
"If the clear note is yes, you can trust, and to the credit of the secretary, after two kids died in West Texas from measles, a vaccine-preventable disease, the clear note finally went out: you should get vaccinated. My fear is that we're going to have meningococcemia, with children losing fingers and legs and toes, because now we don't vaccinate routinely for meningococcemia. Rare but highly consequential. This is dangerous! And I'm afraid that that concoction of notes is going to further undermine trust. Do you not see that?"
"I mean, I guess I think of it differently. I think we have to reestablish trust. Absolutely, I share your goal entirely. And the question is the method of reestablishing trust. I think that if you just double down on what we've previously done that led to the loss of trust, we're not going to change it."
Ambiguous vaccine guidance after measles deaths in West Texas contributed to public confusion and hesitancy. Praise was given for clear messaging urging measles vaccination, while concern was expressed that inconsistent notes could undermine routine immunizations and increase rare but severe outcomes such as meningococcemia. Reestablishing public trust was framed as essential, with a call for new methods rather than repeating past approaches that caused loss of confidence. Education was identified as a primary tool to rebuild trust. Proposals to split the MMR into three doses for no scientific reason were criticized as likely to decrease full immunization rates.
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