1. Responding to Resistance The Gateway Immunization Coalition A program of the Maternal, Child and Family Health Coalition 539 N. Grand Blvd., Suite 403 St. Louis, MO 63103 Phone: (314) 289-5685 Fax: (314) 289-5681 www.stl-mcfhc.org www.startwithfour.org

2. What is the situation? Immunization rates receiving media attention St. Louis Post Dispatch (www.stltoday.com), September 17, 2010: “Missouri last in toddler vaccines” KMOV.com, November 16, 2010: “Fewer plan to get the flu shot this year” St. Louis Public Radio (90.7 KWMU), October 19, 2010: “Whooping cough suspected in St. Louis Co district”

3. Vaccine preventable disease outbreaks CDC Flu View: http://www.cdc.gov/flu/weekly/WeeklyFluActivityMap.htmhttp://www.cdc.gov/flu/weekly/WeeklyFluActivityMap.htm Local

4. What are the concerns? Are vaccines safe? Why these ingredients: Aluminum, Thimerosal? Do immunizations cause autism? Too many vaccines? Too many vaccines at once? Why start so early? What about natural immunity? Haven’t we gotten rid of these diseases? Why so many changes? Who makes the recommendations? Distrust

5. How do parents make vaccine decisions? Believers Relaxed – less knowledgeable but trust health care provider Cautious – need a lot of information Unconvinced

6. Responding to Resistance National Immunization Conference April 2010  Communicating with unsure parents (Alison Springer, Autism Science Foundation): CASE Framework Corroborate – Acknowledge parent’s concerns and find some point on which you can agree About me – Describe what you have done to build your knowledge base and expertise Science – Describe what science says Explain/Advise – Give advice to patient, based on science

7. Case studies “I want what is best for my child and my patients and that’s why I recommend vaccinating.”

8. Immunization PR AMC refuses to air anti-vaccine ads in movie theaters over Thanksgiving holiday National Influenza Vaccination Week (Dec 5-11) Keri Russell, Julie Bowen, Amanda Peet Hallmark Cards receives award from Mid- America Immunization Coalition Immunization Alliance You and me

9. Resources for Health Professionals Immunization Action Coalition ANA & ECBT “Bringing Immunity to Every Community” e-learning tool for continuing education credit http://www.anaimmunize.org/webcast http://www.anaimmunize.org/webcast University of Albany webinar Dec 9: “Making the CASE for Vaccine Safety: A new model for communicating with parents” http://www.albany.edu/sph/coned/phl/case.htm http://www.albany.edu/sph/coned/phl/case.htm

10. Resources for consumers Adultvaccination.org (NFID) Children’s Hospital of Philadelphia (CHOP) Vaccine Education Center Every Child by Two American Academy of Pediatrics California Immunization Coalition vaccines for teens (NBA & WNBA/SAM & Sanofi) http://twitter.com/SCCHealth/status/18355025197 CDC