country oppose vaccination..”

Heinz-J. Schmitt ‘Factors influencing vaccine uptake in Germany’ Vaccine 20 (2002) S2–S4


Background – Information on websites

• Web sites are increasingly important as a source of information on vaccines

• Some sites present information that is not based on science


WHO Vaccine Safety Net Project

• ” to develop a network of partner websites to address unbalanced and misleading vaccine safety information propagated on the web”


GACVS criteria for good information practices

• Essential criteria i.e. credibility

• Important criteria i.e. content

• Practical criteria i.e. accessibility

• Desired criteria i.e. with respect to design

http//www.who.int/immunization_safety/

safety_quality/vaccine_safety_websites/en/..


Organisation chart VACSATC

Swedish Institute for Infectious Disease Control

Coordinator

Swedish Institute for Infectious Disease Control

Project leader: Dr Harald HeijbelWP 1, 2, and 3: Coordination,

Dissemination, and Evaluation, WP4 Linkage of databasesWP7 GACVS Websites .

Department of Health, UKProject leader: Dr Joanne Yarwood

WP5: Attitudes to vaccine preventable diseases,

immunizations and AEFIS

University of Antwerp, BelgiumProject leader: Dr Pierre Van Damme

WP6: Improvement of pre-service immunisation training of health professionals

Steering Board:-Department of Health, UK-University of Antwerp, Belgium-Institute of Public Health, Slovenia


Project Partners :• Swedish Institute for Infectious Disease Control, Sweden • Generaldirektion Öffentliche Gesundheit, Austria• Norwegian Inistitute of Public Health, Norway• Medical Association of Barcelona, Spain• Institute of Public Health, Romania• National Institute of Hygiene, Poland• Gazi University, Turkey• National Centre for Epidemiology, Hungry• University of Antwerp, Belgium• Sachs Children's Hospital, Sweden• Institute of Public Health, Slovenia• Universtá di Firenze, Italy• Health Protection Inspectorate, Estonia• Department of Health, United Kingdom• National Center of Infectious and Parasitic Diseases, Bulgaria


Objectives WP4

• To describe current status of Large Linked Database systems with respect to: – information– personal identifiers– regulations on confidentiality– organisation – funding


Participants WP4

• Coordinator: Sweden: Swedish Institute for Infectious Disease Control, Stockholm

• Austria: FM for Health and Women, Wien• Poland: National Institute of Hygiene, Warsaw

• Romania: Institute of Public Health, Bucharest• Turkey: GAZI University, Ankara


Objectives WP5

• To study perception of immunisation and vaccine safety

• To collect and summarise existing studies on public perception of vaccines and methods used in these studies

• Develop a ‘tool-kit’ on survey methodologies based on best practices

• Carry out and evaluate pilot and/or full-scale surveys


Participants WP5

• Coordinator: United Kingdom: Immunisation Information, Department of Health, London

• Estonia: Health Protection Inspectorate, Tallinn• Norway: Norwegian Institute of Public Health• Poland: National Institute of Hygiene, Warsaw• Romania: Institute of Public Health, Bucharest• Slovenia: Institute of Public Health, Ljubljana• Sweden: Swedish Institute for Infectious Disease

Control, Stockholm • Turkey: GAZI University, Ankara


Objectives WP6

• Benchmarking of the medical and paramedical curricula in the participating countries and report on possible improvements of the training on aspects of vaccines and vaccinations, including vaccine safety and information, education and communication to the general public.

• Provide tools to improve pre-service training of future health personnel

• Develop criteria for good immunisation training and tools for quality control and evaluation.


Participants WP6• Coordinator: Belgium: Centre for the Evaluation of

Vaccination, University of Antwerp, Antwerp

• Bulgaria: National Centre of Infectious and Parasitic Diseases, Sofia

• Italy: University of Florence• Spain: Medical Association of Barcelona• Romania: Institute of Public Health, Bucharest• Slovenia: Institute of Public Health, Ljubljana• Sweden: Swedish Institute for Infectious Disease Control• Sweden: Sachs Children's Hospital, Stockholm • Turkey: GAZI University, Ankara


Objectives WP 7

• Evaluate partner websites

• Develop ”best practices” for vaccine information websites

• Development of ”repository”

• Improve web sites and evaluate against GACVS criteria


Participants WP7• Coordinator: Swedish Institute for Infectious Disease

Control, Stockholm

• Austria: FM for Health and Women, Wien• Hungary: National Centre for Epidemiology, Budapest• Norway: Norwegian Institute of Public Health• Poland: National Institute of Hygiene, Warsaw• Romania: Institute of Public Health, Bucharest• Spain: Medical Association of Barcelona• Turkey: GAZI University, Ankara • United Kingdom: Immunisation Information, Department

of Health, London


• Important to continue to bridge information exchange with other related EU-projects and WHO Euro

Vaccine Safety- Attitudes, Training and Communication (VACSATC) Prof. Dr. Pierre Van Damme Ir. Alex...

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