🧵 1/#covidvaccine anxiety-SRO view from a #vaccineclinic. In every clinic I’ve been part of (and that’s many) there are always some who are particularly anxious about being #vaccinated. Today we saw several who reported not wanting to carry the anxiety over #christmas.
2/years as a dr have taught me most humans often find uncertainty or new things #anxiety provoking to some degree. #COVID19 and #covidvaccine are all of these things in some measure & patients will go a long way to find a clinic that aren’t reassuring it’s ok to feel #anxious
3/what can help with #CovidVaccine anxiety? Firstly recognise it and accept it. It’s ok if not normal to be worried. #anxiety drives a need to look for reassurance +information- the latter can be conflicting and misinformed and worsen #anxiety. Speak to medical professionals.
4/remember that risk is a 2 sided coin; there are always risks of inaction as well as action. Not being #vaccinated comes with risks. Sometimes big risks; short and long term ones. If you are unsure you need a discussion on the full balanced picture- be careful who you look to.
5/don’t be afraid to turn up to a #vaccine site and proclaim your #anxiety. Most clinicians will detect it but taking control of it and addressing it upfront can help both of you. No #vaccine clinician will force you to be #vaccinated. We have people turn up chat and leave often.
6/bring someone with you as support- mums, sisters, best mates we’ve met them all. We want you to feel secure and supported. Despite having done tens thousands/hundred thousands at each site every #jab is important to us. You are not just a number to us.
7/tell us what if anything is making you particularly anxious- that you may have a reaction? The needle will hurt? You will get side effects? You might faint? Fertility concerns? I guarantee it won’t be alarming to us but we will recognise it is to you and support you. #COVID19
8/if after all this you leave #unvaccinated be proud that you came this far. I’ve met patients who went ‘through with it’ on their 6th attempt. What awesome determination and persistence. This journey is a long one but we will get through it stronger together. #CovidVaccine

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More from @DrWallBolton

29 Jul
1/ SRO #covidvaccines Bolton experience of the young and the #covidvaccine. Thread
2/ As I have moved between our somewhat quieter vaccine sites recently and speak to staff including #volunteers they often look a little forlorn these days and ask ‘why do you think young people aren’t as keen to get the #covidvaccine?’
3/ we are infact doing relatively well in #bolton with higher than average uptake rates in our 18-24s. The day over 25s became eligible we were optimistic to see over a million vaccines booked in 24 hours in England. I’ve seen thousands of keen young people take the #vaccine
Read 13 tweets
13 Jul
1/#pregnancy and #covidvaccine: SRO Bolton view-thread. I gave the very first #Bolton #covidvaccine in Dec 2020. I was nervous. It felt like a monumental moment for us all. We were telling people then that over 40,000 people had had the #vaccine at this point.
2/ we were also telling people they couldn’t have it if they were pregnant or planning a pregnancy. We had no reason to think it was unsafe but we had no evidence that it wasn’t. Thousands of women heard the ‘don’t have if planning pregnancy’ and believed it caused infertility.
3/ we spent weeks/ months trying to bust the infertility myth as young carers and health carers declined in the hope of a pregnancy. Pretty soon suspicion became reality that 1. Pregnant women could get really sick with Covid 2. Vaccinated pregnant women were doing just fine
Read 13 tweets
24 Jun
1/ SRO vaccine Bolton - experience of #VaccineHesitancy thread. #WHO defines vaccine hesitancy as a “delay in acceptance or refusal of safe vaccines despite availability of vaccine services’’ As lead for vaccines in UK #covid hotspot #bolton this is of interest to people I meet
2/#WHO specifies complacency, convenience, confidence, and sociodemographic contexts as factors. #bolton is a diverse town with over 10 years life expectancy variance between rich and poor areas and hugely different healthy life expectancy #inequalities
3/ Feb 21 -data started to emerge that poorer parts town had lower uptake. People worried that misinformation, digital poverty, cultural beliefs etc meant people didn’t want the #vaccine in these areas. Other parts of town consistently hitting >95% uptake in eligible cohorts.
Read 12 tweets
22 Jun
By request: Lessons Learned; Surge Vaccinating at rise of Delta Variant May/June 21 -SRO Vaccine lead Bolton (long thread 1/14)
uptake at rapidly ‘installed’ local vaccine sites was heavily supported by community ‘warm up’ and engagement via multiple methods:
2/social media, local and national media, interaction with local faith and community leaders and street level population visibility and engagement eg door knocking, leafleting- this created a ‘social movement’ of action across the town calling people to be tested and vaccinated.
3/Cross organisation working and system relationships across @BoltonCCG, @boltoncouncil @PHBolton1 colleagues was a significant factor in aligning key messaging and action– hands face space, isolate, testing and vaccination-a joint approach across our population to get rates down
Read 14 tweets

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