Patient 1 response

 

Hi , Your explanation of the immunization plans that you stated you would initiate for these two children sounds like an effective way to manage their vaccination regimen. Being able to differentiate patient specific regimens and immunization plans is important for a provider to understand. There are scenarios and situations where parents are unable to get their child in for a vaccination to complete a series and most patients do not follow the CDC guidelines to an absolute “t”. It is important to be flexible and continue to educate on the importance of vaccines, but not make a patient or parent feel as if they are neglecting their child’s health.There have been numerous occasions that I have had to discuss immunizations with parents. Working in an obstetric unit, infants receive their first dose of Hepatitis B vaccine within the first 24 hours of life. Every patient that I encounter chooses whether or not they would like to receive this vaccine. When a patient declines, it is important to educate them on the importance of this vaccination and provide pertinent information in layman terms. For example, often times parents will stated “I will get it at their first pediatric appointment”. Obviously receiving the vaccine is better than not receiving the vaccine, however, to achieve the most effective immunity from Hepatitis B, CDC (2020) explains that it is important for the infant to receive this vaccine prior to 24 hours of age (CDC, 2020). By providing them with this information and reiterating that this would mean that they would only receive one vaccine at this time would be effective to monitor the infant for any adverse reactions. Suggestions to deal with misinformation on this topic is to have resources that are accessible. Often, patients will respond well if they have the informational materials in front of them and presented without bias. For example, Whitford (2018) and colleagues explains that perinatal HBV transmission is much higher in infants that received the dose late or did not receive all three doses of the series (Whitford et al., 2018). Brief points and explanations are effective to educate parents to encourage vaccination. To summarize, many children have different vaccination schedules and schedules should be personalized. By removing bias, parents often will listen and take things into consideration related to vaccinating their children.ReferencesCDC. (2020). Viral hepatitis: vaccination of infants, children, and adolescents. Retrieved from https://www.cdc.gov/hepatitis/HBV/VaccChildren.htmWhitford, K., Liu, B., Micallef, J., Yin, J. K., Macartney, K., Van Damme, P., & Kaldor, J. M. (2018). Long-term impact of infant immunization on hepatitis B prevalence: a systematic review and meta-analysis. Bulletin of the World Health Organization, 96(7), 484–497. https://doi.org/10.2471/BLT.17.205153

 

 

Patient 3 response

 

Thank you for your post. You provided some good factual information regarding the influenza vaccine and the recommendations for those who may be at increased risk for infection including children and older adults. According to your post vaccinations such as influence help decrease the risk of contagious illness in these age groups (Munnoch, Cashman, Peel, Attia, Hure, & Durrheim, 2019). It is important to educate these age groups on the illnesses that pose them at a greater risk and ways to protect them self through vaccination and other infection prevention measures such as staying away from those who feel ill and proper hand washing. In my line of work in the neonatal ICU I frequently educate families on vaccinations and providing accurate information surrounding vaccination risk and benefits. Providing the families with the vaccination schedule and showing them how vaccinating their children can protect them from various illness has had a positive impact on my experience when getting consent for infant vaccinations. The vaccination schedule also provide families with the ability to see how providing their infant with combination vaccinations allows them to have less shots overall (2020). It has also been important to educate the families on ways they can protect there infant through vaccinating themselves through community or herd immunity which provides coverage to those who may not be able to receive certain vaccinations such as newborns (2020). Education and honest is key when providing factual and not opinion information on vaccinations, risk, and benefits.ReferencesBirth-18 Years Immunization Schedule. (2020, February 03). Retrieved July 15, 2020, from https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.htmlMunnoch, S. A., Cashman, P., Peel, R., Attia, J., Hure, A., & Durrheim, D. N. (2019). Participant-Centered Online Active Surveillance for Adverse Events Following Vaccination in a Large Clinical Trial: Feasibility and Usability Study. Journal of medical Internet research, 21(10), e14791. https://doi.org/10.2196/14791Vaccines Protect Your Community. (2020). Retrieved July 15, 2020, from https://www.vaccines.gov/basics/work/protection

 

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Hi Cynthia, Thank you for your comprehensive and enlightening posting. I’d like to expand on your post and highlight that in the wake of a natural disaster such as a hurricane or flood, public health practitioners are typically concerned about environmental issues and their associations to health. These usually include outdoor air quality, and habitability of homes (indoor air pollution, mold, poor heating and sanitation, structural challenges, electrical and fire hazards, etc.).

What are at least three other environmental issues and considerations and why would they have or pose a significant interest to environmental and occupational health during public health emergencies (either from a preparedness, response or recovery perspective)? I appreciate your thoughts and reflection.

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