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workshop on enhancing communication around influenza vaccination (weeciv)

centers for disease control and prevention, atlanta, usa,

11-13 june 2013

context

investment in early intervention health care is a proven strategy to decrease high costs burdening the public and government sectors. by strengthening preparedness capacity and supporting low-cost preventative services, mortality rates and the health of populations can be significantly improved. over the past 6 years, considerable investments have been made to establish and expand influenza vaccine manufacturing capacity in developing countries. these investments have improved preparedness for seasonal and pandemic influenza, and have indirectly improved health systems, surveillance, detection, and response activities by leveraging additional support and building capacity within these countries and regions. to fully maximize investments and to ensure sustainability of influenza vaccine manufacturing in developing countries, there is a need to increase national and regional uptake of vaccination.

the percentage of who member states incorporating seasonal influenza vaccination into national immunization programs remains low with significant regional variations. high vaccine and service costs, competing health priorities, difficulties in measuring vaccine efficacy and cost–effectiveness, and adverse public opinion regarding vaccination all influence the policy decisions affecting national immunization programs.

effectively communicating the benefit of influenza vaccination is an essential component to increase the vaccine uptake and inclusion into national influenza immunization programmes. firstly, these benefits need to be understood by the key players that promote vaccination at national level (health promotion departments and healthcare workers). health care workers are increasingly important in influencing vaccination choices, and new appro

voltemand and cornelius bring to claudius the news that the king of norway has ordered fortinbras to stop his attack.

when connie willis was 12 years old, her mother died. in january of 2003, willis was interviewed for locus magazine. she recognized that death is a major issue in her writing, specially because the vacuous and appalling things that people tend to say in order to support you when someone you loved dies. what really saved willis was reading. books, literature, are not false. poetry tells the truth (as dickinson said: "tell al the truth but tell it slant"). it's not a escape from reality, but a nigromantic experience where whe can talk to people that exist no more. that's the definition that connie willis gives in her novel "passage": «(literature) it's the people who went before us, tapping out messages from the past, from beyond the grave, trying to tell us about life and death! ». enrique vila-matas has figured out the esence of literary experience when he said in a lecture that he intends to have his revenge against life (and death), because to write (and to read) is a form of living and a way to remember. i like in that sense the idea of not leting anything human to get lost. i feel fiction and poetry as the shapes of an ancient anger. like in the poem from dylan thomas: «do not go gentle into that good night / rage, rage against the dying of the light».

but there is another aspect that i have learned from connie willis's quote. in his famous work "danubio", the italian writer claudio magris describes literature as house removals. some messages reach us, other messages get lost in the labyrinth. those messages which are our inheritance teach us how to live and how to die, how to love and how to hate, how to laugh and how to cry. i think that tales really shape us if we listen to them. maybe through the stories we read we learn how to emphatize with others, knowing that the bells tolls for every each of us.