“On vaccines we must be frank with patients”



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“Patients are already telling me a little about the future vaccination against Covid-19. Some say it will allow us to get out of the epidemic, others tell me they are very afraid of it. For the moment we don’t have a directive, the strategy is not yet fixed. The scientific committees have not yet really pronounced themselves because they are waiting for precise data. Then we will know who to vaccinate as a priority, with which vaccine, how, when… I, the doctor, still have questions, but we will have enough information when they are on the market.

→ THE FACTS. Vaccines against Covid-19: the National Ethics Advisory Committee seized

And it will be up to us to convince. This is already the case with the usual vaccinations, examinations and even PCR tests at the moment: a number of patients refuse to do them and sometimes change their mind after our explanations.

Uncertainty

This mobilization of the attending physician who often knows his patients well. We can discuss the pros and cons with them, tell them honestly what it can bring them. You have to be frank with people. Because it is uncertainty that gives a lot of anxiety. The vaccine will not protect 100% from contamination, there may be contraindications …

We must not repeat the 2009 influenza A vaccination failure in which industry professionals were not involved. The act must be performed in the office at the end of the consultation, when the patients are seen for the renewal of the treatment. But vaccine storage will affect many things. Some are in multidose vials, which means that at least ten patients need to be vaccinated per day, which is not a problem in a group study but requires more organization with one doctor.

The danger of mass strategies is losing the people most at risk. We see it in screening: with antigen tests we test the most anxious, not those who need it most. However, if we manage to vaccinate the elderly and those most at risk, and if hygiene measures continue, there will be a real drop in mortality. We can therefore live with the coronavirus, even if it does not go away. We have to, because society is suffering. “

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