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EN
The article explores how public health policies may be used by the state to (re)gain its legitimacy. The author examines this through the example of the use of vaccination policies in Angola, a Southern African country torn apart by thirty years of civil war. In particular, the author looks at how the Angolan government has managed to regain control of the country, understood as both a territory and a population, and focuses on the construction of the Angolan nation and the key role of women in this tactic. Vaccination policies have been used with four non-medical purposes: to reconquer the territory, to frame the nursing workforce, to shape motherhood, and, through the use of statistics, to reinforce and integrate the Angolan health system into the global one. Women as the primary carers of children and as health workers are instrumental to the Angolan state’s strategy for winning back the territory and the population.
EN
The present review summarizes data on neurological adverse events following vaccination in the relation to intensity, time of onset, taking into account the immunological and non-immunological mechanisms. The authors described the physio-logical development of the immune system and the possible immune system responses following vaccination. Toxic property of thimerosal - a mercury-containing preservative used in some vaccines was presented. The neurological compli-cations after vaccination were described. The role of vaccination in the natural course of infectious diseases and the current immunizations schedule in Poland was discussed.
XX
Obligatory protective vaccinations and the implementation of parental authority: a study of judicial decisions in the area of legal liability
EN
Although relatively easy to overcome for young and healthy individuals, seasonal influenza is a disease with considerable health, social, and economic consequences for society, especially for higher-risk groups. Even though vaccination against influenza is the most effective tool to prevent it, vaccination rates remain rather low. Together with the promotion of neoliberal individual responsibility over one’s health, vaccine hesitancy – a complex phenomenon indicating the lower uptake of vaccines compared to the accessibility of information and services – has risen among societies. In previous research, several barriers – for example, psychological, physical, contextual, and sociodemographic – have been identified as preventing influenza vaccine uptake among risk groups. We approach the topic by using the social constructionist theory regarding the meaning construction of illnesses on cultural, individual, and third-party level. The findings outline the importance of meaning construction on all these levels. It appears that culturally influenza has been seen as an inevitable infectious disease related to the northern climate. Due to that, influenza is not considered as a life-threatening disease that would need preventive actions, except some basic hygiene or usage of folk medicine tools (e.g., ginger and garlic). On an individual level, the meaning construction is based on individual experiences, both with the illness and the vaccine – in the case of negative experiences with vaccine, the perception of something useless or even harmful develops. In addition, it appears that people create their own strategies to rationalize rejection of vaccination for themselves. These involve considerations about belonging to the risk group or the possibility to manage daily activities in non-risky manner even when belonging to the risk group. On the third-party level, participants saw the potential of pharmacies to alleviate practical constraints (e.g., tight schedule, daily occupation, etc.). Different media channels are also important in mediating vaccination-related information, but the rationalization and selection of the channels vary widely. The context of the coronavirus changed the vaccination-related perception temporarily for a short term, indicating that fear-based special occasions do not entail a long-term shift in health behaviour as the development of health-related decisions and behaviour is also long-term.
EN
The authors point out that tuberculosis is the oldest infectious killer of humans and today it is such a serious threat to health that the World Health Organization (WHO) equates it to a time bomb. The most common source of infection by mycobacteria tuberculosis to a man is a sick person. Epidemiologically greatest danger is sick person with untreated decay pulmonary tuberculosis whose sputum may spread billions of tuberculosis bacilli every day. The overall situation in the incidence of tuberculosis (TB) in Slovakia is generally favorable, although in the eastern parts of Slovakia incidence is growing rapidly. Slovakia has compared with all Europe small to moderate incidence of this disease and its incidence has downward trend. East Slovakia so far has hot won combat this disease yet. It is therefore necessary to continue effective intervention and prevention to combat the spread of this disease.
EN
The pandemic of the new coronavirus and the introduction of coronavirus vaccines prompted the production of vaccines and vaccine discourses around the world. The same situation has been observable in Japan. The purpose of this study is to discuss what I call “the social phenomenon of vaccines” in Japan. The present article will describe the characteristics of the vaccine discourse and consider the relationship between the vaccine discourse and vaccine-induced sufferings, which refer to the experience of social damages and difficulties caused by vaccines. Firstly, I will review the research method of the previous studies of vaccination. It has been shown that both pro-vaccine and anti-vaccine existed from the beginning of the history of vaccination, and in that sense, the existence of both pro-vaccine and anti-vaccine can be considered as a part of “the social phenomenon of vaccines” from the beginning. Inspired by the Strong Program, I will explain a method which would enable me to describe both pro and anti-vaccine without a priori assumptions. One such method can be found in the repertoire analysis by Gilbert and Mulkey (1984), who analyzed controversies in scientific research. Following their method, I will explore how the vaccine discourse was developed in Japan. The vaccine discourse in Japan is found in three different types of literature, which discuss vaccine promotion, vaccine harms, and vaccine safety. Secondly, I will identify three kinds of repertoires: “componentist repertoire”, “manipulationist repertoire” and “psychologism repertoire”. I will then discuss the features of “the social phenomenon of vaccines” by examining the relationship among these repertoires and how these repertoires work. Finally, I will discuss how vaccine discourse is related to the discourse of vaccine-induced sufferings. In conclusion, vaccination, by its very nature, cannot be separated from the impossibility of direct experience of vaccination. Therefore, the more vaccine develops, the more vaccine discourse flourishes.
EN
Influenza is one of the most common respiratory diseases affecting people of all age groups all over the world. Seasonal influenza leads to substantial morbidity and mortality on a global scale. Vaccines are undeniably one of the most important health advances of the past century, however, managing influenza in working populations remains a difficult issue. Vaccination of health care workers (HCW) is an efficient way to reduce the risk of occupational infection and to prevent nosocomial transmission to vulnerable patients. Despite this, achieving high immunization rates among those professionals is a challenge. Knowledge and attitudes of healthcare providers have significant impact on the frequency with which vaccines are offered and accepted, but many HCWs are poorly equipped to make informed recommendations about vaccine merits and risks. Principal reasons for vaccination are the willing not to be infected and avoiding transmission to patients and the family. The main reasons for refusing is lack of time, a feeling of invulnerability to vaccination, conviction of not being at risk, of being too young or in good health. Misconceptions about influenza vaccine efficacy, like adverse effects, and fear of contracting illness from the vaccine are significantly associated with noncompliance with vaccination. Therefore, strategies to increase awareness of the importance of recommending influenza immunization among health professionals are required. Med Pr 2013;64(1):119–129
PL
Grypa jest jedną z częstszych infekcji dróg oddechowych, zachorowania na nią występują we wszystkich grupach wiekowych pacjentów na całym świecie. Liczba zachorowań na grypę sezonową i zgonów z powodu jej powikłań jest znaczna w skali globalnej. Szczepienia, również przeciwko grypie, są istotnym osiągnięciem medycyny ostatniego stulecia, jednak problemem pozostaje zwalczanie grypy za pomocą szczepień ochronnych wśród personelu medycznego. Szczepienie personelu medycznego jest procedurą o udowodnionym bezpieczeństwie i skuteczności, zapewnia zapobieganie zachorowaniom wśród pacjentów. Mimo licznych rekomendacji eksperckich stan zaszczepienia pracowników medycznych pozostaje niski. W celu zwiększenia liczby zaszczepionych pracowników medycznych konieczne jest prowadzenie kampanii edukacyjnych, które mają na celu polepszenie stanu wiedzy personelu na temat grypy, jej powikłań, szczepień przeciwko grypie, ze szczególnym uwzględnieniem ich bezpieczeństwa i skuteczności. Szczepieni pracownicy najczęściej decyzję o wykonaniu szczepienia motywują chęcią ochrony siebie oraz chęcią ochrony przed zakażeniem swoich pacjentów i ich rodzin. Z kolei wśród przyczyn nieszczepienia wymieniane są: brak czasu, błędne przekonania o nieskuteczności szczepienia, brak potrzeby szczepienia z powodu bagatelizowania choroby i jej powikłań, obawa przez niepożądanymi odczynami poszczepiennymi. Konieczne jest wdrożenie strategii mających na celu edukację personelu medycznego w zakresie stosowania szczepień przeciwko grypie w celu zwiększenia wyszczepialności przeciwko grypie w populacji pracowników medycznych. Med. Pr. 2013;64(1):119–129
Poradnik Językowy
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2023
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vol. 802
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issue 3
52-65
EN
This article concerns the use of hashtags in doctors’ posts in social media during the COVID-19 pandemic. The most important theoretical issues related to the notion and communicative meaning of hashtags are discussed and the results of the author’s own research are presented here. During the research, the total number of 516 hashtags used in 86 posts were recorded. This article demonstrates a catalogue of the most common hashtags and discusses the hashtag typology developed based on the aggregated collection: impressives, persuasive nominations, self-identification hashtags, proper names, thematic hashtags. It proposes also several conclusions on the manner of using social networking services by doctors.
EN
Immunisation programmes currently represent a fi rm and widely accepted part of preventive medicine. The Czech Republic ranks among countries with a mandatory immunisation schedule strongly regulated by the state. Having one’s child vaccinated is an unquestionable norm, supported by formal sanctions for those who do not take part in this practice. This article focuses on parents who challenge this norm by deciding to refuse to allow their child to be vaccinated. Twenty-two parents whose children were not vaccinated were interviewed and several participant observations were conducted at public lectures on immunisation and at meetings of parents who actively take part in the debates against compulsory vaccination. The article analyses groups in the Czech Republic that are critical of vaccines in the context of the crisis of trust in biomedical knowledge. It identifi es key factors affecting parents’ critical views of vaccination and highlights their previous experience with health authorities and the feeling of a loss of faith in the trustworthiness of biomedicine as the key motives infl uencing their decision to refuse vaccination. The decision to vaccinate is analysed as a part of the process of the ‘will to health’ that occurs in the context of an ongoing negotiation between different notions of risk.
EN
Introduction and aim. With the third wave of COVID-19 hitting the country, there is an urgent need to systematically document the clinical-epidemiological and vaccination details of the patients to formulate evidence-based decisions. So, this study was planned to describe the profile of patients attending the flu clinic of a tertiary care hospital in eastern India. Material and methods. This hospital-based cross-sectional study was done for 6 weeks (Jan-Feb 2022) among 623 patients using a pre-tested, structured questionnaire related to COVID-19. An unadjusted odds ratio was calculated and statistical significance was attributed to a p-value <0.05. Results. Out of 623 patients, almost 90% of the patients were vaccinated against COVID-19 with at least one dose of any vaccine. Cough (57.8%) was the most common complaint. Patients aged > 60 years and those having one or more than one comorbidity suffered from moderate-severe COVID-19 infection when compared to their counterparts (p<0.001). Also, 2.1% of fully vaccinated, 3.8% of one dose vaccinated and 10.9% of unvaccinated patients suffered from moderate-severe COVID-19. Conclusion. During the third wave of the COVID-19 pandemic, a smaller number of elderlies compared to the previous two waves were affected indicating age shifting. The severity of COVID-19 was less among vaccinated individuals compared to unvaccinated highlighting the importance of COVID-19 vaccination.
EN
Background Healthcare workers (HCWs) are at high risk for exposure to upper respiratory tract infections (URTIs) and influenza-like illnesses (ILIs). The present study aimed to surveil URTIs and ILIs and their impact among the Department of Pediatric Infectious Diseases in Wroclaw employees and evaluate their humoral response to influenza. Material and Methods Thirty-six HCWs participated in the first season and 32 HCWs in the second season during years of the study. The authors carried out a URTI/ILI surveillance, and all HCWs were asked to complete a weekly report during 2 influenza seasons: 2016/2017 (S1) and 2017/2018 (S2). In S1 both IgG and IgM antibodies against influenza A and B were assessed. The HCWs with symptoms of ILI were encouraged to undergo PCR tests for influenza. Results No significant differences in reporting URTI were found among vaccinated and non-vaccinated HCWs and HCWs and the control group. Depending on the year 5.5–17.2% of HCWs were treated with antibiotics because of URTI. In the study 58.7% of participants in S1 and 66.7% in S2 decide to work despite the URTI symptoms. There was no statistical relationship between the concentration of anti-influenza IgG and the number of URTIs and ILIs reported. Only vaccinated were willing to undergo voluntary influenza testing. Conclusions The URTI and ILI occur commonly in HCWs, and HCWs contract URTIs as often as the control group. Despite their medical education, HCWs work with the symptoms of infection and overuse antibiotics to treat the URTI. Serology testing is not able to follow the infection’s dynamics or identify the people immune to the influenza-like illness. The diagnostic value of IgM antibodies in acute influenza infection is negligible. Vaccinated HCWs are more focused on their health and are more willing to undergo influenza tests.
EN
BackgroundThe COVID-19 pandemic re-raised the subject of vaccines and their importance for public health. Given the number of employees, one of the key environments in which vaccination should be promoted is the workplace.Material and MethodsAn original, anonymous and voluntary questionnaire with 13 questions regarding health behaviors of employees in Poland was distributed through HR departments of the companies invited to the research (Computer-Assisted Web Interview – CAWI technique) This publication presents the results of answers to the 3 chosen questions concerning: health issues related to work, interest in health promoting initiatives and following recommendations for physical activity.ResultsAccording to the research presented in this article, 39% of employees in Poland were interested in vaccination against COVID-19. The most popular preventive initiatives are still healthy eating and sport activities. The government allowed organizing vaccinations at the workplace, which gives new opportunities but also obligations and risks. Overall, the potential of a workplace in fighting the coronavirus seems to be used to a very small extent. This carries the need to consult systemic solutions with representatives of employers and occupational medicine practitioners as well as the government.ConclusionsThe workplace should be one of the key habitats for health promoting activities, including vaccinations. The above-mentioned issue should still be the subject of research for solutions tailored to the needs and capabilities of each group (employers, occupational medicine professionals and government). One of the circumstances of promoting the health of employees should be preventive examinations of employees – a doctor’s visit and contact with an occupational medicine nurse. The potential of preventive employee examinations in this area seems to be unused and limited. The level of immunization of employees has an obvious impact on the state of the economy. In view of the voluntary vaccination against COVID-19, this requires educational campaigns aimed at both employees and employers.
EN
BackgroundInfluenza vaccinations are recommended for medical staff as an effective and safe form of preventing influenza and its complications. The aim of the study was to assess the impact of selected educational and information interventions on the influenza vaccination coverage (IVC) in nursing personnel and their attitude towards this procedure.Material and MethodsThe study participants (N = 320) were randomly divided into 4 groups. Group 1 participated in stationary training, whereas group 2 participated in distance learning. Additionally, 2 subgroups were established in each of the groups above: 1 subgroup received a reminder about the vaccination in the form of a short text message, and the other group did not receive any such reminder. The IVC rate in each group was determined; the attitude towards influenza vaccination was measured using the health belief model.ResultsThe highest IVC was obtained after stationary training followed by a reminder in the form of a short test message (36%). The reminder significantly affected IVC in the group attending stationary training (p < 0.05, OR = 2.5, 95% CI: 1.16–5.58); however, it had no impact on the IVC in the group participating in distance learning (p > 0.05, OR = 1.2, 95% CI: 0.51–2.83). Both stationary training and distance learning positively influenced the attitude towards influenza vaccinations. A major change in attitudes towards influenza vaccinations was observed only in the case of stationary training followed by a reminder in the form of a short text message (positive changes in perceived susceptibility and severity took place, perceived vaccination benefits increased, and perceived barriers were reduced).ConclusionsStationary training followed by a reminder in the form of a short text message is more effective in increasing the IVC rate compared to distance learning. It also promotes positive changes in attitudes to this prophylactic procedure, which is why it should be recommended for wider implementation.
EN
Introduction: Vaccination is becoming an increasingly common social dilemma and the reluctance to vaccinate is one of the biggest problems of medicine. This issue is particularly important during the implementation of the National Vaccination Program at the time of the global pandemic caused by the virus SARS-CoV-2. The aim of the study is to present the factors determining the process of shaping attitudes of people through the use of knowledge of social psychology in the field of popularizing vaccination, especially in groups requiring support, as well as to present the attitude of Poles towards vaccination against COVID-19. Method: An online survey carried out in January, 2021 on a group of 454 young adults of both sexes on attitudes towards vaccination against COVID-19. Results: The results of the study show that 68.3% of respondents are going to be vaccinated, 60.6% consider the vaccination against COVID-19 to be effective and 62.1% think that it is safe. In addition, this research paper discusses the component of the Poles’ social attitudes towards vaccination. The lowest results (61.40%) were for the emotional phase of positive attitude to COVID-19 vaccination. The highest results (82.05%) were noted in the cognitive phase of positive attitude towards the COVID-19 vaccination. Conclusion: The approaches of Poles differ in their attitudes related to the readiness to be vaccinated, although most of them express the need to be vaccinated. One of the most crucial tasks here is informing people about the effectiveness and safety of the vaccine, especially among young people who are undecided (12.1% of the respondents), to achieve the so-called herd immunity. And as it appears, the distrust towards vaccination is not dictated by the subjective lack of knowledge, but the emotional climate associated with it. That is why we need to formulate appropriate and precise health-promoting campaigns.
PL
Wstęp: Szczepienie staje się coraz częstszym dylematem społecznym, a niechęć wobec szczepień jest jednym z większych problemów medycyny. Problem jest szczególnie istotny w dobie pandemii spowodowanej wirusem SARS-CoV-2, kiedy to wdrożony jest Narodowy Program Szczepień. Celem pracy jest ukazanie czynników determinujących proces kształtowania się postaw poprzez wykorzystanie wiedzy z zakresu psychologii społecznej w kwestii popularyzacji szczepień, szczególnie w grupach wymagających wsparcia, oraz przedstawienie postaw Polaków wobec szczepienia przeciwko COVID-19. Metoda: Badanie ankietowe przeprowadzone drogą elektroniczną w styczniu 2021 roku na grupie 454 młodych dorosłych osób obojga płci na temat postaw względem szczepienia przeciwko COVID-19. Wyniki: Wyniki badania wskazują, że 68,3% badanych zamierza się zaszczepić, 60,6% uważa szczepienie przeciwko COVID-19 za skuteczne, a 62,1% osób za bezpieczne. Ponadto artykuł omawia kwestię komponentów postaw społecznych Polaków wobec szczepień. Najniższe wyniki (61,40%) dotyczą emocjonalnego komponentu pozytywnej postawy względem szczepienia przeciwko COVID-19, najwyższe (82,05%) komponentu poznawczego pozytywnej postawy względem szczepienia przeciwko COVID-19. Wnioski: Polaków różnicuje postawa związana z gotowością do przyjęcia szczepionki, większość z nich jednak widzi u siebie potrzebę zaczepienia się. Jednym z ważniejszych zadań w tym obszarze jest informowanie o skuteczności i bezpieczeństwie, szczególnie wśród osób, które są niezdecydowane (aż 12,1% badanych). Wszystko po to, aby osiągnąć tzw. odporność stadną. Okazuje się, że nieufność wobec szczepienia nie jest podyktowana subiektywnym poczuciem braku wiedzy na jej temat, a samym emocjonalnym klimatem, z jakim się ona wiąże. Konieczne jest zatem formułowanie trafnych kampanii prozdrowotnych.
EN
Introduction. Vaccinations are one of the most effective medical interventions that protect people against infectious diseases. It should be noted that a new vaccine licensing is always preceded by clinical trials assessing its safety and efficacy. Anti-vaccine propaganda carried out by vaccination opponents has become an international problem with a global reach. Aim. To review the literature on vaccinations of patients from high-risk groups. Material and methods. A literature review of the following databases has been conducted: EBSCO, PubMed, Science Direct, and Springer Link. Results. High-risk groups in the paediatric population include pre-term born infants, patients after stem cell transplantations, children with allergies and other chronic diseases. Vaccinations in the examined groups are generally safe and are an effective method of preventing infections. Conclusion. At a time when the level of vaccine skepticism is high and the epidemiological situation of many diseases is unstable, patients who are more susceptible to infection are particularly endangered. High level of knowledge of health care professionals and their personal positive attitude towards vaccinations are important for improving the vaccination coverage rates. In the light of measles epidemic outbreaks and an almost geometric increase in the number of pertussis cases noted recently, actions are needed to achieve herd immunity.
EN
Objectives Vaccination skepticism and vaccination refusal both constitute global public health concerns. Systematic monitoring of public attitudes towards vaccination is crucial for maintaining a high vaccination coverage rate. The study aimed to identify and characterize homogenous social groups distinguished by attitudes toward preventive vaccinations. Material and Methods Between October and November of 2021, a nationwide representative cross-sectional survey was conducted on a representative sample of 1560 inhabitants of Poland aged 15–39 years. The study questionnaire included 60 questions on public attitudes towards vaccines, vaccination, and the COVID-19 pandemic. Factor analysis was applied to identify the main dimensions of vaccination attitudes. Results Factor analysis included 22 variables and yielded 3 factors or dimensions that accounted for 48.5% of the model’s variability. Young adults were assigned into 6 homogeneous groups based on these factors: 1) general trust in vaccination, 2) vaccine safety concerns, 3) trust in fake medical news regarding COVID-19 vaccination, and denying the COVID-19 pandemic. Groups I–IV differed by sociodemographic factors and vaccination coverage rates. Nearly 60% of the respondents expressed concern regarding various aspects of vaccination. Conclusions Most of Poland’s young adults lack clearly defined attitudes towards vaccination. Attitudes towards vaccination can be divided into 6 heterogeneous groups.
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