Really interesting presentation by @DrNancyM_CDC. Many more patients have heard of the “disadvantages” of vaccines. Thread 
Look at how medical exemptions (which let unvaccinated kids attend school) cluster in Northern California. Hard to believe that this affluent area is more disease-ridden than rest of state
Staying at home is a good way to prevent spread of COVID-19. But it’s made parents stop taking kids for checkups and vaccinations. Increases the risk of measles ON TOP of COVID-19 and flu this winter
More kids susceptible to measles
@DrNancyM_CDC notes that while most kids get vaccinated eventually, 1/3 are late with vaccines, leaving them vulnerable longer.
Kids without health insurance are NINE times less likely to be fully vaccinated by age 2, says @DrNancyM_CDC
Trust in vaccines is lower among black and Hispanic parents, says @DrNancyM_CDC.
Using fear as a motivator to increase vaccination doesn't last very long, said @DrNancyM_CDC. Building trust is a more lasting solution.
@DrNancyM_CDC said their new approach is not to debunk myths and counter vaccine hesitancy, but to build take a positive, proactive strategy to build "vaccine confidence."
@DrNancyM_CDC says public health staff should identify vulnerable pockets to stop outbreaks of measles, other diseases before they start.
This was a good webinar earlier this week. @DrNancyM_CDC says that mothers develop attitudes toward vaccines during pregnancy that last for a really long time. This is a critical time to build trust in vaccines, she said.
Pediatricians are keeping kids safe during routine vaccinations by scheduling well-child visits in morning, sick-care visits in afternoon. So you can be more confident that the doctor's office is clean and germ-free when you arrive, said @DrNancyM_CDC
All three speakers at this @nasem conference note that convenience is a huge factor in getting kids vaccinated. That's one reason babies get multiple vax at one visit. If doctors were to split them up, babies would be more likely to fall behind schedule.
@DubeEve notes that public health staff should work with religious leaders to build trust in vaccines.
