ACCP Call to Action—The Need for Vaccine Education

Kenneth Todd Moore DBE, MS, FAHA, FCP, Sindura Gollamudi MSc, Aman Gupta, MD, Amir S. Youssef PhD, FCP
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引用次数: 0

Abstract

The American College of Clinical Pharmacology (ACCP) affirms that vaccine education is essential to safeguarding global health and trust in scientific and medical institutions conducting vaccine programs. Grounded in evidence-based science, transparency, and cultural awareness, effective vaccine education must address misinformation directly while communicating both the benefits and risks of vaccination in an open and accessible manner. The ACCP is recommending a “call to action” in which its members and the broader community of medical research and healthcare professionals and their institutions, work in thoughtful collaboration to promote balanced, scientifically rigorous vaccine education to provide informed decision-making, increase public awareness, and ensure equitable access to these life-saving preventive care treatments.

The mission of the ACCP is to improve global health by advancing the frontiers of clinical pharmacology. The College follows this guiding principle through its role as an educational institution, not only for its members, but all healthcare professionals and to the communities we serve. As such, when a course of events occurs that creates uncertainty or erodes confidence in established scientific norms, as currently observed in the decreased use of vaccinations, the College has a responsibility to address these issues and educate both its members and the broader community to ensure they are well informed of the scientific and medical facts and are empowered to make decisions based on rigorous evidence rather than fear, pseudoscience, misinformation, or doubt.

Combating fear, pseudoscience, misinformation, and doubt can be a substantial challenge, particularly when false claims regarding vaccine pharmacology, safety, and efficacy, can spread faster via social media than the scientific evidence can be communicated. The rapid and widespread acceptance of false assumptions eventually erodes the trust in our scientific and medical institutions, which can ultimately lead to dangerous outcomes. In this instance, these dangerous outcomes include vaccine hesitancy, refusal, and federal policy changes which can compromise the immunity of our communities and increase the risk for severe outbreaks.

Providing impactful education in this scenario requires both transparency and actively addressing any doubts and fears the recipient may have. An approach in which scientific evidence is the foundation of communication and openly addressing misinformation can lessen these fears and slowly reestablish public trust. Additionally, this type of education must include open and transparent communication about vaccines that were withdrawn, when adverse effects lead to changes in treatment guidelines, or differences in vaccine policies in other peer countries. While rare, vaccine withdrawals do occur, many times due to issues identified during post-marketing surveillance programs, that were not apparent during the conduct of clinical trials. When this is communicated clearly, by explaining the new evidence that was found, how decisions were made, and what steps are being taken to protect the public, it helps reinforce the message that vaccine safety monitoring is ongoing and rigorous. This is a critical opportunity to reinforce trust through honesty and accountability.

Regardless of the educational or professional background of the individuals being informed, vaccine education will require those that take on this role to do so with cultural humility, respectful dialogue, and establishing an open platform for communication. Importantly, this platform should allow for dialogue around both the potential risks and benefits of vaccines that is tailored to address the diversity of the audience. The different cultural, socioeconomic, and educational backgrounds need to be considered when deciding both the content and modality of communication (e.g., traditional journal, newspaper, or website platforms vs social media, podcasts, or influencer-led based platforms).

Contributions of the professionals associated with the ACCP can play an important role in the success of this type of education. Their roles are pivotal in generating the scientific data on which vaccine recommendations are based, provide vaccines as part of medical care, or guide treatment protocols and algorithms. For example, pharmacists, who are often the most accessible healthcare professionals in many communities, contribute to vaccine education by answering questions, debunking myths, and administering vaccines. Their trustworthiness and frequent interaction with the public make them key partners in reinforcing vaccine education. Physicians, nurse practitioners, nurses, and allied health professionals also have a unique opportunity to educate during patient encounters by providing personalized vaccine counsel, addressing fears and doubts, and discussing both the risks and benefits of treatment. Public health officials can contribute by coordinating broader education campaigns, developing policy, and disseminating critical information during public health emergencies. Importantly, when these professionals collaborate, are aligned, and present a unified message, it may enhance the credibility and impact of vaccine education.

The ACCP affirms that vaccine education is critical to protecting global health and rebuilding confidence in scientific and medical institutions that are conducting vaccine programs. Those scientific, medical or public-health professionals and their institutions, who choose to contribute to this much needed effort, should do so highlighting the medical safeguards typically in place for vaccine development, the adaptability of science, and the priority placed on public welfare. In doing so, public trust can continue to be built by recognizing the integrity and self-correcting nature of scientific research and medicine. Vaccine education, when grounded in this type of transparency, balanced scientific approach, cultural competence, professional collaboration, and adaptive modern communication strategies can address misinformation, pseudoscience, and public fears, thus ultimately ensuring equitable access to vaccines that can save lives.

Kenneth Todd Moore is an employee and stockholder of Johnson & Johnson. Sindura Gollamudi is an employee and stockholder of Eikon Therapeutics. Aman Gupta is an employee of Detroit Mercy. Amir S. Youssef is an employee and stockholder of GSK.

The opinions expressed in this article are those of the authors on behalf of the American College of Clinical Pharmacology and should not be interpreted as the position of the entities or institutions at which the authors are employed.

No funding was received for this Position Paper.

Kenneth Todd Moore, DBE, MS, FAHA, FCP (Committee Chair); Sagar Sudhakar Bachhav, PhD; Sihem Bihorel, MS, PharmD, PhD; Peter L. Bonate, PhD; Janelle Burnham, MD; Ayyappa Chaturvedula, PhD, FCP; Mohamed Elmeliegy, PhD; Michael B. Fania, PharmD, MD, MBA; Sindura Gollamudi, MSc; Amandeep K. Gupta, MBBS, MD, Dip SEM; Matthew Hruska, PharmD, PhD; Kajal Larson, PhD; Yi Ting (Kayla) Lien, PhD; Suresh Mallikaarjun, PhD, FCP; Dhananjay Marathe, PhD; Michael Nnamdi Nome, PharmD; Sonia Pahwa, PhD; Sudhakar M. Pai, PhD; Alexander J. Prokopienko, PharmD, PhD; Yuli Qian, PhD; Ammar Raza, MBBS, MBA, FCP, PCTM, D.Diab, PGD E&D, FFPM (RCP, UK); Samuel Roiko, PhD; Jinshan Shen, PhD; Suneet Shukla, PhD; Mahipal Gurram Sinnollareddy, PhD; Peter H. Wiernik, MD; Xinning Yang, PhD; Yichao Yu, PhD; Amir S. Yousef, PhD

ACCP行动呼吁:疫苗教育的必要性。
美国临床药理学学院(ACCP)确认,疫苗教育对于维护全球健康以及对开展疫苗项目的科学和医疗机构的信任至关重要。有效的疫苗教育必须以循证科学、透明度和文化意识为基础,直接解决错误信息,同时以开放和可获取的方式宣传疫苗接种的益处和风险。ACCP建议“行动呼吁”,由其成员和更广泛的医学研究界、卫生保健专业人员及其机构进行深思熟虑的合作,促进平衡的、科学严谨的疫苗教育,以提供知情决策,提高公众意识,并确保公平获得这些挽救生命的预防保健治疗。ACCP的使命是通过推进临床药理学的前沿来改善全球健康。该学院遵循这一指导原则,通过其作为教育机构的角色,不仅为其成员,而且为所有医疗保健专业人员和我们所服务的社区。因此,当发生的一系列事件造成不确定性或侵蚀对既定科学规范的信心时,就像目前在疫苗使用减少中观察到的那样,学院有责任解决这些问题,并教育其成员和更广泛的社区,以确保他们充分了解科学和医学事实,并有权根据严格的证据做出决定,而不是恐惧、伪科学、错误信息或怀疑。打击恐惧、伪科学、错误信息和怀疑可能是一项重大挑战,特别是当有关疫苗药理学、安全性和有效性的虚假声明通过社交媒体传播的速度超过科学证据的传播速度时。迅速而广泛地接受错误的假设,最终会侵蚀我们对科学和医疗机构的信任,最终可能导致危险的后果。在这种情况下,这些危险的结果包括疫苗犹豫,拒绝和联邦政策变化,这些可能损害我们社区的免疫力并增加严重疫情的风险。在这种情况下,提供有影响力的教育既需要透明度,也需要积极解决接受者可能有的任何疑虑和恐惧。以科学证据为沟通基础并公开处理错误信息的方法可以减轻这些恐惧,并慢慢重建公众信任。此外,这种类型的教育必须包括,当不良影响导致治疗指南发生变化或其他同侪国家的疫苗政策出现差异时,就已撤销的疫苗进行公开和透明的沟通。虽然罕见,但确实发生了疫苗撤回,很多时候是由于在上市后监测项目中发现的问题,而在进行临床试验期间并不明显。如果通过解释发现的新证据、如何作出决定以及正在采取哪些措施来保护公众,清楚地传达这一点,就有助于加强疫苗安全监测正在进行和严格的信息。这是一个通过诚实和问责加强信任的关键机会。无论被告知者的教育或专业背景如何,疫苗教育将要求那些承担这一角色的人在文化上谦卑,尊重对话,并建立一个开放的交流平台。重要的是,这一平台应允许围绕疫苗的潜在风险和益处进行对话,以适应受众的多样性。在决定传播的内容和方式时,需要考虑不同的文化、社会经济和教育背景(例如,传统的期刊、报纸或网站平台与社交媒体、播客或以影响者为主导的平台)。与ACCP相关的专业人员的贡献可以在这类教育的成功中发挥重要作用。他们在产生疫苗建议所依据的科学数据、提供作为医疗保健一部分的疫苗或指导治疗方案和算法方面发挥着关键作用。例如,药剂师通常是许多社区中最容易获得的卫生保健专业人员,他们通过回答问题、揭穿神话和管理疫苗来促进疫苗教育。它们的可信度和与公众的频繁互动使它们成为加强疫苗教育的重要伙伴。医生、执业护士、护士和联合卫生专业人员也有一个独特的机会,通过提供个性化的疫苗咨询,解决恐惧和疑虑,并讨论治疗的风险和益处,在与患者接触时进行教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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