Vaccine Hesitancy in France

HL 322 Fall 2019

https://francevaccinehesitanc
y.weebly.com/

Presented by Kasi Lackhouse, Hannah Laurila, Mike

Sommers, Kyla Behling
 About Us

Kyla Behling Hannah Laurila Kasi Lackhouse Mikey Sommers

- NMU Surgical Tech - NMU - NMU Biology Major - NMU Nursing

Major Microbiology - Intern at LCHD Major
Major during the summers
- Works at Central - graduated the lpn
- Works as lab - Volunteers with the
Sterile assistant at Northern Museum of - Currently bsn,
- Wants to move to UPHSM Zoology - Has experience
Grand Rapids and - Pre PA Program - Wants to be an with home health
work at Butterworth - Wants to travel and Ecologist of care
Hospital work as a PA conservation - Wants to be a
- Eventually Travel nurse
Tech
Overview
Vaccinations have been known to be the most
effective way to prevent diseases since the 20th
century.

Vaccines promote “herd immunity”...

What is Vaccine Hesitancy?

“Vaccine hesitancy refers to the delay in acceptance or refusal of

vaccines despite availability of vaccination services.” ​
Overview

Vaccine hesitancy
is 1 of 10 leading
threats of global
health in 2019!
Vaccine Hesitancy in France

Do you think that vaccines are safe?

1 in 3 people in
France don’t
believe that
vaccines work!
Vaccine Hesitancy in France

In order to fight against

vaccine hesitancy in France,
eight new vaccines were
voted into being required
along with the three vaccines
that were already mandatory
on January 1, 2018.
 Historical Aspect
● First concerns of vaccinations in France
○ 1990’s when members of the public and
nurses raised concerns
● Espace Ethiue
○ Structure created in 1995 by the Emmanuel
Hirsch within the Paris public hospital group
 Historical Aspect (cont.)
● Implications France administered to better the
public’s health
○ Vaccination calendars
● Herd Immunity
○ What is it?
○ When was it first talked about?
○ Is this actually something helpful to the
community?
 Political Aspect (cont.)
● France has the highest prevalence of vaccination hesitation in the world
● Lack of education
● Media
● Attitudes toward vaccine
hesitancy vary across each
side of the spectrum
● Coverage of important
vaccinations have greatly
decreased.
 Political Aspect
● French government implementing mandatory vaccinations
● Campaign aimed to vaccinate 70% of the general population to fight the flu in
2009
○ Debates rose about policy, safety, and cost
 Environmental Aspect
● Vaccines reduce risk of infection
● Crucial for extreme ages
○ Infancy, and the elderly (65+)
● There are many different factors that influence the
immune response to vaccinations
○ Age, sex, infections, parasites, antibiotics,
alcohol consumption, immunocompromised
persons
 Critical Thinking
● Critical thinking skills
○ Analysis
○ Interpretation
○ Explanation
○ Open-mindedness
○ Problem-solving
 ● France’s Cultural values are
very similar to those of the U.S.

Cultural Aspect ● France’s Health Care in 2000

v.s. Health Care now.

● What is being done about

these changes?
Economic Aspect
● France’s Economy is the 5th largest in the
word.
● It represents around one fifth of the euros
gross domestic product.
● Their total expenditure per capita in 2014
was 4,508
● Their total expenditure on health was
11.5%
● How does France make most of its
money?
Economic Aspect Continue...
Design Aspect

In 1998 Dr. Andrew Wakefield, and his

colleagues published in The Lancet Journal, the
world’s oldest prestigious medical journal,
information stating there was a link between the
MMR vaccine and autism. This article turned
tens of thousands of parents away from
vaccination. In 2010 it was Lancet retracted this
article after it was proven wrong, and the
doctor's licenses was revoked.
Interventions
● ​Vaccine campaigns are a major aid based way of trying to address vaccine
hesitancy in not only France, but Europe as a whole due to high outbreaks of
neisseria meningitidis, measles, and H1N1.
● The Men C campaign
● Vaccine Campaigns for Medical Staff
● Vaccinations Targeting Precarious populations
● National Immunization Campaign against H1N1
● Immunization Campaign Targeting Children
Interventions continued
● Mandatory Vaccinations in France
○ Diphtheria
○ Tetanus
○ Polio
○ Whooping cough
○ Measles
○ Mumps
○ Rubella
○ Hepatitis B
○ Influenza
○ Pneumonia
○ Meningitis C
MEASLES IS ON THE RISE AROUND THE
WORLD
● More than 3 million people die each year from vaccine preventable diseases
● More than 41,000 children and adults in Europe were infected with measles
● In the U.S., there had been 142 confirmed cases of measles in 2018
MEASLES IS ON THE RISE AROUND THE WORLD

● This video describes real families that are affected by vaccine hesitancy.
● Shows the importance of vaccinating your children for immunocompromised
children that are not able to get immunized.
References
● (1) K.Wardab, J., & JamesColgrovec. (2018, March 2). Why France is making
eight new vaccines mandatory. Retrieved from
https://www.sciencedirect.com/science/article/pii/S0264410X18302949.
● (2) Partouche, H., Gilberg, S., Renard, V., & Saint-Lary, O. (2019). Mandatory
vaccination of infants in France: Is that the way forward?. The European
journal of general practice, 25(1), 49–54.
doi:10.1080/13814788.2018.1561849
● (3) Fokoun C. (2018). Strategies implemented to address vaccine hesitancy
in France: A review article. Human vaccines & immunotherapeutics, 14(7),
1580–1590. doi:10.1080/21645515.2018.1458807
● (4) Ward, J. K., Colgrove, J., & Verger, P. (2018, March 2). Why France is
making eight new vaccines mandatory. Retrieved from