Tag: recommendations

Nurse Practitioners on Vaccines

Victoria Anderson is a Family Nurse Practitioner who understands and promotes childhood immunizations.
Victoria Anderson is a Family Nurse Practitioner who understands and promotes childhood immunizations.

We know that the great majority of health professionals understand the evidence that vaccines work and that they are safe and necessary.

Most parents too.

Some still haven’t gotten the message though.

From the nurses who refuse to get vaccinated, even though they are routinely around high risk children, to other health care providers who push the idea that it is okay to skip or delay some vaccines, they all put our kids at risk.

Unfortunately, it isn’t just vaccine-friendly pediatricians who are pushing non-standard, parent-selected, delayed protection vaccine schedules and who are leaving kids at risk for vaccine-preventable diseases.

“One would anticipate that this medical advance would be universally embraced by both parents and health care professionals. Sadly, however, the antivaccine movement, fueled by a lack of respect for the evidence and a profound paranoia, remains alive and well. It is not an overstatement to lay the blame for a resurgence of deadly childhood infections, stemming from declining vaccination rates, at the feet of this movement. Nurse practitioners (NP) also bear some degree of the blame. While certainly not scientific, the anecdotal evidence from letters to JNP documents that some proportion of our readers buy into the pseudoscience of the antivaccine movement. Comments have ranged from bafflingly uninformed (“I don’t think there is enough evidence to support widespread immunizations”) to profoundly unethical (“I recommend to my patients that they not vaccinate their children”).”

Laurie Scudder, DNP, NP on The Importance of Vaccinations

They are often joined by one or more vaccine-friendly nurse practitioners…

Nurse Practitioners on Vaccines

Of course, most nurse practitioners support getting kids vaccinated and protected though.

That’s reflected in the position statement of the National Association of Pediatric Nurse Practitioners (NAPNAP):

“NAPNAP supports the prioritization of immunization education for parents, guardians and other caregivers of infants, children, and adolescents. This education must include the most current scientific evidence related to vaccine safety, risk, benefits and current resources available to ensure that parents and caregivers receive adequate information about immunizations. This includes, when necessary, relaying the risk of not immunizing their child and potential devastation that can occur when a child is infected with a vaccine-preventable disease. It is incumbent that a PNP also be aware of misinformation in the public domain and provides the correct information to the public as well as the health care community.”

Fortunately, most NPs do a great job educating parents and getting kids vaccinated.

Not all of them though.

You can still find some pushing classic anti-vaccine propaganda about vaccines being made in China, that vaccines don’t work, that vaccine-preventable diseases aren’t dangerous, and that natural treatments work are safer – including many, like essential oils and vitamins that they will be very happy to sell to you.

“It’s time for NPs to be part of the solution. We must preach the importance of vaccines, and then we must practice what we preach and be appropriately immunized ourselves.”

Laurie Scudder, DNP, NP on The Importance of Vaccinations

Actually, it’s time for everyone to get educated and to be part of the solution!

What To Know About Nurse Practitioners on Vaccines

Like the great majority of other health care providers, most nurse practitioners fully support getting kids vaccinated and protected against vaccine preventable diseases.

More About Nurse Practitioners on Vaccines

Expert Statements on Vaccines

The AAP published their first recommendations on vaccines in 1938.
The AAP published their first recommendations on vaccines in 1938.

Some parents are still confused about who they should listen to for advice about vaccines.

Is there really a controversy or a real debate going on about whether or not getting vaccinated is a good decision?

What do the experts say?

They say that:

And no, it’s not just one or two of them…

“Vaccines protect the health of children and adults and save lives. They prevent life – threatening diseases, including forms of cancer. Vaccines have been part of the fabric of our society for decades and are one of the most significant medical innovations of our time.”

More than 350 medical, professional and advocacy organizations in a 2017 letter to President Trump

It is the hundreds of thousands of experts at every major health organization around the world!

American Academy of Pediatrics

The American Academy of Pediatrics, an organization of 66,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists, has long advocated for the health and safety of our children.

“Vaccines are safe. Vaccines are effective. Vaccines save lives.

Claims that vaccines are linked to autism, or are unsafe when administered according to the recommended schedule, have been disproven by a robust body of medical literature. Delaying vaccines only leaves a child at risk of disease. Vaccines keep communities healthy, and protect some of the most vulnerable in our society, including the elderly, and children who are too young to be vaccinated or have compromised immune systems.”

Fernando Stein, MD, FAAP, President and Karen Remley, MD, MBA, MPH, FAAP, CEO/Executive Vice President, American Academy of Pediatrics

Vaccine friendly pediatricians who are pushing non-standard, parent-selected, delayed protection vaccine schedules are leaving kids at risk for vaccine-preventable diseases.

“Pediatricians who routinely recommend limiting the numbers of vaccines administered at a single visit such that vaccines are administered late are providing care that deviates from the standard evidence-based schedule recommended by these bodies.”

AAP on Countering Vaccine Hesitancy

Vaccines are necessary.

“Because rare medically recognized contraindications for specific individuals to receive specific vaccines exist, legitimate medical exemptions to immunization requirements are important to observe. However, nonmedical exemptions to immunization requirements are problematic because of medical, public health, and ethical reasons and create unnecessary risk to both individual people and communities.”

AAP on Medical Versus Nonmedical Immunization Exemptions for Child Care and School Attendance

Society of Pediatric Nurses

“Immunizations are safe and effective in promoting health and preventing disease.”

SPN Position Statement on Immunizations

National Association of Pediatric Nurse Practitioners

Established in 1973, with more than 8,500 members, the National Association of Pediatric Nurse Practitioners (NAPNAP) is the professional association for pediatric nurse practitioners (PNPs) and all pediatric-focused advanced practice registered nurses (APRNs).

“NAPNAP supports the prioritization of immunization education for parents, guardians and other caregivers of infants, children, and adolescents. This education must include the most current scientific evidence related to vaccine safety, risk, benefits and current resources available to ensure that parents and caregivers receive adequate information about immunizations. This includes, when necessary, relaying the risk of not immunizing their child and potential devastation that can occur when a child is infected with a vaccine-preventable disease. It is incumbent that a PNP also be aware of misinformation in the public domain and provides the correct information to the public as well as the health care community.”

NAPNAP Position Statement on Immunizations

American College of Preventive Medicine

“Vaccine-preventable diseases were a major cause of mortality and morbidity in the United States in the 20th century. With the advent of immunizations, there have been dramatic rates of decline in these diseases. Clinical studies have shown vaccines to be efficacious and cost effective.  ”

ACPM on Childhood Immunizations

American College of Obstetricians and Gynecologists

Founded in 1951, the American College of Obstetricians and Gynecologists (The College) represents more than 58,000 members.

“Health care providers and patients should be aware that the reassuring safety data for use of the aforementioned vaccines in pregnancy are compelling, and there is no link to vaccine administration and miscarriage. An added benefit to immunizing during pregnancy is the potential for disease prevention in newborns by way of passive antibody transfer to the fetus. Hence, offering pregnant patients influenza and Tdap vaccines is an avenue to protect newborn infants at a critically vulnerable time and before neonates can be vaccinated.”

ACOG on Immunization for Pregnant Women

American Public Health Association

The American Public Health Association was founded in 1872, the APHA represents over 25,000 public health professionals.

“And further noting that the Institute of Medicine has recently released a report10 describing the U.S. immunization system as “a national treasure that is too often taken for granted” and calling for substantial increases in federal and state allocation of funds to support immunization infrastructure; therefore

Reaffirms its support for immunization as one of the most cost-effective means of preventing infectious diseases;”

APHA on The Need for Continued and Strengthened Support for Immunization Programs

American Medical Association

The American Medical Association, which was founded in 1847, has just over 240,000 members.

“The AMA fully supports the overwhelming body of evidence and rigorous scientific process used by the Advisory Committee on Immunization Practices which demonstrate vaccines are among the most effective and safest interventions to both prevent individual illness and protect the health of the public.”

William E. Kobler, MD, member of the AMA Board of Trustees.

Immune Deficiency Foundation

“The development of immunizations for common bacterial and viral infections has represented a major advance in the battle against microbial organisms that constantly threaten the welfare of humankind and particularly the pediatric population. However, the alarming increase in nonimmunized persons could lead to a return of the epidemics seen in the past.

…critical need for maintenance of herd immunity in the population at large. It is particularly important for family members of patients with defective T and B lymphocyte–mediated immunity to receive all of the available standard immunizations (excluding live poliovirus).”

Medical Advisory Committee of the Immune Deficiency Foundation on Recommendations for live viral and bacterial vaccines in immunodeficient patients and their close contacts

American Nurses Association

The American Nurses Association (ANA), founded in 1896, represents “the interests of the nation’s 3.6 million registered nurses.”

“To protect the health of the public, all individuals should be immunized against vaccine-preventable diseases according to the best and most current evidence outlined by the Centers for Disease Control and Prevention (CDC) and the Advisory Committee on Immunization Practices (ACIP). All health care personnel (HCP), including registered nurses (RNs), should be vaccinated according to current recommendations for immunization of HCP by the CDC and Association for Professionals in Infection Control and Epidemiology (APIC).

As stated in the Code of Ethics for Nurses (ANA, 2015, p. 19), RNs have an ethical responsibility to “model the same health maintenance and health promotion measures that they teach and research…,” which includes immunization against vaccine-preventable diseases.”

ANA Position Statement on Immunizations

Autism Science Foundation

“Multiple studies have been completed which investigated the measles, mumps and rubella vaccination in relation to autism. Researchers have also studied thimerosal, a mercury-based preservative, to see if it had any relation to autism. The results of studies are very clear; the data show no relationship between vaccines and autism.”

Autism Science Foundation on Vaccines and Autism

The American Association of Immunologists

The American Association of Immunologists (AAI) is the largest professional association of immunologists in the world, representing more than 7,600 basic and clinical immunologists.

“Recent outbreaks have brought increased attention to vaccine- preventable diseases and have highlighted the need for robust and timely immunization to reduce preventable sicknesses and deaths. AAI strongly urges full adherence to recommended vaccination schedules and views vaccines as efficacious for individuals and crucial to public health.

Research has repeatedly confirmed that vaccinations are safe and highly effective for all healthy children and adults, and any suggestions to the contrary have been discredited. Ongoing vaccine research continually reaffirms its safety and efficacy, including the number of vaccines administered at any one time and the recommended vaccination schedule.”

The American Association of Immunologists Statement on Vaccines

American Osteopathic Association

“The American Osteopathic Association supports the Centers for Disease Control and Prevention in its efforts to achieve a high compliance rate among infants, children and adults by encouraging osteopathic physicians to immunize patients of all ages when appropriate ; supports the HHS National Vaccine Implementation Plan; and encourages third- party payers to reimburse for vaccines and their administration.”

AOA on Immunizations

National Association of School Nurses

#TodaysSchoolNurse is “grounded in ethical and evidence-based practice, are the leaders who bridge health care and education, provide care coordination, advocate for quality student-centered care, and collaborate to design systems that allow individuals and communities to develop their full potential.”

“It is the position of the National Association of School Nurses (NASN) that immunizations are essential to primary prevention of disease from infancy through adulthood.

The school nurse is well-poised to create awareness and influence action to increase the uptake of mandated and recommended immunizations. The school nurse should use evidence-based immunization strategies, such as school-located vaccination clinics, reminders about vaccine schedules, state immunization information systems (IIS), strong vaccination recommendations, and vaccine education for students, staff, and families.”

NASN Immunizations Policy Statement

American Academy of Family Practice

“With the exception of policies which allow for refusal due to a documented allergy or medical contraindication, the AAFP does not support immunization exemption policies.”

AAFP Immunization Policy Statement

American Academy of Allergy, Asthma & Immunology

The American Academy of Allergy, Asthma & Immunology (AAAAI) is a professional organization with over 7,000 members, including allergists/ immunologists, in the United States and 73 other countries.

“Immunization is perhaps the greatest public health achievement of all time, having significantly reduced the morbidity and mortality of many infectious diseases. Routine immunization of children, adolescents, and adults provides substantial protection from a large number of infectious diseases…

Patients who have experienced adverse reactions to vaccines might unnecessarily be advised to avoid subsequent immunization, which could have important adverse personal and population health consequences. Although there are some adverse reactions to vaccines that constitute absolute contraindications to administration of future doses, most such reactions do not preclude subsequent immunization. Patients who have experienced an apparent allergic or other serious adverse reaction after receiving a vaccine warrant evaluation by an allergist/immunologist. Also, patients with preexisting health conditions that might predispose to adverse reactions to vaccines could benefit from such an evaluation. In most cases, a risk-benefit analysis will favor subsequent immunization.”

AAAAI Practice Paramater on Adverse Reactions to Vaccines

CJ First Candle

“There seems to be a common misconception that vaccines are somehow associated with SIDS deaths. This is not true! Experts warn that the risk of leaving your baby unprotected is 1,000 times greater than any increased risk for SIDS. Because infants receive many immunizations during the critical development period from two to six months of age, and 90 percent of SIDS deaths occur within this time frame, it is only logical that many SIDS victims have recently received vaccines. This does not mean that the immunization had anything to do with the infant’s subsequent sudden and unexpected death. The cause and effect of immunizations and SIDS has been comprehensively studied for more than two decades. In fact, in countries where immunization schedules are different from those in the United States, the peak incidence of SIDS is still between two to four months.”

CJ First Candle on Immunizations

Infectious Disease Society of America

Founded in 1963, the Infectious Diseases Society of America (IDSA), with over 9,000 members, represents physicians, scientists and other health care professionals who specialize in infectious diseases.

“The Infectious Diseases Society of America (IDSA) recognizes the great benefits that vaccines provide for the public health. Substantial scientific evidence demonstrates vaccines’ enormous value in protecting individuals and populations from serious and life-threatening infections. Scientific evidence also demonstrates the overall safety of vaccines. Communities are most effectively protected when all are immunized.

Studies demonstrate that the easier it is to receive an exemption, the higher the rate of exemptions in a particular state. As the number of exemptions increases, the risk of vaccine – preventable disease increases. Therefore, states must make every effort to minimize the number of its citizens exempted from immunization mandates. Such exemptions make the state legislatures who grant them, as well as the individuals who receive them, responsible for placing the remaining state population at greater risk of acquiring potentially fatal infections.”

IDSA Policy Statement on State Immunization Mandates

The Arc of the United States

“Prior to widespread immunization in the United States, infectious diseases killed or disabled thousands of children each year. The near elimination of intellectual disability due to measles encephalitis, congenital rubella syndrome, and Haemophilus influenzae type b meningitis or Hib can be contributed to vaccines.”

The Arc Facts About Childhood Immunizations

American College Health Association

“The American College Health Association (ACHA) strongly supports the use of vaccines to protect the health of our individual students and our campus communities. In recognition of the vital role that vaccine coverage plays in community immunity (herd immunity), ACHA discourages use of nonmedical exemptions to required vaccines.”

ACHA on Immunization Recommendations for College Students

What to Know About Expert Statements on Vaccines

Over the years, hundreds of organizations representing millions of families, health care providers, researchers, patients, and consumers,  have repeatedly expressed their unequivocal support for vaccines, because they understand that vaccines work and that they are safe and necessary.

More on Expert Statements on Vaccines

Myths About Vaccines and Breastfeeding

The American Academy of Pediatrics recommends “exclusive breastfeeding for about 6 months, followed by continued breastfeeding as complementary foods are introduced, with continuation of breastfeeding for 1 year or longer as mutually desired by mother and infant.”

They do not recommend breastfeeding as a substitute for getting vaccinated.

They also don’t recommend that anyone stop breastfeeding after their children are vaccinated.

These are just some of the myths that you might hear about vaccines and breastfeeding.

Myths About Vaccines and Breastfeeding

Breastfeeding does provide some immunity against infectious diseases.

Unfortunately, this type of passive immunity won’t keep your child from getting diseases like measles, pertussis, or the flu. Breast milk, which is high in IgA antibodies, can help protect against gastrointestinal diseases and some respiratory infections though.

And that is where the myth about the “recommendation” to stop breastfeeding comes in…

Why do anti-vaccine websites still post misinformation about fake recommendations to stop breastfeeding?
Why do anti-vaccine websites still post misinformation about fake recommendations to stop breastfeeding?

Actually, it was never a recommendation by any major health organization.

It was not a recommendation by the AAP, CDC, or even the WHO.

“Live oral rotavirus vaccines have been less immunogenic and efficacious among children in poor developing countries compared with middle income and industrialized countries for reasons that are not yet completely understood. We assessed whether the neutralizing activity of breast milk could lower the titer of vaccine virus and explain this difference in vitro.”

Moon et al on Inhibitory Effect of Breast Milk on Infectivity of Live Oral Rotavirus Vaccines

And they simply suggested that nursing mothers delay breastfeeding for up to an hour after their baby was vaccinated with an oral rotavirus vaccine. Don’t skip a feeding. Don’t stop breastfeeding. Don’t switch to formula.

“Rotavirus is the most common cause of severe diarrhea in children less than 5 years of age. Rotavirus disease is responsible for an estimated 527,000 deaths per year worldwide, with >85% of these deaths occurring in low-income countries.”

Moon et al on Inhibitory Effect of Breast Milk on Infectivity of Live Oral Rotavirus Vaccines

Why did they talk about breastfeeding at all?

They were simply looking for a way to boost the effectiveness of rotavirus vaccines in these countries, where rotavirus disease is still a big killer.

Unfortunately, in addition to the whole theory being turned into more propaganda by the anti-vaccine movement, further studies have shown that it likely doesn’t even work.

“Breastfed infants should be vaccinated according to the recommended schedule ”

CDC on General Recommendations on Immunization

What are other myths about vaccines and breastfeeding?

  • that breastfeeding is a substitute for getting vaccinated – it’s not – vaccines are necessary, even if you are breastfeeding your child
  • you can’t get vaccinated if you are breastfeeding – not true, unless you are looking to get a smallpox vaccine, which is contraindicated. Getting a yellow fever vaccine is discouraged if you are breastfeeding, but is not contraindicated if your are traveling to a high risk area.

Although it is currently not available in the United States, you can even get FluMist if you are breastfeeding.

What to Know Vaccines and Breastfeeding Myths

Why do anti-vaccine websites post misinformation about fake recommendations to stop breastfeeding and other myths about vaccines?

More on Myths About Vaccines and Breastfeeding

Which Vaccines Are Gluten Free?

Why does gluten sometimes come up in discussions about vaccines?

Is it because a vaccine to treat people with Celiac disease is being tested?

Probably not.

It is more likely that it is because some people worry that vaccines contain gluten.

Which Vaccines Are Gluten-Free?

So which vaccines are gluten-free?

All vaccines are gluten-free. Do they need to labeled 'gluten-free' to convince some vaccine hesitant folks?
All vaccines are gluten-free. Do they need to labeled ‘gluten-free’ to convince some vaccine hesitant folks?

Fortunately, they all are, so you don’t have to worry about skipping or delaying your child’s vaccines if they have Celiac disease, a gluten sensitivity, or if you are simply following a gluten-free diet.

Vaccines and Food Allergies

Non-active components of vaccines can rarely trigger allergic reactions, including antibiotics and latex.

What about non-active vaccine ingredients that might worry someone with food allergies?

There actually are some, including eggs, milk, gelatin, and yeast.

Talk to your pediatrician or a pediatric allergist if you are concerned about vaccine allergies. They can review the “Algorithm for treatment of patients with hypersensitivity reactions after vaccines,” which “provides a rational and organized approach for the evaluation and treatment of patients with suspected hypersensitivity.”

This is especially important if you think that your child is allergic to all vaccines, something that is almost unheard of, as vaccines have different components and are made in different ways.

You don’t have to worry about gluten though.

What To Know About Vaccines and Gluten

There is no gluten in vaccines and vaccines are actually in development to treat people with gluten sensitivity.

For More Information on Vaccine Allergies

 

How Pediatricians Should Talk to Vaccine Hesitant Parents

Vaccine hesitant parents sometimes don’t get time to talk with a pediatrician about vaccines.

They might not even get an appointment with their new baby if they express doubts about wanting to vaccinate their kids or about wanting to skip or delay some vaccines.

That’s unfortunate, as I think many would choose to vaccinate and protect their kids if they got answers to the anti-vaccine talking points that scare them.

Myth busting by itself doesn’t always seem to work though.

How Pediatricians Should Talk to Vaccine Hesitant Parents

It is understandable that pediatricians get frustrated talking to some anti-vaccine parents.

Pediarix, Hib, Prevnar, and Rota vaccines have been prepared for an infant at her well child visit.
Pediarix, Hib, Prevnar, and Rota vaccines for my daughter at her 2 month well visit 10 years ago. Photo by Vincent Iannelli, MD

One strategy that might work includes asking open ended questions about why the parent is hesitant to vaccinate their kids. Next, while responding to a few of their biggest concerns, be sure to affirm what the parent is saying and use reflective listening.

How might these vaccination-focused motivational interviewing techniques work during a typical visit at a pediatrician’s office? Instead of getting frustrated and accepting a copy of Dr. Bob’s alternative schedule, you might ask them:

  • What specifically are you afraid of?
  • You are really worried that your child might get sick after their vaccines.
  • It sounds like you think kids get too many shots.

Now, address a few of those concerns.

Pediatricians often feel like they don’t have enough time to have long discussions about vaccines, when they also need to talk about many other important topics at each visit, including nutrition, development, and safety, etc. The vaccine talk doesn’t have to be extensive though. Just get it started and come back to it again at the next visit.

You can also recommend some good vaccine books and websites to help parents do more research.

Talking About Vaccines

It is not enough to simply tell your vaccine hesitant parents to read a book, visit a website, or offer them some handouts though. It is important that pediatricians also talk to parents about vaccines.

Study after study show that pediatricians are the most influential, most convincing, and most used source of information about vaccines for many parents.

“How providers initiate and pursue vaccine recommendations is associated with parental vaccine acceptance.”

Opel et al on The Architecture of Provider-Parent Vaccine Discussions at Health Supervision Visits

Just remember, when you have these talks, to:

  • Use vaccination-focused motivational interviewing techniques for vaccine-hesitant parents.
  • Avoid using scientific and medical jargon.
  • Help parents who may have a skewed perception of the risks of vaccines vs risks of vaccine preventable diseases, by emphasizing that vaccines are very safe.
  • Avoid simply minimizing or dismissing a parent’s concerns about vaccines without providing a fact based explanation for why they shouldn’t be worried.
  • Highlight the benefits of vaccines, including all of the social benefits.
  • Avoid a “data dump,” in which you might overwhelm a vaccine hesitant parent with too much information all at once and in what they might see as a lecture about accepting vaccines.
  • Always use presumptive language and high-quality recommendations when you talk about vaccines.
  • Include stories and anecdotes about kids who have gotten sick and parents who regret not vaccinating their kids.
  • Become familiar with the anti-vaccine talking points that may be scaring your patients away from getting vaccinated on time. Why is this important? If they are concerned about glyphosate, you might not sound too convincing telling them not to worry if you don’t even know what glyphosate is.
  • Try the CASE Method for talking about vaccine concerns.

Are your kids fully vaccinated? Talk about that too.

There is much more to all of this than simply letting parents follow non-standard, parent-selected, delayed protection vaccine schedules and arguing with them about getting caught up.

What to Know About Talking to Vaccine Hesitant Parents

Learning new ways to talk to vaccine hesitant parents, including the use of vaccination-focused motivational interviewing techniques, presumptive language, and high-quality recommendations, might help pediatricians have more success and get less frustrated.

More About Talking to Vaccine Hesitant Parents

Best Vaccine Websites

Need to do your research and get educated about vaccines?

There are plenty of great vaccine books to turn to.

Best Vaccine Websites

Rather use the Internet?

Caveant lector et viewor — Let the reader and viewer beware.

Silberg et al, on Assessing, controlling, and assuring the quality of medical information on the Internet

Unfortunately, you can’t just trust any website that pops up at the top of your search results on Google, Bing, or Yahoo or that is shared by a friend on Facebook. Some of these sites might push misinformation about vaccines and be filled with anti-vaccine talking points.

Whether you are on the fence or just have a few questions, instead of feeling lucky that Google will lead you to trusted information, start your research about vaccines on the following websites. They are the most reliable and trusted sources of immunization information you will find.

  1. American Academy of Pediatrics
  2. Centers for Disease Control and Prevention
  3. World Health Organization
  4. Every Child By Two
  5. EZIZ
  6. Families Fighting Flu
  7. Gavi The Vaccine Alliance
  8. Harpocrates Speaks
  9. History of Vaccines
  10. Immunise Australia
  11. Immunisation Scotland
  12. Immunization Action Coalition
  13. The Immunization Advisory Centre
  14. Immunize Canada
  15. Immunize for Good
  16. Institute for Vaccine Safety
  17. I Speak of Dreams
  18. Just the Vax
  19. Left Brain Right Brain
  20. Measles & Rubella Initiative
  21. Moms Who Vax
  22. National Foundation for Infectious Diseases
  23. National Meningitis Association
  24. NHS
  25. Northern Rivers Vaccination Supporters
  26. Nurses Who Vaccinate
  27. Parents of Kids with Infectious Diseases
  28. The Poxes Blog
  29. Pro-Vaccine Parenting Group (Facebook)
  30. Shot of Prevention
  31. Skeptical Raptor
  32. TIP Talk
  33. Vaccinate Your Family
  34. the Vaccine Blog
  35. Vaccine Education Center
  36. the Vaccine Mom
  37. the Vaccine Page (Facebook)
  38. Vaccines on the Fence (Facebook Group)
  39. Vaccines Work
  40. Voices for Vaccines

Other websites that are also reliable sources of immunization information, but don’t focus on vaccines include:

Get all of your questions answered yet?

Your pediatrician should also be a good resource for questions about vaccines.

Evaluating Vaccine Websites

Be skeptical if looking elsewhere.

Some general questions experts recommend asking, and which will certainly help when visiting a website about vaccines, include:

  • Who runs the Web site?
  • Who pays for the Web site?
  • What is the Web site’s purpose?
  • What is the original source of the Web site’s information?
  • How does the Web site document the evidence supporting its information?
  • Who reviewed the information before the owner posted it on the Web site?
  • How current is the information on the Web site?
  • How does the Web site owner choose links to other sites?

Fortunately, anti-vaccine websites are fairly easy to spot.

Anti-vaccine websites often filled with conspiracy theories, talk about BigPharma, and about how everyone else is hiding the truth about vaccines.
Anti-vaccine websites often filled with conspiracy theories, talk about BigPharma, and ideas about how everyone else is hiding the truth about vaccines.

They are often filled with vaccine injury stories and articles about how vaccines are filled with poison (they aren’t), don’t really work (they do), and aren’t even needed (they certainly are).

Tragically, their pseudo-scientific arguments can sometimes be persuasive, especially if you don’t understand that they are mostly the same old arguments that the anti-vaccine movement has been using for over 200 years to scare parents away from vaccinating and protecting their kids.

What to Know About the Best Vaccine Websites

With current information, a clear purpose (informing users, not selling supplements in an online store), and authors who are well-respected, our collection of the best vaccine websites can help you get educated about vaccines from a trusted source.

More on the Best Vaccine Websites

Six People Who Should Be Vaccinated

Even the staunchest anti-vaccine advocates, even if they want to believe that some vaccines are optional, must admit that there are some kids that really need to be vaccinated.

After all, there can’t be anyone so anti-vaccine that they wouldn’t allow their child to get the rabies vaccine after they were bitten by a rabid dog, right?

Optional Vaccines

Wait, some vaccines are optional?

“The main reason I feel that vaccines should be optional for parents is that every vaccine has the potential to cause a fatal reaction… And no government should be able to force parents into putting their child through something that puts that child at risk of dying. I think that’s just a fundamental right that every parent should have.”

Dr. Robert W. Sears on Why Partial Vaccinations May Be an Answer

Parents do sometimes ask about optional vaccines.

Which vaccines can they safely skip or delay?

That’s easy to answer.

Which disease do you want to risk your child getting?

Which disease, if more and more parents decided to make that vaccine optional, would you like to see come back?

“And if parents want to accept the disease risk because they don’t trust the vaccines, I think they have the right to make that choice.”

Dr. Robert W. Sears on Why Partial Vaccinations May Be an Answer

All vaccines are important and none are optional, despite what you might read on those so-called alternative immunization schedules that have been pushed by ‘vaccine friendly’ or disease friendly pediatricians for years.

Of course, parents do have the option of skipping one or more vaccines, even if the great majority of pediatricians advise against them doing so. That’s the fundamental flaw in Dr. Bob’s reasoning. The government, even with mandates to attend daycare and school, isn’t forcing parents to vaccinate their kids.

It’s not the only flaw though…

Essential Vaccine Situations

Do parents who delay or skip vaccines worry that their kids might get sick?

Some likely do, especially those who have been on the fence about vaccinating their kids.

For others, it is likely easier to be anti-vaccine when you think that you are hiding in the herd – you don’t get vaccinated and you don’t vaccinate your kids, and instead, you simply rely on the fact that everyone else around you is vaccinated to get protection from vaccine-preventable diseases.

That gamble doesn’t always work though.

“I think our Constitution guarantees parents the right to make health care decisions for their children, as long as they’re not putting their children’s life in danger. And by not vaccinating, you’re not putting your children’s life in immediate danger. Yes, you are taking some risk with diseases, but it’s not such a high risk where that should counteract or take away your freedoms as a parent to make your own health care decisions.”

Dr. Robert W. Sears on Why Partial Vaccinations May Be an Answer

So how high a risk are you taking by not vaccinating your kids?

It depends, but there are certainly special situations in which you would be putting your children’s life in more immediate danger if you didn’t get them vaccinated, including:

  1. a child bitten by a rabid dog, coyote, or bat – needs HBIG and a rabies vaccine series
  2. a completely unvaccinated teen who gets a deep puncture wound while playing in a field – needs TBIG and a tetanus vaccine (keep in mind that a child might still need a booster if they are up to date, but it has been more than five years since their last tetanus shot)
  3. an unvaccinated older teen living in a dorm on a college campus where there is an ongoing outbreak of meningococcemia – needs the meningococcal vaccine
  4. a preschooler with a cochlear implant – needs the pneumococcal vaccines because of an increased risk of pneumococcal meningitis
  5. an unvaccinated 1st grader who’s sibling is starting chemotherapy for leukemia – needs to get caught up on all age appropriate vaccines, including live vaccines
  6. unvaccinated kids traveling out of the country to parts of the world where vaccine-preventable diseases are still endemic – needs to get caught up on all age appropriate vaccines, but especially the MMR vaccine and likely needs more travel vaccines depending on the destination

What if a family member with chronic hepatitis B was going to be visiting or moving in with you? What if you had hepatitis B and you were having a baby? Would you get your baby vaccinated?

Polio Vaccine - don't wait until it's too late.
Who are you going to listen to?

Would you still skip or delay your child’s vaccines in any of these situations?

If you believe one or more anti-vaccine talking points or believe in any of the “experts” of the anti-vaccine movement, then you might.

Of course, none of the vaccines on the childhood immunization schedule are optional and delaying or skipping any of them increases your child’s risk of getting a vaccine-preventable disease.

The problem is that many vaccine hesitant parents greatly underestimate the risk of getting a disease and overestimate the risks of side effects from the vaccines.

And often, the immediate danger isn’t so obvious.

So instead of a dog who is obviously rabid, foaming at the mouth, what if your child was scratched by a stray cat that had never been vaccinated against rabies, or:

  • instead of a deep puncture wound, what if he just gets pricked by a thorn and gets tetanus?
  • instead of a possible exposure in an ongoing outbreak, what if your child is exposed before the outbreak of meningococcemia is widely known to be happening?
  • your unvaccinated child gets chicken pox and exposes a classmate who is immunosuppressed because they are being treated with chemotherapy?
  • your unvaccinated child gets measles after being exposed to an unvaccinated friend who had recently traveled to Europe, where there are many ongoing outbreaks?

The bottom line is that you can wait too long to get your child vaccinated and you may end up regretting your decision to skip or delay those vaccines. Partial vaccinations aren’t the answer.

The answer is to get educated about vaccines and to understand that vaccines are safe and necessary and that vaccines work.

What To Know About Kids Who Should Be Vaccinated

Whether you are anti-vaccine, on the fence, or a vaccine advocate, you should understand that there are some high risk situations in which kids can be in immediate danger if they weren’t vaccinated. And many other situations in which you may regret skipping or delaying your child’s vaccines.

More About Kids Who Should Be Vaccinated