Vaccine confidence plummets in the Philippines following dengue vaccine scare: why it matters to pandemic preparedness

In November 2017, it was announced that the new dengue vaccine (“Dengvaxia”) had risks for those not previously exposed to dengue. While some countries proceeded with adjusting guidance accordingly, the Philippines reacted with outrage and political turmoil with naming and shaming of government offi...

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Main Authors: Heidi J Larson, Kenneth Hartigan-Go, Alexandre de Figueiredo
Format: Article
Language:English
Published: Taylor & Francis Group 2019-03-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2018.1522468
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author Heidi J Larson
Kenneth Hartigan-Go
Alexandre de Figueiredo
author_facet Heidi J Larson
Kenneth Hartigan-Go
Alexandre de Figueiredo
author_sort Heidi J Larson
collection DOAJ
description In November 2017, it was announced that the new dengue vaccine (“Dengvaxia”) had risks for those not previously exposed to dengue. While some countries proceeded with adjusting guidance accordingly, the Philippines reacted with outrage and political turmoil with naming and shaming of government officials involved in purchasing the vaccine, as well as scientists involved in the vaccine trials and assessment. The result was broken public trust around the dengue vaccine as well heightened anxiety around vaccines in general. The Vaccine Confidence ProjectTM measured the impact of this crisis, comparing confidence levels in 2015, before the incident, with levels in 2018. The findings reflect a dramatic drop in vaccine confidence from 93% “strongly agreeing” that vaccines are important in 2015 to 32% in 2018. There was a drop in confidence in those strongly agreeing that vaccines are safe from 82% in 2015 to only 21% in 2018; similarly confidence in the effectiveness of vaccines dropped from 82% in 2015 to only 22%. This article highlights the importance of routinely identifying gaps or breakdowns in public confidence in order to rebuild trust, before a pandemic threat, when societal and political cooperation with be key to an effective response.
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spelling doaj.art-70e45e432b59411584302788c74165b72023-09-22T08:38:23ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2019-03-0115362562710.1080/21645515.2018.15224681522468Vaccine confidence plummets in the Philippines following dengue vaccine scare: why it matters to pandemic preparednessHeidi J Larson0Kenneth Hartigan-Go1Alexandre de Figueiredo2London School of Hygiene & Tropical MedicineAsian Institute of ManagementImperial College LondonIn November 2017, it was announced that the new dengue vaccine (“Dengvaxia”) had risks for those not previously exposed to dengue. While some countries proceeded with adjusting guidance accordingly, the Philippines reacted with outrage and political turmoil with naming and shaming of government officials involved in purchasing the vaccine, as well as scientists involved in the vaccine trials and assessment. The result was broken public trust around the dengue vaccine as well heightened anxiety around vaccines in general. The Vaccine Confidence ProjectTM measured the impact of this crisis, comparing confidence levels in 2015, before the incident, with levels in 2018. The findings reflect a dramatic drop in vaccine confidence from 93% “strongly agreeing” that vaccines are important in 2015 to 32% in 2018. There was a drop in confidence in those strongly agreeing that vaccines are safe from 82% in 2015 to only 21% in 2018; similarly confidence in the effectiveness of vaccines dropped from 82% in 2015 to only 22%. This article highlights the importance of routinely identifying gaps or breakdowns in public confidence in order to rebuild trust, before a pandemic threat, when societal and political cooperation with be key to an effective response.http://dx.doi.org/10.1080/21645515.2018.1522468vaccine confidencedengue vaccinedengvaxiaphilippinespandemic preparednessrisk perceptionpublic trustvaccine confidence index
spellingShingle Heidi J Larson
Kenneth Hartigan-Go
Alexandre de Figueiredo
Vaccine confidence plummets in the Philippines following dengue vaccine scare: why it matters to pandemic preparedness
Human Vaccines & Immunotherapeutics
vaccine confidence
dengue vaccine
dengvaxia
philippines
pandemic preparedness
risk perception
public trust
vaccine confidence index
title Vaccine confidence plummets in the Philippines following dengue vaccine scare: why it matters to pandemic preparedness
title_full Vaccine confidence plummets in the Philippines following dengue vaccine scare: why it matters to pandemic preparedness
title_fullStr Vaccine confidence plummets in the Philippines following dengue vaccine scare: why it matters to pandemic preparedness
title_full_unstemmed Vaccine confidence plummets in the Philippines following dengue vaccine scare: why it matters to pandemic preparedness
title_short Vaccine confidence plummets in the Philippines following dengue vaccine scare: why it matters to pandemic preparedness
title_sort vaccine confidence plummets in the philippines following dengue vaccine scare why it matters to pandemic preparedness
topic vaccine confidence
dengue vaccine
dengvaxia
philippines
pandemic preparedness
risk perception
public trust
vaccine confidence index
url http://dx.doi.org/10.1080/21645515.2018.1522468
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