Assessment of the commitment to vaccination of outpatient doctors

Background. The commitment to vaccination of outpatient doctors is one of the factors that affects patients’ confidence in preventive vaccinations and, as a result, the incidence of controlled infections. Unfortunately, emotionally colored information is currently spreading among the population faster than scientifically proven facts all over the world.

The aim of this study is the examine of the level of knowledge and attitude to vaccination of doctors in one of the children’s polyclinics in Moscow.

Methods. An anonymous questionnaire survey was conducted among medical doctors of different specialties who expressed their attitude to various aspects of immunoprophylaxis and demonstrated knowledge in this field. Results. The survey demonstrated a positive attitude of respondents towards immunization, while some of them showed a cautious attitude towards the effectiveness and safety of vaccines, misconceptions (erroneous assumptions), increased susceptibility to “myths” about preventive vaccinations.

Conclusion. The level of knowledge of medical doctors on vaccine prevention within a single health care institution range from insufficient training, including misconceptions, to a high level of knowledge and commitment regarding immunization. It is necessary to regularly maintain current theoretical knowledge of doctors and consolidate it in practice.

1. WHO. Global Health Observatory data. Causes of Child Mortality, 2017. In: World Health Organization: Official website. Available online: https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/child-mortality. Accessed on July 17, 2023.

2. Miller NZ, Goldman GS. Neonatal, Infant, and Under Age Five Vaccine Doses Routinely Given in Developed Nations and Their Association With Mortality Rates. Cureus. 2023;15(7):e42194. doi: 10.7759/cureus.42194.

3. WHO. Reported cases of vaccine-preventable diseases (VPDs) globally. In: WHO Immunization dashboard. 2022. Available online: https://immunizationdata.who.int.AccessedonFebruary14, 2024.

4. Государственные доклады «О состоянии санитарно-эпидемиологического благополучия в Российской Федерации» 2019–2022 гг.

5. Roser M, Ochmann S, Behrens H, et al. Eradication of Diseases. In: Our World in Data. 2014. Available online: https://ourworldindata. org/eradication-of-diseases. Accessed on February 14, 2024.

6. WHO. Vaccine-Preventable Diseases. In: World Health Organization: Official website. Available online: https://www.who.int/teams/immunization-vaccines-and-biologicals/diseases. Accessed on February 14, 2024.

7. WHO. Ten threats to global health in 2019. In: World Health Organization: Official website. Available online: https://www.who.int/news-room/spotlight/ten-threats-to-global-health-in-2019. Accessed on February 14, 2024.

8. O sostoyanii sanitarno-epidemiologicheskogo blagopoluchiya naseleniya v Rossiiskoi Federatsii v 2022 godu: State report. Moscow: Federal Service for Supervision of Consumer Rights Protection and Human Welfare; 2022. 368 p. (In Russ).]

9. Bakhmutskaya EV, Mindlina AYa, Stepenko A.V. Pertussis — Morbidity, Immunization Tactics and Diagnostic Methods in Various European Countries. Epidemiology and Vaccinal Prevention. 2018;17(2):71–82. (In Russ). https://doi.org/10.31631/20733046-2018-17-2-71-82

10. Chernova TM, Timchenko VN, Myskina N., et al. Causes of violation of vaccination schedule in young children // Pediatrician (St. Petersburg). 2019;10(3):31–36. (In Russ). https://doi.org/10.17816/PED10331-36

11. Kaliuzhnaia TА, Fedoseenko MV, Namazova-Baranova LS, et al. Overcoming ‘Anti-Vaccination Scepticism’: Seeking a Solution to the Situation. Pediatricheskaya farmakologiya — Pediatric pharmacology. 2018;15(2):141–148. (In Russ). https://doi.org/10.15690/pf.v15i2.1871

12. Briko N.I. Otsenka kachestva i effektivnosti immunoprofilaktiki. Lechaschi vrach. 2012;(10):57. (In Russ).

13. Grinchik PR, NamazovaBaranova LS, Fedoseenko MV, et al. Comparative Analysis of Immunization and Immunization Coverage in Children of Russian Federation Federal Districts. Pediatricheskaya farmakologiya — Pediatric pharmacology. 2022;19(1):6–19. (In Russ). https://doi.org/10.15690/pf.v18i6.2351]

14. Wellcome Global Monitor 2018. Available online: https://wellcome.org/sites/default/files/wellcome-global-monitor-2018.pdf. Accessed on February 14,2024.

15. Bayanova TA, Petrova AG, Vanyarkina AS, et al. Adherence Population to Vaccination of Influenza: Survey Results. Epidemiology and Vaccinal Prevention. 2021;20(1):69–75. (In Russ). https://doi.org/10.31631/2073-3046-2021-20-1-69-75

16. Balaeva ТV, Krieger EA, Samodova ОV, Grjibovski AM. Analysis of factors associated with public confidence in vaccination against viral hepatitis B in Arkhangelsk region. Jurnal Infektologii. 2018;10(1):80–88. (In Russ). https://doi.org/10.22625/20726732-2018-10-1-80-88

17. Briko NI, Mindlina AYa, Galina NP, et al. Adherence to immunoprevention: how to change the situation? Fundamental and Clinical Medicine. 2019;4(4):8–18. (In Russ). https://doi.org/10.23946/2500-0764-2019-4-4-8-18

18. Lopushov DV, Trifonov VA, Imamov AA, et al. The attitude of health workers to vaccination at the present stage. Kazan Medical Journal. 2018;99(5):812–817. (In Russ). https://doi.org/10.17816/KMJ2018-812

19. Dmitriev AV, Fedina NV, Tkachenko TG, et al. Adherence to vaccination for various populations: survey results. Detskiye Infektsii = Children’s Infections. 2019;18(4):32–37. (In Russ). https://doi.org/10.22627/2072-8107-2019-18-4-32-37

20. Yashina MN, Vlasova AA. Parental anti-vaccination skepticism. Social’nye aspekty zdorov’a naselenia [serial online]. 2020;66(1):10. (In Russ). https://doi.org/10.21045/2071-5021-2020-66-1-10

21. Petrova AG, Bayanova TA, Vanyarkina AS, et al. Priverzhennost’ roditelei i vrachei g. Irkutska vaktsinoprofilaktike koklyusha. Yakut Medical Journal. 2021;(2):48–51. (In Russ). https://doi.org/10.25789/YMJ.2021.74.12

22. GolubkovaAA, Platonova TA, Semenenko TA, et al. Multi-Level Monitoring of Vaccination Adherence of Various Population Groups in the Context of the COVID-19 Pandemic: Problematic Issues. Epidemiology and Vaccinal Prevention. 2021;20(6):28–36. (In Russ). https://doi.org/10.31631/2073-3046-2021-20-6-28-36

23. Orlova NV, Fedulaev YN, Filatova MN, Orlova SI. Influence of the media and social media on public opinion about vaccination. Pediatrics. Consilium Medicum. 2020;(4):17–24. (In Russ). https://doi.org/10.26442/26586630.2020.4.200531

24. Platonova TA, Golubkova AA, Koltunova ES, et al. National Vaccination Shedule: Quality of Performance and Determining Factors. Epidemiology and Vaccinal Prevention. 2019;18(2):97– 103. (In Russ). https://doi.org/10.31631/2073-3046-201918-2-97-103

25. Aaromal Ajitha Sureshkumar, Novikova EA, Abhiramy Suprasannan, et al. Attitude and awareness of Indian parents from Kerala state towards children’s vaccination at the COVID-19 pandemic background. Acta biomedica scientifica. 2023;8(6):178– 185. (In Russ). https://doi.org/10.29413/ABS.2023-8.6.17

26. Sutovskaya DV, Pyzhyanova PA, Gabdullina EV, et al. Commitment of health workers and various population groups to vaccination. Rossiyskiy Pediatricheskiy Zhurnal = Russian Pediatric Journal.2023;26(3):205–211.(InRuss).doi:https://doi.org/10.46563/1560-9561-2023-26-3-205-211

27. Plakida AV, Briko NI, Namazova-Baranova LS, et al. Increasing population adherence to vaccination: evaluation and a systematic approach to implementation. Epidemiology and Vaccinal Prevention. 2022;21(3):4–26. (In Russ). https://doi.org/10.31631/2073-3046-2022-21-3-4-26

28. Briko NI, Fel’dblyum IV, Alyeva MKh, et al. Kontseptsiya risk-kommunikatsii po obespecheniyu priverzhennosti vaktsinoprofilaktike. Moscow: Pediatr; 2021. 56 p. (In Russ).

29. Ermolenko KD, Kharit SM, Ruleva AA, Drozdova LYu. Establishing a Dialogue with a Patient on Vaccination (Scientific Review). Epidemiology and Vaccinal Prevention. 2021;20(1):114–124. (In Russ). https://doi.org/10.31631/2073-3046-2021-20-1-114-124

30. Gust DA, Darling N, Kennedy A, Schwartz B. Parents with doubts about vaccines: which vaccines and reasons why. Pediatrics. 2008;122(4):718–725. https://doi.org/10.1542/peds.20070538

31. Girina AA, Petrovski FI, Zaplatnikov AL. Pediatricians adherence to immunoprophylaxis of infectious diseases: current state of the problem. Russian Journal of Woman and Child Health. 2020;3(4):290–294. (In Russ). https://doi.org/10.32364/2618-8430-2020-3-4-290-294

32. Petrova AG, Bayanova TA, Vanyarkina AS, Rychkova LV. Views of the physicians of different specialities on the vaccination: concerns and expectations. Journal Infectology. 2020;12(2):104-112. (In Russ). https://doi.org/10.22625/2072-6732-2020-12-2-104-112

33. Dmitriev AV, Fedina NV, Tkachenko TG, et al. Preventive vaccination compliance among medical students and pediatricians during the COVID-19 pandemic. Meditsinskiy sovet = Medical Council. 2021;(11):202– 209. (In Russ). https://doi.org/10.21518/2079701X-2021-11-202-209.

34. Namazova-Baranova LS, Privalova TE, Bulgakova VA, et al. The Role of “Preventive Vaccination in Healthy Children and Children with Chronic Diseases” Discipline in the Specialist Training Curriculum in the Field of “Pediatrics”. Pediatricheskaya farmakologiya — Pediatric pharmacology. 2021;18(1):48–51.(InRuss).doi:https://doi.org/10.15690/pf.v18i1.2232

35. Galina NP. Analysis of the Attitude Towards Immunization of Doctors of Various Specialties. Epidemiology and Vaccinal Prevention. 2018;17(3):74–79. (In Russ.) https://doi.org/10.31631/20733046-2018-17-3-74-79

36. Order of the Ministry of Education and Science of Russian Federation dated August 12, 2020 No. 965 “Ob utverzhdenii federal’nogo gosudarstvennogo obrazovatel’nogo standarta vysshego obrazovaniya — spetsialitet po spetsial’nosti 31.05.02 Pediatriya” (with amendments and additions). (In Russ).] Доступно по: https://base.garant.ru/74561322/?ysclid=lsm0cmpis0287786697. Ссылка активна на 14.02.2024.

37. Order of the Ministry of Labor of Russian Federation dated March 27, 2017 No. 306н “Ob utverzhdenii professional’nogo standarta “Vrach-pediatr uchastkovyi”. (In Russ). Доступно по: https://base.garant.ru/71658254/?ysclid=lsm0i78na6544189117. Ссылка активна на 14.02.2024.

38. Order of the Ministry of Health of Russian Federation dated December 6, 2021 No. 1122н “Ob utverzhdenii natsional’nogo kalendarya profilakticheskikh privivok, kalendarya po epidemicheskim pokazaniyam i poryadka provedeniya profilakticheskikh privivok”. (In Russ). Доступно по: https://www.garant.ru/products/ipo/prime/doc/403158640/?ysclid=lsm0r599lg256903270. Ссылка активна на 14.02.2024.

39. Methodological recommendations for carrying out preventive vaccinations in accordance with the order of the Ministry of Health of Russia dated December 6, 2021 No. 1122н “Ob utverzhdenii natsional’nogo kalendarya profilakticheskikh privivok, kalendarya profilakticheskikh privivok poepidemicheskimpokazaniyam i poryadka provedeniya profilakticheskikh privivok”. (In Russ).] Доступно по: https://docs.cntd.ru/document/727973245?marke r=65A0IQ. Ссылка активна на 14.02.2024.

40. Vaccine safety and false contraindications to vaccination: Training manual. Copenhagen: WHO Regional Office for Europe; 2017. (In Russ).

41. Offit PA, Quarles J, Gerber MA, et al. Addressing parents’ concerns: do multiple vaccines overwhelm or weaken the infant’s immune system? Pediatrics. 2002;109(1):124–129. https://doi.org/10.1542/peds.109.1.124

42. WHO. Immune overload. 14 July 2006. In: World Health Organization: Official website. Available online: www.who.int/vaccine_safety/committee/topics/immune_overload. Accessed on February 14, 2024.

43. Immunization Agenda 2030: A Global Strategy To Leave No One Behind. Project for WHO. (In Russ). Available online: https://www.who.int/publications/m/item/immunization-agenda-2030-a-global-strategy-to-leave-noone-behind. Accessed on February 14, 2024.

44. Philip RK, Attwell K, Breuer T, et al. Life-course immunization as a gateway to health. Exp Rev Vaccines. 2018;17(10):851–864. https://doi.org/10.1080/14760584.2018.1527690

45. Tate J, Aguado T, Belie J, et al. The life-course approach to vaccination: Harnessing the benefits of vaccination throughout life. Vaccine. 2019;37(44):6581–6583. https://doi.org/10.1016/j.vaccine.2019.09.016

46. Timoshkova SD. Otsenka priverzhennosti vrachei-pediatrov vaktsinatsii. Pediatricheskaya farmakologiya — Pediatric pharmacology. 2021;18(2):147–148. (In Russ).

47. Timoshkova SD, Rusinova DS, Elagina TN, et al. Changes in the Preventive Vaccination Procedures in Children’s City Outpatient’s Clinic and its Efficacy. Voprosy sovremennoi pediatrii — Current Pediatrics. 2023;22(2):207–214. (In Russ). https://doi.org/10.15690/vsp.v22i2.2563