Walter A Orenstein
Datos Biográficos
| ID | 6074098 |
|---|---|
| NOMBRE | Walter A Orenstein |
| NOMBRES | Walter A |
| APELLIDO | Orenstein |
| FIRMA | ORENSTEIN W A |
| AFILIACIONES | Emory University |
| ORCID | 0000-0003-3932-8209 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 16 |
| TOTAL DE CITAS | 16 |
| TOTAL COMO AUTOR | 16 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1971 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2024 |
| ÍNDICE H | 2 |
The role of Zambia’s expansive Inter-agency Coordinating Committee (ICC) in supporting evidence-based vaccine and health sector programming
New vaccines, technologies, and regulations, alongside increased demand for vaccines, all require prioritization and coordination from key players within the vaccine sector. Inter-agency Coordinating Committees (ICC) support decision-making and coordination at the national-level and act as key drivers for sustainable improvements in vaccination programming. We utilized a previous qualitative case study, which investigated critical success factors…
LetsTalkShots
Introduction Vaccine hesitancy is a global health threat undermining control of many vaccine-preventable diseases. Patient-level education has largely been ineffective in reducing vaccine concerns and increasing vaccine uptake. We built and evaluated a personalized vaccine risk communication website called LetsTalkShots in English, Spanish and French (Canadian) for vaccines across the lifespan. LetsTalkShots tailors lived experiences, credible so…
Evaluation of online videos to engage viewers and support decision-making for Covid-19 vaccination
Background Vaccine hesitancy has hampered the control of COVID-19 and other vaccine-preventable diseases. Methods We conducted a national internet-based, quasi-experimental study to evaluate COVID-19 vaccine informational videos. Participants received an informational animated video paired with the randomized assignment of (1) a credible source (differing race/ethnicity) and (2) sequencing of a personal narrative before or after the video address…
MomsTalkShots, tailored educational app, improves vaccine attitudes
Registered at Clinicaltrials.gov on 13/09/2016 (registration number: NCT02898688)
Vaccine safety
Vaccines are among the most cost-effective health interventions. Scientifically rigorous monitoring and evaluation of vaccine safety is critical in order to develop and modify recommendations for vaccine use and in maintaining public trust necessary for the use of vaccines. Even when governments and public health advocates are appropriate in their enthusiasm, vaccines sometimes lack advocates among caregivers or citizens. Outside of pandemics, va…
Vaccine safety issues at the turn of the 21st century
Global gains in vaccination coverage during the early 21st century have been threatened by the emergence of antivaccination groups that have questioned the effectiveness of vaccines to generate public distrust of vaccines and immunisation programmes. This manuscript summarises six key topics that have been at the centre of global discussions on vaccine safety during the early 21st century: thiomersal in multi-dose non-live vaccines, aluminium adj…
Vaccine Coverage Across the Life Course in Michigan During the Covid-19 Pandemic
Objectives. To assess the impact of the COVID-19 pandemic on immunization services across the life course. Methods. In this retrospective study, we used Michigan immunization registry data from 2018 through September 2020 to assess the number of vaccine doses administered, number of sites providing immunization services to the Vaccines for Children population, provider location types that administer adult vaccines, and vaccination coverage for ch…
Vaccine Trials in Schools
Vaccine Trials in Schools: We Must Not Ignore Progress Alan R. Hinman MD, MPH, David Addiss MD, MPH, Arthur Caplan PhD, Lisa M. Carlson MPH, James V. Lavery PhD, and Walter A. Orenstein MD Affiliation Alan R. Hinman is with the Center for Vaccine Equity, Task Force for Global Health, Decatur, GA. David Addiss is with the Task Force for Global Health. Arthur Caplan is with the Division of Medical Ethics, New York University School of Medicine, New…
Disparities in Tdap Vaccination and Vaccine Information Needs Among Pregnant Women in the United States
Vaccine Refusal, Mandatory Immunization, and the Risks of Vaccine-Preventable Diseases
Vaccines are among the most effective prevention tools available to clinicians. However, the success of an immunization program depends on high rates of acceptance and coverage. There is evidence of an increase in vaccine refusal in the United States and of geographic clustering of refusals that results in outbreaks. Children with exemptions from school immunization requirements (a measure of vaccine refusal) are at increased risk for measles and…
A measles outbreak at a college with a prematriculation immunization requirement
BACKGROUND. In early 1988 an outbreak of 84 measles cases occurred at a college in Colorado in which over 98 percent of students had documentation of adequate measles immunity (physician diagnosed measles, receipt of live measles vaccine on or after the first birthday, or serologic evidence of immunity) due to an immunization requirement in effect since 1986. METHODS. To examine potential risk factors for measles vaccine failure, we conducted a r…
Lead-induced anemia
We conducted a cross-sectional epidemiologic study to assess the association between blood lead level and hematocrit in 579 one to five year-old children living near a primary lead smelter in 1974. Blood lead levels ranged from 0.53 to 7.91 mumol/L (11 to 164 micrograms/dl). To predict hematocrit as a function of blood lead level and age, we derived non-linear regression models and fit percentile curves. We used logistic regression to predict the…
Measles outbreak in a vaccinated school population
An outbreak of measles occurred in a high school with a documented vaccination level of 98 per cent. Nineteen (70 per cent) of the cases were students who had histories of measles vaccination at 12 months of age or older and are therefore considered vaccine failures. Persons who were unimmunized or immunized at less than 12 months of age had substantially higher attack rates compared to those immunized on or after 12 months of age. Vaccine failur…
Measles hospitalizations, United States, 1977-84
Trends in measles discharges from hospitals participating in the Commission on Professional and Hospital Activities, Professional Activities Study (CPHA-PAS) from 1977 to 1984 reflected the rapid decline in measles morbidity indicated by national surveillance data with an 88 per cent decrease in hospitalizations and a 95 per cent decrease in reported cases from 1977 to 1984. Overall trends in number, age, and seasonal distribution were also gener…
Benefits, risks and costs of immunization for measles, mumps and rubella
For a single year, 1983, we compared the actual and estimated morbidity, mortality, and costs attributable to measles, mumps, and rubella with having or not having a childhood immunization program using the combined measles-mumps-rubella (MMR) vaccine. Without an immunization program, an estimated 3,325,000 cases of measles would occur as compared to 2,872 actual cases in 1983 with a program. Instead of an expected 1.5 million rubella cases annua…
The Influence of Judah Ben Jakar's Liturgy on Abudraham
Benefits, risks and costs of immunization for measles, mumps and rubella
For a single year, 1983, we compared the actual and estimated morbidity, mortality, and costs attributable to measles, mumps, and rubella with having or not having a childhood immunization program using the combined measles-mumps-rubella (MMR) vaccine. Without an immunization program, an estimated 3,325,000 cases of measles would occur as compared to 2,872 actual cases in 1983 with a program. Instead of an expected 1.5 million rubella cases annua…
Measles outbreak in a vaccinated school population
An outbreak of measles occurred in a high school with a documented vaccination level of 98 per cent. Nineteen (70 per cent) of the cases were students who had histories of measles vaccination at 12 months of age or older and are therefore considered vaccine failures. Persons who were unimmunized or immunized at less than 12 months of age had substantially higher attack rates compared to those immunized on or after 12 months of age. Vaccine failur…
A measles outbreak at a college with a prematriculation immunization requirement
BACKGROUND. In early 1988 an outbreak of 84 measles cases occurred at a college in Colorado in which over 98 percent of students had documentation of adequate measles immunity (physician diagnosed measles, receipt of live measles vaccine on or after the first birthday, or serologic evidence of immunity) due to an immunization requirement in effect since 1986. METHODS. To examine potential risk factors for measles vaccine failure, we conducted a r…
The Influence of Judah Ben Jakar's Liturgy on Abudraham
Benefits, risks and costs of immunization for measles, mumps and rubella
For a single year, 1983, we compared the actual and estimated morbidity, mortality, and costs attributable to measles, mumps, and rubella with having or not having a childhood immunization program using the combined measles-mumps-rubella (MMR) vaccine. Without an immunization program, an estimated 3,325,000 cases of measles would occur as compared to 2,872 actual cases in 1983 with a program. Instead of an expected 1.5 million rubella cases annua…
Measles outbreak in a vaccinated school population
An outbreak of measles occurred in a high school with a documented vaccination level of 98 per cent. Nineteen (70 per cent) of the cases were students who had histories of measles vaccination at 12 months of age or older and are therefore considered vaccine failures. Persons who were unimmunized or immunized at less than 12 months of age had substantially higher attack rates compared to those immunized on or after 12 months of age. Vaccine failur…
Measles hospitalizations, United States, 1977-84
Trends in measles discharges from hospitals participating in the Commission on Professional and Hospital Activities, Professional Activities Study (CPHA-PAS) from 1977 to 1984 reflected the rapid decline in measles morbidity indicated by national surveillance data with an 88 per cent decrease in hospitalizations and a 95 per cent decrease in reported cases from 1977 to 1984. Overall trends in number, age, and seasonal distribution were also gener…
Lead-induced anemia
We conducted a cross-sectional epidemiologic study to assess the association between blood lead level and hematocrit in 579 one to five year-old children living near a primary lead smelter in 1974. Blood lead levels ranged from 0.53 to 7.91 mumol/L (11 to 164 micrograms/dl). To predict hematocrit as a function of blood lead level and age, we derived non-linear regression models and fit percentile curves. We used logistic regression to predict the…
A measles outbreak at a college with a prematriculation immunization requirement
BACKGROUND. In early 1988 an outbreak of 84 measles cases occurred at a college in Colorado in which over 98 percent of students had documentation of adequate measles immunity (physician diagnosed measles, receipt of live measles vaccine on or after the first birthday, or serologic evidence of immunity) due to an immunization requirement in effect since 1986. METHODS. To examine potential risk factors for measles vaccine failure, we conducted a r…
Vaccine Refusal, Mandatory Immunization, and the Risks of Vaccine-Preventable Diseases
Vaccines are among the most effective prevention tools available to clinicians. However, the success of an immunization program depends on high rates of acceptance and coverage. There is evidence of an increase in vaccine refusal in the United States and of geographic clustering of refusals that results in outbreaks. Children with exemptions from school immunization requirements (a measure of vaccine refusal) are at increased risk for measles and…
Disparities in Tdap Vaccination and Vaccine Information Needs Among Pregnant Women in the United States
Vaccine Trials in Schools
Vaccine Trials in Schools: We Must Not Ignore Progress Alan R. Hinman MD, MPH, David Addiss MD, MPH, Arthur Caplan PhD, Lisa M. Carlson MPH, James V. Lavery PhD, and Walter A. Orenstein MD Affiliation Alan R. Hinman is with the Center for Vaccine Equity, Task Force for Global Health, Decatur, GA. David Addiss is with the Task Force for Global Health. Arthur Caplan is with the Division of Medical Ethics, New York University School of Medicine, New…
Vaccine safety
Vaccines are among the most cost-effective health interventions. Scientifically rigorous monitoring and evaluation of vaccine safety is critical in order to develop and modify recommendations for vaccine use and in maintaining public trust necessary for the use of vaccines. Even when governments and public health advocates are appropriate in their enthusiasm, vaccines sometimes lack advocates among caregivers or citizens. Outside of pandemics, va…
Vaccine safety issues at the turn of the 21st century
Global gains in vaccination coverage during the early 21st century have been threatened by the emergence of antivaccination groups that have questioned the effectiveness of vaccines to generate public distrust of vaccines and immunisation programmes. This manuscript summarises six key topics that have been at the centre of global discussions on vaccine safety during the early 21st century: thiomersal in multi-dose non-live vaccines, aluminium adj…
Vaccine Coverage Across the Life Course in Michigan During the Covid-19 Pandemic
Objectives. To assess the impact of the COVID-19 pandemic on immunization services across the life course. Methods. In this retrospective study, we used Michigan immunization registry data from 2018 through September 2020 to assess the number of vaccine doses administered, number of sites providing immunization services to the Vaccines for Children population, provider location types that administer adult vaccines, and vaccination coverage for ch…
MomsTalkShots, tailored educational app, improves vaccine attitudes
Registered at Clinicaltrials.gov on 13/09/2016 (registration number: NCT02898688)
LetsTalkShots
Introduction Vaccine hesitancy is a global health threat undermining control of many vaccine-preventable diseases. Patient-level education has largely been ineffective in reducing vaccine concerns and increasing vaccine uptake. We built and evaluated a personalized vaccine risk communication website called LetsTalkShots in English, Spanish and French (Canadian) for vaccines across the lifespan. LetsTalkShots tailors lived experiences, credible so…
Evaluation of online videos to engage viewers and support decision-making for Covid-19 vaccination
Background Vaccine hesitancy has hampered the control of COVID-19 and other vaccine-preventable diseases. Methods We conducted a national internet-based, quasi-experimental study to evaluate COVID-19 vaccine informational videos. Participants received an informational animated video paired with the randomized assignment of (1) a credible source (differing race/ethnicity) and (2) sequencing of a personal narrative before or after the video address…
The role of Zambia’s expansive Inter-agency Coordinating Committee (ICC) in supporting evidence-based vaccine and health sector programming
New vaccines, technologies, and regulations, alongside increased demand for vaccines, all require prioritization and coordination from key players within the vaccine sector. Inter-agency Coordinating Committees (ICC) support decision-making and coordination at the national-level and act as key drivers for sustainable improvements in vaccination programming. We utilized a previous qualitative case study, which investigated critical success factors…
Medicine (14 obras) · Vaccine Coverage and Hesitancy (14 obras) · Vaccination (10 obras) · Environmental health (9 obras) · Immunology (9 obras) · Family medicine (6 obras) · Immunology (6 obras) · Pediatrics (6 obras) · Pediatrics (6 obras) · Public health (6 obras)