The complexity of risks connected with both vaccine-preventable diseases as
well as with immunization will be discussed and used as the basis for conc
lusions:
what should be done to avoid damage to current and future immunization prog
rams and
how to improve risk communication.
The need for more complete data on true, perceived and unknown immunization
risks necessitates strengthening our research capabilities as well as surv
eillance and vaccine safety programs, and to critically examine the factors
influencing public sentiments, taking into account that public perceptions
of risk vary depending on the characteristics of risk. A concerted effort
is needed to improve benefit and risk communication at all levels. The medi
cal community should play a key role for improved communication. (C) 2001 E
lsevier Science Ltd. All rights reserved.