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When Anecdote Trumps Evidence Brian J Ward Colloque Blue 2013.

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Presentation on theme: "When Anecdote Trumps Evidence Brian J Ward Colloque Blue 2013."— Presentation transcript:

1 When Anecdote Trumps Evidence Brian J Ward Colloque Blue 2013

2 WHAT !! Another talk about vaccine hesitancy? raspeberry.blogspot.com

3 Changing Perception of Vaccines Angel Dust Tools of the Devil

4 Vaccines are Good Vaccines are Bad

5 unforgettablebeattt.blogspot.com

6 Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Yadayadayada Vaccine Yadayada Yada Yadayada Sudden Death Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blahblah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah

7 Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Yadayadayada VACCINE Yadayada Yada Yadayada SUDDEN DEATH Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blahblah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, Blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah, blah

8 shrinknextdoor.com

9 Is There a Debate? cartoonstock.com This depends upon how you define the word debate …

10 The Committed and the Hesitant? Blah

11 bitchlifestyle.com

12 Demonizing the opposing view is rarely productive colorlines.com marriedwithbusinessblog.com canadafrancais.com homosapienssaveyourearth.blogspot.com

13 studyforwomen.blogspot.com

14 eliotburdett.com Perhaps We All Need A Time-Out?

15 panchtatva-blog.blogspot.com

16 What Do They See?

17 shutterstock.com

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22 fasttrack.nu toonpool.com best-of-web.com startribune.com

23 Some Vaccines Are Now Blockbusters

24 Resources Devoted to Vaccine Programs (USA) M Davis. Price as a double-edged sword in the golden era of vaccines. Human Vaccines 2010

25 fasttrack.nu toonpool.com best-of-web.com startribune.com

26 Vaccine community should take the lead in transparency

27 Conflict of Interest Statement (Last 5 Years) Position in PharmaMedical Officer for Medicago Inc. (Oct present) Consulting Pfizer, Merck, Novartis, GSK, Sanofi Pasteur MSSS, US Dept of Justice (Vaccine Compensation Programs) ContractsVaccine trials for virtually all companies Shared Awards Shared CIHR Team grant (Laval U, GSK) CIHR-Industry grant (Medicago) Shared CQDM grant (Medicago, Laval U, SNC Lavalin) Occasional Speakers Honoraria Pfizer, Sanofi Pasteur Investments(sadly) Nil

28 colourbox.com Big Pharma Approach, Including Whatever the Market will Bear Pricing Strategies have a Cost

29 shutterstock.com

30 Are We Sending A Clear Message?

31 Vaccine Organization in Canada

32 Local Authorities Tend to be Quite Dogmatic

33 Sophisticated Parents Often Confronted by Mixed Messages

34 Aside from program issues, there really arent many cogent arguments against some flexibility … age at MMR or varicella (any vaccine) number of doses - menC - HBV - HPV

35 Sloth, poor parenting and procrastination meant our 3 kids got MMR at 15, 16 and 18 months of age … Why werent child services called? De Serres G et al. CID 2012)

36 With vaccines, we are building our boat and sailing it at the same time David Heymann, World Health Organization nauticexpo.com

37 Absence of a National Program Great for Science but has Consequences Each Jurisdiction Needs to be More Humble (and Flexible) about its Programs senseiwisdom.com

38 suethomas.ca What possible excuse can there be for the lack of a national vaccine registry in 2012?

39 shutterstock.com

40 What Does the New Parent Experience?

41 thehealthyhomeeconomist.com unicef.ca

42 transcanadacoyote.blogspot.com Needles are Not a Huge Factor … but they ARE a Factor for Some

43 Why are we Still Using this Medieval Tool? first used in Roman times mostly for sucking stuff out (Egypt/Iraq) first subcutaneous injection with a hollow needle (Ireland) first hypodermic syringe for medical purposes (UK) allposters.com

44 There are many reasons to target development of NEEDLE-FREE vaccines: taking the needle out of the equation HCW safety keeping sharps out of environment probably better immune responses Mitragotri S. Immunization without needles. Nat Rev Immunol Dec;5(12):

45 The Its Good Enough Attitude is Probably NOT Good Enough For Vaccines

46 shutterstock.com

47 Are we all too invested in vaccine programs to respond appropriately to problems?

48 alaska-in-pictures.com Our Defensive Reflexes are Well-Developed

49 Answer the following questions. YES or NO answers only : YES NO Measles vaccine uses a live (weakened) virus This virus can persist for years This vaccine can kill some children This vaccine is probably as dangerous as OPV that we no longer use because of its risks Major vaccine makers working on a safer measles vaccine?

50 gettyimages.com OK - I can see see a few hands raised to speak … but were not done yet

51 More questions - same rules: YES NO Adverse events can happen years post-vaccine Vaccines licensed only after years of surveillance Immunity after natural infection often for life Immunity after vaccination is also lifelong Some vaccines contaminated with animal viruses Vaccine makers have monopolies on some products that are worth many millions of dollars Governments & academics can independently confirm company claims for all vaccines

52 These questions are obviously unfair and biased … However - each yes or no has some truth in it. Each is a building block of the anti-vaccine argument

53 Weve made safer vaccines for: rabies pertussis polio even smallpox upmc-biosecurity.org Cant neglect old vaccines chasing new targets As we approach eradication of measles … will the current vaccine be safe enough?

54 Insist that products in Canada can be studied independently Work harder to understand how vaccines work and how adverse events occur Support programs to compensate those who are truly harmed humboldtsentinel.com

55 The Committed and the Hesitant? Blah

56 If We Dont Like the House that Vaccine Opponents have Built …

57 Perhaps We Should Work to Remove Some of the Bricks that Weve Given Them

58 pediatrics.about.com A First Step in Dealing with Vaccine Hesitancy Might be a Look in the Mirror

59 Questions & Comments


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