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Commentary

Vaccine hesitancy in the time of COVID: How to manage a public health threat

H. Clifford Lane, MD and Steven M. Gordon, MD
Cleveland Clinic Journal of Medicine September 2024, 91 (9) 565-573; DOI: https://doi.org/10.3949/ccjm.91a.24062
H. Clifford Lane
Clinical Director, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD
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  • For correspondence: [email protected]
Steven M. Gordon
Chair, Department of Infectious Diseases, Cleveland Clinic, Cleveland, OH; Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH
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    Figure 1

    “The Cow Pock—or—the Wonderful Effects of the New Inoculation” by cartoon satirist James Gillray, June 12, 1802. Portrays a scene from the Smallpox and Inoculation Hospital at St. Pancras of people taking the shape of cows after being inoculated with vaccinia by Edward Jenner.

    Reproduced from Library of Congress. http://hdl.loc.gov/loc.pnp/ds.14062.

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    Figure 2

    Measles cases in the United States (A) 1962 to 2023 and (B) January 2023 to March 2024.

    Adapted from reference 9.

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    Figure 3

    Clinical results from the pivotal studies of the (A) Pfizer-BioNTech, (B) Moderna, and (C) Novavax COVID-19 vaccines.

    Adapted from references 14,18,19.

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    TABLE 1

    Efficacy and safety of COVID-19 vaccines

    VaccineGroupNumber of patientsCases of severe diseaseaVaccine efficacy against severe disease (%)aSerious adverse event rates (%)a,b,c
    Pfizer-BioNTech (Comirnaty)15Vaccine21,7201900.6
    Placebo21,72890.5
    Moderna (Spikevax)16Vaccine15,18101001.6
    Placebo15,170301.4
    Novavax (NVX-CoV2373)17Vaccine19,71401000.6
    Placebo9,86840.6
    • ↵aThe only valid comparisons are between the placebo and vaccine groups for each vaccine due to slightly different reporting criteria.

    • ↵bSlightly different definitions were used in different trials.

    • ↵cAs specified in the text, lower-grade adverse events, typically local reactions, were frequent in both the placebo (22%–43%) and vaccine (78%–92%) groups.

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Cleveland Clinic Journal of Medicine: 91 (9)
Cleveland Clinic Journal of Medicine
Vol. 91, Issue 9
1 Sep 2024
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Vaccine hesitancy in the time of COVID: How to manage a public health threat
H. Clifford Lane, Steven M. Gordon
Cleveland Clinic Journal of Medicine Sep 2024, 91 (9) 565-573; DOI: 10.3949/ccjm.91a.24062

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Vaccine hesitancy in the time of COVID: How to manage a public health threat
H. Clifford Lane, Steven M. Gordon
Cleveland Clinic Journal of Medicine Sep 2024, 91 (9) 565-573; DOI: 10.3949/ccjm.91a.24062
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  • Article
    • VACCINE HESITANCY IS NOT NEW
    • VACCINE HESITANCY AS A THREAT TO HEALTH
    • DISCUSS THE PROS AND CONS, BUT DON’T ARGUE WITH PATIENTS
    • A RELATIONSHIP BUILT ON TRUST
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