KAHPERD Presentation - Blevins, Murphy, Wells & Rathbun
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Transcript of KAHPERD Presentation - Blevins, Murphy, Wells & Rathbun
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8/14/2019 KAHPERD Presentation - Blevins, Murphy, Wells & Rathbun
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Dispelling MythsDispelling MythsRegardingRegarding
Immunization andImmunization andAutismAutism
Kayla BlevinsKayla Blevins
Scott MurphyScott Murphy
Cindy WellsCindy Wells
Ann RathbunAnn Rathbun
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The Real QuestionThe Real Question
Health of the Public vs. IndividualHealth of the Public vs. IndividualFreedomFreedom
IsolationIsolation
QuarantineQuarantine
Mandatory immunizationsMandatory immunizations
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The ContextThe Context
Consumer HealthConsumer Health
A field of study that assesses what factsA field of study that assesses what factsexist about health & health care and howexist about health & health care and how
people go about distinguishing facts frompeople go about distinguishing facts frommisinformationmisinformation
Parents getting accurate infoParents getting accurate info
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Context - continuedContext - continued
Community HealthCommunity HealthPrivate and public (government) efforts ofPrivate and public (government) efforts of
individuals, groups and organizations toindividuals, groups and organizations to
protect and improve the health of theprotect and improve the health of thecommunity.community.
Public Health & ImmunizationsPublic Health & Immunizations
Re-emergence of diseaseRe-emergence of disease
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Consumer Health ProjectConsumer Health Project
Research Groups (2)Research Groups (2)
Interview GroupInterview Group
Material CreatorsMaterial CreatorsMaterial DistributorsMaterial Distributors
Advocacy GroupAdvocacy Group
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Consumer Health ProjectConsumer Health Project
Parents opting out of vaccination forParents opting out of vaccination forchildren.children.
Discovering why some children are notDiscovering why some children are notgetting immunized.getting immunized.MMRMMR
Chicken PoxChicken Pox
DTPDTP
Hepatitis A/BHepatitis A/B
MeningitisMeningitis
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Background/HistoryBackground/History
Wakefield et al, February 1998Wakefield et al, February 1998
Widely publicized in the British pressWidely publicized in the British press
MMR immunization rates fell fromMMR immunization rates fell from92% to 73%92% to 73%
Resulted in measles outbreakResulted in measles outbreak
First measles death in a decadeFirst measles death in a decadeStudy significantly flawed and discreditedStudy significantly flawed and discredited
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Community Health AssignmentCommunity Health Assignment
Mary Mallon ReadingsMary Mallon Readings
Discussion GuideDiscussion Guide
Class (small-group) DiscussionsClass (small-group) DiscussionsCase study questionsCase study questions
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Case StudiesCase Studies
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History of immunizations and crisesHistory of immunizations and crises
Mary Mallon (Typhoid)Mary Mallon (Typhoid)
Ellen Seigal (Small Pox)Ellen Seigal (Small Pox)
Andrew Speaker (TB)Andrew Speaker (TB)HPV (Factors affecting decision making)HPV (Factors affecting decision making)
SARS (Risk Communication)SARS (Risk Communication)
Smoking BansSmoking Bans
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At IssueAt Issue
Covenant Of TrustCovenant Of TrustDefinedDefined
Violation of Individual Rights Protected by theViolation of Individual Rights Protected by the
ConstitutionConstitution44thth Unreasonable search and seizure Unreasonable search and seizure
88thth No excessive cruel and unusual punishment No excessive cruel and unusual punishment
1010thth Limits the power of the Federal Government Limits the power of the Federal GovernmentReserved powers to the States or to the people.Reserved powers to the States or to the people.
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Typhoid MaryTyphoid Mary
Oyster Bay, New York in 1904Oyster Bay, New York in 1904 First recognized as a carrier of the typhoid bacteriaFirst recognized as a carrier of the typhoid bacteria She worked as a cookShe worked as a cook
1907: North Brother Island, Bronx, New York1907: North Brother Island, Bronx, New York
1910: Health Department released her on one condition; that1910: Health Department released her on one condition; thatshe never accept employment that involved the handling ofshe never accept employment that involved the handling offood.food.
1914: Another outbreak; she was returned to North Brother1914: Another outbreak; she was returned to North BrotherIsland.Island.
1938: Died after a paralytic stroke (6 years)1938: Died after a paralytic stroke (6 years) Fifty-one original cases of typhoid and three deaths wereFifty-one original cases of typhoid and three deaths were
directly attributed to Typhoid Mary.directly attributed to Typhoid Mary. She herself was immune to the typhoid bacillus. (She herself was immune to the typhoid bacillus. (SalmonellaSalmonella
typhityphi).).
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Andrew SpeakerAndrew Speaker
Atlanta man who had spent nearly two weeks traveling in theAtlanta man who had spent nearly two weeks traveling in theUnited States, Canada and EuropeUnited States, Canada and Europe
Extensively drug-resistant" tuberculosis.Extensively drug-resistant" tuberculosis. A rare and often fatal form of the infectionA rare and often fatal form of the infection Killed 52 of 53 South Africans in 2005/2006Killed 52 of 53 South Africans in 2005/2006
The Centers for Disease Control and Prevention imposed anThe Centers for Disease Control and Prevention imposed an"order of isolation" after he had left the U.S."order of isolation" after he had left the U.S.
Passed Canadian BorderPassed Canadian Border He was flown in a government plane on Memorial Day toHe was flown in a government plane on Memorial Day to
Atlanta, where he underwent treatment.Atlanta, where he underwent treatment. States occasionally use their authority to forcibly detain andStates occasionally use their authority to forcibly detain and
treat patients with infections.treat patients with infections. 1963 case1963 case
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Andrew Speaker (Cont.)Andrew Speaker (Cont.)
Ignored advice by Europe healthIgnored advice by Europe healthauthorities not to take a commercial flightauthorities not to take a commercial flight
home.home.
Broke the "Broke the "covenant of trustcovenant of trust"" Health authorities wanted to trace the peopleHealth authorities wanted to trace the people
who sat in his row and two rows in front of andwho sat in his row and two rows in front of and
behind him (transatlantic flights).behind him (transatlantic flights). Officials stated that the man had relatively littleOfficials stated that the man had relatively little
TB bacteria in his phlegm.TB bacteria in his phlegm.
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Ellen SiegelEllen Siegel
Small Pox CaseSmall Pox Case
New York City July 25, 1963New York City July 25, 1963
Ellen Siegel Mother of New York CityEllen Siegel Mother of New York Citylawyer: Helen Minkinlawyer: Helen Minkin
Federal isolation for 14 daysFederal isolation for 14 days
Stockholm small pox infected areaStockholm small pox infected areaNo proof of vaccination (small pox)No proof of vaccination (small pox)
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Factors likely to affect decisionFactors likely to affect decision
making:making: Many factors are likely to affect an immunizationMany factors are likely to affect an immunization
decision (HPV):decision (HPV): Individual beliefs about susceptibilityIndividual beliefs about susceptibility Perceptions of vaccine effectivenessPerceptions of vaccine effectiveness
Family and parental attitudesFamily and parental attitudes Sexual and cultural practicesSexual and cultural practices Provider attitudesProvider attitudes Reactions to qualities of the vaccine or immunizationReactions to qualities of the vaccine or immunization
program (e.g., out-of-pocket costs, mode of vaccineprogram (e.g., out-of-pocket costs, mode of vaccine
delivery).delivery). Fears about getting cervical cancerFears about getting cervical cancer Fairness for who gets the vaccine (poverty and abilityFairness for who gets the vaccine (poverty and ability
to pay)to pay)
Public fears discriminationPublic fears discrimination
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Smoking Bans
Kentucky Law
Prohibits smoking in any public buildingincluding but not limited to:
food service businesses bars
taverns
bingo and bowling centers
pool hall
public areas in hotels/motels
any other building with public access.
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Smoking Ban (Cont.)
Fines$100 for the first offence
$250 for the second offence
$500 for the third and after
ExemptionsPrivately owned homes
Businesses with designated smoking areas
Different for every County in Kentucky
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Solutions
EducationEducationFamilyFamily
PTA or PTOPTA or PTOHome ExtensionHome Extension
The PulpitThe PulpitLocal Health departments actions, publicityLocal Health departments actions, publicity
StudentsStudentsPublic SchoolsPublic Schools
School nursesSchool nurses
Comprehensive Health Education/Consumer healthComprehensive Health Education/Consumer health
http://www.cfah.org/hbns/PreparedPatient/Prepared-Patiehttp://www.cfah.org/hbns/PreparedPatient/Prepared-Patie
http://www.cfah.org/hbns/PreparedPatient/Prepared-Patient-Vol1-Issue3.cfmhttp://www.cfah.org/hbns/PreparedPatient/Prepared-Patient-Vol1-Issue3.cfmhttp://www.cfah.org/hbns/PreparedPatient/Prepared-Patient-Vol1-Issue3.cfm -
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Solutions
EducationEducationStudentsStudentsPublic SchoolsPublic Schools
School nursesSchool nursesComprehensive Health Education/ConsumerComprehensive Health Education/Consumer
healthhealth
http://www.cfah.org/hbns/PreparedPatient/Prepared-http://www.cfah.org/hbns/PreparedPatient/Prepared-
http://www.cfah.org/hbns/PreparedPatient/Prepared-Patient-Vol1-Issue3.cfmhttp://www.cfah.org/hbns/PreparedPatient/Prepared-Patient-Vol1-Issue3.cfmhttp://www.cfah.org/hbns/PreparedPatient/Prepared-Patient-Vol1-Issue3.cfm -
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Solutions
Education, cont.Education, cont.Providers (doctors, nurses, NPs, PAs,Providers (doctors, nurses, NPs, PAs,
Pharmacists)Pharmacists)Have readable information for patientsHave readable information for patientsKnow your patients (social hx)Know your patients (social hx)
Cultural competence issuesCultural competence issues
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Solutions
Skill buildingSkill buildingCritical thinkingCritical thinking
Problem solvingProblem solving
Media literacyMedia literacy
Health literacyHealth literacy
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Advocacy
Talking, talking, talkingTalking, talking, talking
Letters to the editors, city leaders, countyLetters to the editors, city leaders, countyleadersleaders
The production of radio and televisionThe production of radio and televisionshows and documentariesshows and documentaries
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Advocacy
Radio appearancesRadio appearances
Public service announcementsPublic service announcements
Outreach to media and/or PressOutreach to media and/or Pressconferencesconferences
Lobbying government officialsLobbying government officials
Sponsorship of sporting eventsSponsorship of sporting events