Why are there so few vaccinated people in the Lublin region? Doctor: We have a problem with young and very young

The Lublin region is a region with one of the lowest percentages of full vaccination of the population in Poland. But there are exceptions, such as the region where Małgorzata Stokowska-Wojda, a family doctor from Łaszczów, works. – We really did a gigantic job, I say “we”, but it’s mostly nurses. Because we also did the work for the system, which is inefficient – says the family doctor.

1. In the province In Lublin, 45 percent are fully vaccinated. residents. For comparison – in the province. Mazowieckie over 57 percent.
2. Currently, the Lublin region is in second place in terms of the number of occupied beds per 100 thousand. residents
3. We used to be third from the bottom when it comes to the number of cases in the voivodeship. And as everyone else got vaccinated, now we are in second place, after Mazowsze – says Małgorzata Stokowska-Wojda, family doctor working in the province. Lublin
4. When it comes to vaccinations, we have a problem with young and very young people. And this is, in my opinion, the effect of the lack of education at the central level – he adds
5. More information can be found on the Onet homepage

Low vaccination level in the province. Lublin – why is this happening?

Adrian Dąbek, Medonet: Do you have many unvaccinated patients?

Małgorzata Stokowska-Wojda, family doctor: This is the east wall. But I checked how it looks compared to other communes in Poland, I have to say that my immunization coverage is higher than in many places in the province. Lublin. But it is not without significance that these people had a vaccination point at their surgery. And we have patients with a little better vaccinations. You could always ask, talk when someone was not sure. In addition, in a smaller clinic, it is easier to establish a bond, especially when a doctor works for 30 years, then there is less resistance to ask about something, less shame.

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I remember our conversation from a few months ago, in which you said that you try very hard to reach as many people as possible with vaccinations, especially the elderly.

We established active contacts, talked, and tried to reach out and identify these people. And I must say that older people show more sense. We have problems with young and very young people. And this is, in my opinion, the effect of the lack of education at the central level. There are advertising and marketing activities, but there is no educational activity. I always give the example of Spain. This country was hit hard at the beginning of the epidemic. And when it turned out that it was possible to protect against the virus, because vaccinations appeared, at the moment the level of full vaccination of the population there is 77 percent. They have a solid population immunity. And by my count, mostly unvaccinated children remained there.

The rest of the text is below the video.

They got vaccinated, but they drew conclusions. There, hospitals are not overcrowded with COVID-19 patients. The same can be said that no medical student has ever seen smallpox. Because she was eliminated thanks to vaccinations. And we are still struggling with it, in difficult conditions, here on the eastern wall. During the first wave of the epidemic, the infections mainly concerned metropolitan centers. Because it is difficult to isolate yourself when you live in a block of flats and you even have a common elevator. There is a large crowd of people. And in the countryside, everyone has a cottage, they meet mainly with a neighbor, this insulation looks completely different, there were fewer contacts. This was the case in the voivodship Lublin.

We used to be third from the bottom when it comes to the number of cases in the voivodeship. And as everyone else got vaccinated, now we are in second place, after Mazovia.

This is a serious problem. It may be unpopular what I say, but these unvaccinated people are behaving immorally. Because it is like a person who smokes a lot of cigarettes and then suffers from cancer or chronic obstructive pulmonary disease related to respiratory failure. And now what is happening is that those who have not been vaccinated have a hard time having COVID-19 and are taking the place of those who have diseases other than COVID-19 in hospitals. In many district hospitals, beds are transformed into covid ones, and after all, heart attacks have not been hung up on a peg, but continue to occur. There are life-threatening conditions other than COVID-19. They are not less just because we have a pandemic.

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Few vaccinations because the system is full of holes

Do people who have not got vaccinated and are now having a hard time having any regret?

For some, yes. This is often the case with young people. Who say now that they wish they had vaccinated with their parents. But it also happens that parents get vaccinated, but do not vaccinate children who are already vaccinated.

I believe that it is even lucky that a person who has experienced an infection and was treated in a hospital, has the opportunity to verify his views. Because not everyone leaves this hospital.

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There was a study on the improvement of vaccination coverage. Even before the pandemic, so it applied to other diseases. But the rules remain the same. Barriers have been identified. The main reason why vaccinations are given less than they should be is a lack of adequate education.

Vaccination activities are divided into two parts. That is, the activities of the clinic where the patient goes and the activities at the central level, which depend on entities dealing with public health. And these activities include education and other activities aimed at promoting vaccination, such as legislation. And the negligence in this field is not able to compensate the clinics with their actions. Television and the media are used in central activities.

We have an example from Germany of how it works. A provision was introduced under which only children vaccinated according to the vaccination schedule were admitted to kindergartens. This recipe was intended to promote vaccination. And now covid passes are used in many countries. To use the public space, you must show a certificate.

We say that there are people determined to vaccinate and they do not hesitate, but there are also declared anti-vaccines and there is no point in reaching them. But between the two groups, there are many people who don’t know what to think. Because there are very diverse content on the Internet, but the content presented by opponents of vaccination is much more understandable than the scientific content proclaimed by infectious agents or health care workers. Besides, doctors work a lot and have less time to convince than our “adversaries”, so to speak. Many people still cannot verify the source of information and verify its credibility. And you can put anything on the Internet. And I do not see an educational counterbalance to what can be found on the Internet, created by a reliable center, such as the Ministry of Health.

There is a lot of room to show off here, still unused.

You drew your attention to the key issue, which is the simplicity of the message. Anti-vaccines are smacking their eyes with a simple message, and credible scientific studies are not always translated into a language that everyone understands. Because it is not only about the content of these messages, but also about the form.

Medical texts addressed to the patient are published in many places. They require professional and reliable information to be provided in an accessible way. There are people who can do this, but not all. For many years I myself have been dealing with health education, that is, translating many difficult problems from medical into “our”. And it is doable. But it is rarely done.

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The anti-vaccines say bluntly: “They’ll get you a chip and you will die in a year.” And this is a message that works and reaches everyone. But to say that the spike protein mechanism or that the vaccine’s mechanism of action will not change your DNA is less understandable.

You also have to speak in plain language, but there must be some serious authority behind it for it to be properly accepted. Currently, many people are indoctrinated with false information, and here we cannot do much without reliable education.

Coming back to the vaccination level in our region. We really did a gigantic job, I say we, but it’s mostly nurses. Like in a public callhouse. I allowed myself to say that “we did it”, “we made it”, but the system is flawed. Because it is possible to cross the ocean in a canoe, but this is not a good solution for general use. We managed to cross this ocean in a canoe, but I do not think that these are activities that can be recommended to all centers and clinics. Because we also did a job for a system that is inefficient. The system should work in such a way that it is efficient, there should be no holes.

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