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PhD Thesis - ResearchSpace@Auckland - The University of Auckland

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60 percent <strong>of</strong> Maori patients was very keen for the vaccine to be introduced, as 50<br />

percent <strong>of</strong> Maori children in his practice with measles developed complications. 55<br />

Nonetheless, it is likely that some doctors did not feel able to justify to parents the<br />

advisability <strong>of</strong> immunisation for their children as they did not regard measles as a<br />

serious threat to the child’s health. As the use <strong>of</strong> doctors was the linchpin <strong>of</strong> the<br />

Department’s measles immunisation programme from 1970 it was probable that these<br />

attitudes affected acceptance rates.<br />

Parents had a myriad <strong>of</strong> views regarding the seriousness <strong>of</strong> measles which would also<br />

have influenced their decision as to whether to immunise. Most parents felt that<br />

measles was a mild, virtually inevitable childhood infection; but this did not<br />

necessarily indicate their opposition to immunisation. A study <strong>of</strong> parental attitudes<br />

regarding the measles vaccine revealed that most <strong>of</strong> the parents who thought <strong>of</strong><br />

measles as a minor disease were prepared to have their children immunised ‘to save a<br />

lot <strong>of</strong> unnecessary sickness and worry…as well as complications’. 56 In contrast a<br />

minority <strong>of</strong> parents believed measles was a severe disease, but paradoxically, this did<br />

not mean that they accepted immunisation; some <strong>of</strong> them believed that it was not<br />

necessary as a doctor’s care would suffice. 57 It also came to light that many parents,<br />

although taking a favourable stance on immunisation, wanted more information about<br />

the vaccine before allowing their children to receive it. Publicity regarding the side-<br />

effects <strong>of</strong> measles vaccine in Britain, which made the front page <strong>of</strong> the major<br />

newspapers, may also have persuaded parents not to immunise their children. 58<br />

Nevertheless, about half the parents were prepared to accept the advice <strong>of</strong> the family<br />

doctor without having much prior knowledge about the vaccine themselves. 59<br />

<strong>The</strong> study undertaken in the Gisborne and Dunedin areas involving nine families and<br />

eight doctors revealed, even with such a small sample, that attitudes towards<br />

immunisation and measles were by no means clear-cut. 60 A belief in the severity <strong>of</strong><br />

the illness did not always mean an automatic acceptance for immunisation, just as<br />

55 ibid., p.15.<br />

56 ibid., p.30.<br />

57 ibid., p.35.<br />

58 <strong>Auckland</strong> Star (AS), 20 March 1969.<br />

59 J. H. Betteridge, ‘Attitudes to Measles and its Prevention by Vaccination’, p.44.<br />

60 J. H. Betteridge, ‘Attitudes to Measles and its Prevention by Vaccination. A Survey conducted in the<br />

Gisborne and Dunedin districts’, PMD, Otago, 1968,<br />

176

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