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Doctors may refuse swine flu vaccine

Shiloh

Editor, Senior Moderator
Source: http://u.tv/News/Doctors-may-refuse-swine-flu-vaccine/eb7be038-c179-4e26-83f5-1cae7f7b1a3d

Doctors may refuse swine flu vaccine

Several studies suggest up to 60% of GPs would oppose being immunised because they are concerned the safety trials will be rushed
Monday, 24 August 2009

Many GPs, as well as their patients, may be reluctant to be immunised against swine flu once a vaccine is developed, surveys suggest today.

A survey of GPs published on Healthcare Republic, the website of GP magazine, found that up to 60% of GPs may decline vaccination. Although the numbers who responded were small ? 216 GPs ? they are in line with a much bigger survey of nurses published a week ago by Nursing Times, which found that a third of 1,500 nurses would refuse vaccination.

A Canadian study published today in the journal Emerging Health Threats suggests the public, too, will have reservations that must be overcome if a vaccination campaign is to be successful in the autumn or winter. The study, which used focus groups to establish the likely response of different people to a vaccine, pointed to the need to win over people who believe that alternative therapies and a good diet are a better option than vaccines.

But the biggest problem in persuading people and healthcare professionals to have the jab may be the relative shortage of evidence from trials about its safety and efficacy. Because of the urgent need for a vaccine, testing will be limited.

Among the GPs who responded to the survey published by Healthcare Republic, 29% said they would not choose to have the vaccine and 29% said they were unsure whether or not they would.

The biggest reason given by those who said they would not have it was concern that the safety trials would not be adequate: 71.3% said they were "concerned that the vaccine has not yet been through sufficient trials to guarantee safety". Half ? 50.4% ? said they "believe that swine flu is too mild to justify taking the vaccine". Only 8.7% said they did not believe they were at risk.


Professor David Salisbury, director of immunisation for the Department of Health, commented on the website that frontline health workers have responsibilities to other people. "They have a duty to their patients not to infect their patients and they have a duty to their families," he said. "I think you solve those responsibilities by being vaccinated."

The Department of Health played down the results, saying that the small number of responders could not accurately be said to reflect the opinions of all GPs. But a spokesman added: "GPs will have an important role in the height of a pandemic. Getting the swine flu vaccine will protect them and their patients. That's why we're offering GPs the vaccine as a priority. Of course, vaccination will be optional, but the vaccine is being carefully assessed for safety and will be licensed before it is used."

Many of those questioned in focus groups for the study in Emerging Health Threats felt uneasy about vaccination for an illness perceived as mild. Others felt they could protect themselves through handwashing, keeping their distance from other people and even a good diet.


The survey results appeared as the department of health announced 14 new fast-tracked research projects into various aspects of swine flu, costing ?2.25m. These include work to establish how long somebody with the virus is contagious and to establish the "safe distance" from a patient. Other projects will look at whether closing schools ? which was the early response to the epidemic ? stops spread and whether facemasks for healthcare workers are worthwhile.

guardian.co.uk ? Guardian News and Media 2009
 
Re: Doctors may refuse swine flu vaccine

Half of GPs refuse swine flu vaccine over testing fears

By Daily Mail Reporter
Last updated at 8:42 AM on 25th August 2009

* Comments (40)
* Add to My Stories


Of the GPs surveyed, almost a third said they would not have the swine flu vaccine because they did not think it had been through sufficient safety trials

Of the GPs surveyed, almost a third thought the swine flu vaccine had not been tested enough

Up to half of family doctors do not want to be vaccinated against swine flu.

GPs will be first in the line for the jabs when they become available but many will decline, even though they will be offering the vaccine to their patients.

More than two thirds of those who will turn the jab down believe it has not been tested enough. Most also believe the flu has turned out to be so mild in the vast majority of cases that the vaccine is not needed.

Last night Government experts criticised GPs who decide not to have the jab, saying they will put vulnerable patients needlessly at risk.

A week ago, a poll of nurses showed that a third would turn down the opportunity of being vaccinated against swine flu.

News that medics are unconvinced by the need for a vaccine will cause grave concern to patients who will be invited for the jab over the next few months.

A poll of doctors for Pulse magazine found that 49 per cent would reject the vaccine with 9 per cent undecided.

A separate survey for GP magazine found that 29 per cent would definitely opt out of having the jab, while a further 29 per cent were unsure. Just 41 per cent said they would definitely have the jab.

Of those who said they did not want to jab, 71 per cent said it was because of safety concerns.

Richard Hoey, editor of Pulse, said: 'The medical profession has yet to be convinced by the Government's whole approach to swine flu, with most GPs now feeling that the Department of Health overreacted in its policy on blanket use of Tamiflu.

'Inevitably, that has coloured feelings about the planned immunisation campaign.

'The view among many doctors is that the Government hasn't yet made its case for why such a huge vaccination programme needs to be rushed in for what seems to be an unusually mild illness.'

But Professor David Salisbury, the Department of Health's director of immunisation, told GP magazine that frontline health workers had a duty to themselves regarding vaccination.

'They have a duty to their patients not to infect their patients and they have a duty to their families,' he said.

The Pulse survey questioned 15 doctors, while GP spoke to 216.

The poll raised further questions over the Government's planned mass vaccination programme. The jab, currently being processed, will be fast tracked and will not be fully tested before it is administered to patients.

There are also concerns the jab can spark cases of Guillain Barre Syndrome, which can lead to paralysis and even death.

A mass swine flu vaccination programme in the U.S. in 1976 caused far more deaths than the disease it was designed to combat, and the Health Protection Agency watchdog has asked doctors to look out for cases of GBS when the vaccinations begin.

Earlier this month, Chief Medical Officer Sir Liam Donaldson announced that the jab will be given to people in high-risk groups, such as those with asthma or diabetes, as well as health workers such as GPs and nurses.

Some 14million people will be covered by the first wave of the vaccination programme, with everyone else following over the next few months.

The BMA is still negotiating with doctors over how they should be paid to give out the jabs. The union is demanding ?7 for every injection.

A spokesman for the BMA said: 'The new vaccine has been thoroughly tested and we believe it should provide good protection against swine flu.

'It is important that doctors are among the first to be offered the vaccine as it will not only protect them but the patients they care for.

However, doctors like all individuals have the right to decide whether they are vaccinated or not.'
http://www.dailymail.co.uk/news/article-1208716/Half-GPs-refuse-swine-flu-vaccine-testing-fears.html
 
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