Between individualism and social solidarity in vaccination policy: the case of the 2013 OPV campaign in Israel.
Between individualism and social solidarity in vaccination policy: the case of the 2013 OPV campaign in Israel.
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DOI：
10.1186/s13584-016-0119-y
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发表时间：
2016
影响因子：
4.5
通讯作者：
Davidovitch N
中科院分区：
文献类型：
--
作者：
Boas H;Rosenthal A;Davidovitch N
2013年夏季，在污水中发现脊髓灰质炎病毒样本后，以色列发起了一场密集的全国口服脊髓灰质炎疫苗运动。该运动的临床目标相当明确。由于没有一例婴儿麻痹症病例，而且人口已经受到IPV（一种死亡疫苗）的高度保护，目标是培养集体免疫力，以便风险人口也能得到保护。然而，这带来了一个相当不寻常的问题：如何说服那些孩子已经接受了IPV的父母重新给他们的孩子接种疫苗，现在他们接种的是2004年被排除在国家疫苗接种计划之外的减毒活病毒。因此，挑战是呼吁社会团结-要求父母为他们的孩子接种疫苗，主要是为了保护未知的高危人群，并参与根除脊髓灰质炎计划的更大的全球目标。这一挑战是我们调查的核心。我们认为2013年夏季的OPV运动是一个很好的案例，研究了在寻求公众合作时个人主义和社会团结之间的紧张关系。我们借鉴了一项定性研究，其中包括参与者观察，文件审查和采访决策者，家长，记者，公共卫生专家和社区领导人。这些数据进行了分析，以解开的方式，其中自我利益，社区和团结的设想由不同的代理人在疫苗接种运动。家庭作为社会团结的象征，是公共运动中的主要论述项目。在不同的登记册和机构之间发现了紧张、不协调和不一致的情况，即什么是利害攸关的，什么是需要的。我们讨论了我们的研究结果的伦理和社会影响，以更好地了解如何说服在当前的情况下，其未来的作用在类似的事件中，在以色列境内和境外，当全球努力消除脊髓灰质炎正在进行。
During the summer of 2013, after samples of poliomyelitis virus were found in sewage, Israel launched an intensive national oral polio vaccine (OPV) campaign. The clinical objective of the campaign was rather clear. With not a single case of infantile paralysis and with a population already highly protected with IPV (a dead version of the vaccine), the goal was to foster collective immunity so that risk populations could also be protected. This, however, entailed a rather unusual issue: how to persuade parents whose children already received an IPV to re-vaccinate their children, now with a live yet attenuated version of the virus that was excluded from the national vaccination program in 2004. The challenge therefore was a call for social solidarity - asking parents to vaccinate their children mainly for the sake of protecting unknown at risk populations and to take part in the larger global goals of the polio eradication program. This challenge stands at the core of our investigation. We see the OPV campaign of summer 2013 as a good case study of the tension between individualism and social solidarity in seeking the cooperation of the public. We draw on a qualitative study that included participant observation, document reviews and interviews with policy-makers, parents, journalists, public health experts and community leaders. These data were analyzed in order to unravel the ways in which self-interest, community and solidarity were conceived by different agents during the vaccination campaign. The family as a metaphor for social solidarity was the main discursive item in the public campaign. Tensions, dissonances and inconsistencies were found between different registers and agencies as to what is at stake and what is required. We discuss the ethical and social implications of our findings in order to better understand how persuasion was used in the current case and for its future role in similar events, within and outside Israel, when global efforts to eradicate polio are ongoing.
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影响因子：
3.3
作者：
Daniels, Norman
通讯作者：
Daniels, Norman
影响因子：
2.2
作者：
Selgelid, MJ
通讯作者：
Selgelid, MJ
影响因子：
4.1
作者：
Holm, S
通讯作者：
Holm, S
影响因子：
19
作者：
Manor, Y.;Shulman, L. M.;Mendelson, E.
通讯作者：
Mendelson, E.
影响因子：
2.2
作者：
Closser, Svea;Rosenthal, Anat;Nyirazinyoye, Laetitia
通讯作者：
Nyirazinyoye, Laetitia