{"id":1805,"date":"2025-08-05T08:36:54","date_gmt":"2025-08-05T08:36:54","guid":{"rendered":"https:\/\/farmaciacarreras.es\/la-reticencia-a-les-vacunacions-un-repte-per-a-la-salut-global\/"},"modified":"2025-08-05T08:40:11","modified_gmt":"2025-08-05T08:40:11","slug":"la-reticencia-a-les-vacunacions-un-repte-per-a-la-salut-global","status":"publish","type":"post","link":"https:\/\/farmaciacarreras.es\/ca\/la-reticencia-a-les-vacunacions-un-repte-per-a-la-salut-global\/","title":{"rendered":"LA RETIC\u00c8NCIA A LES VACUNACIONS: Un repte per a la salut global"},"content":{"rendered":"

Les vacunes, juntament amb el subministrament d\u2019aigua potable, representen un dels majors \u00e8xits de salut p\u00fablica a la hist\u00f2ria de la humanitat. Han contribu\u00eft de manera decisiva a la reducci\u00f3 de la mortalitat i la morbiditat infantil a escala global. L’\u00e8xit de les estrat\u00e8gies de vacunaci\u00f3 dep\u00e8n, en bona part, de les percepcions de la poblaci\u00f3 sobre els beneficis i els riscos associats. Cal un millor coneixement de les preocupacions p\u00fabliques sobre les vacunes i dels motius que les impulsen per desenvolupar estrat\u00e8gies i comunicacions m\u00e9s efectives.<\/p>\n

La retic\u00e8ncia envers les vacunes pot ser espec\u00edfica del pa\u00eds, la malaltia i el tipus de vacuna. Els motius poden ser diversos: la desinformaci\u00f3 a les xarxes socials, la desconfian\u00e7a cap als professionals sanitaris, les preocupacions sobre els efectes secundaris, les narratives de conspiraci\u00f3 i els problemes de disponibilitat o accessibilitat.<\/p>\n

Context hist\u00f2ric de l\u2019activisme anti-vacunes
\nL\u2019oposici\u00f3 a la vacunaci\u00f3 no \u00e9s nova. Ja al segle XVIII, amb la introducci\u00f3 de la vacuna contra la verola, van sorgir moviments contraris, sovint liderats per professionals sanitaris. Despr\u00e9s d\u2019una relativa calma durant el segle XX, els anys 70 i 80 van veure un ressorgiment del moviment anti-vacunes, especialment arran de la vacuna de la tos ferina. El punt d\u2019inflexi\u00f3, per\u00f2, es produeix l\u2019any 1998 amb la publicaci\u00f3 fraudulenta de l\u2019estudi d\u2019Andrew Wakefield a The Lancet, que vinculava falsament la vacuna contra el xarampi\u00f3 amb l\u2019autisme.<\/p>\n

Amb l\u2019arribada del segle XXI, els moviments contraris a les vacunes han sabut aprofitar les xarxes socials i altres canals digitals per difondre missatges de desinformaci\u00f3 i crear comunitats de desconfian\u00e7a envers la ci\u00e8ncia i les institucions sanit\u00e0ries. L\u2019Organitzaci\u00f3 Mundial de la Salut (OMS) defineix la retic\u00e8ncia vacunal com: “el retard en l\u2019acceptaci\u00f3 o la negativa a vacunar-se tot i la disponibilitat dels serveis de vacunaci\u00f3”, i la classifica com una de les deu principals amenaces per a la salut global.<\/p>\n

Principals determinants de la retic\u00e8ncia vacunal inclouen:
\n1. Influ\u00e8ncies contextuals: factors socioecon\u00f2mics, religiosos, pol\u00edtics, culturals i medi\u00e0tics, aix\u00ed com la confian\u00e7a en les autoritats.
\n2. Influ\u00e8ncies individuals i grupals: experi\u00e8ncies personals, creences en salut, coneixements sobre les vacunes i confian\u00e7a en el sistema sanitari.
\n3. Factors relacionats amb la vacuna: tipus de vacuna, mode d\u2019administraci\u00f3, calendari vacunal i recomanaci\u00f3 professional.<\/p>\n

Aquestes variables poden tenir un impacte positiu o negatiu en l\u2019actitud davant la vacunaci\u00f3 i, per tant, han de ser abordades amb estrat\u00e8gies espec\u00edfiques. La majoria de persones reticents no rebutgen totalment les vacunes, sin\u00f3 que presenten dubtes o vacil\u00b7lacions, i per tant, les seves actituds poden ser modificables. 4<\/p>\n

Estudis recents indiquen que la retic\u00e8ncia afecta un 20% dels pares de nens menors de 6 anys a escala global, tot i que el rebuig total \u00e9s inferior al 3%. 5 Aquestes dades posen de manifest la import\u00e0ncia de desenvolupar estrat\u00e8gies de comunicaci\u00f3 personalitzades i contextualitzades.<\/p>\n

L\u2019exist\u00e8ncia de bosses de poblaci\u00f3 amb cobertura vacunal insuficient pot provocar brots epid\u00e8mics, fins i tot en pa\u00efsos que tenen altes cobertures de vacunaci\u00f3 perqu\u00e8 cap vacuna t\u00e9 una efectivitat del 100%. Per aquest motiu, es recomana la vigil\u00e0ncia geo-espacial per identificar \u00e0rees de risc i intervenir de manera proactiva.<\/p>\n

Entre les estrat\u00e8gies per millorar l\u2019acceptaci\u00f3 de les vacunes destaquen:
\n1.El paper clau dels professionals sanitaris:
\nEls professionals de la salut s\u00f3n la font d\u2019informaci\u00f3 m\u00e9s fiable. Una recomanaci\u00f3 ferma i emp\u00e0tica pot ser determinant per incrementar l\u2019acceptaci\u00f3 vacunal d\u2019una gran part de la poblaci\u00f3. Cal formar els professionals perqu\u00e8 responguin amb rigor cient\u00edfic a dubtes, mites i desinformaci\u00f3, mitjan\u00e7ant una comunicaci\u00f3 basada en l\u2019escolta activa.
\n2. Les intervencions individuals:
\nAplicacions m\u00f2bils, missatges personalitzats i eines interactives poden millorar el coneixement, les actituds i les creences sobre les vacunes, especialment en poblacions amb dubtes moderats.<\/p>\n

La comunicaci\u00f3 poblacional i de salut p\u00fablica:<\/p>\n

A m\u00e9s de campanyes massives, recordatoris autom\u00e0tics via SMS, correu electr\u00f2nic o tel\u00e8fon han demostrat ser \u00fatils per augmentar la cobertura de vacunaci\u00f3. Paral\u00b7lelament, cal combatre activament la desinformaci\u00f3, que sovint es propaga amb m\u00e9s for\u00e7a que la informaci\u00f3 vera\u00e7, amb estrat\u00e8gies fonamentades en l\u2019evid\u00e8ncia cient\u00edfica.<\/p>\n

Riscos futurs i escenaris de predicci\u00f3
\nL’impacte de la no adher\u00e8ncia a la vacunaci\u00f3 va molt m\u00e9s enll\u00e0 de la salut de la poblaci\u00f3, ja que tamb\u00e9 representa una c\u00e0rrega per als sistemes sanitaris, l’economia i la salut p\u00fablica global. Un estudi fet als EEUU per investigadors de la Universitat de Stanford adverteix, 7 mitjan\u00e7ant models predictius, que una disminuci\u00f3 del 10% en la vacunaci\u00f3 amb la vacuna triple v\u00edrica podria provocar el retorn del xarampi\u00f3 com a malaltia end\u00e8mica en nom\u00e9s 5 anys, i de la rub\u00e8ola en 18 anys. Aquest escenari posa de manifest la necessitat urgent de preservar i millorar els programes de vacunaci\u00f3, especialment en un context de desinformaci\u00f3 creixent, crisi humanit\u00e0ria i tensions pol\u00edtiques.<\/p>\n

Conclusions i posicionament<\/p>\n

La Reial Acad\u00e8mia de Farm\u00e0cia de Catalunya manifesta la seva preocupaci\u00f3 per la retic\u00e8ncia vacunal, que posa en risc les fites assolides amb gran esfor\u00e7 per part de la comunitat cient\u00edfica i sanit\u00e0ria internacional. Tanmateix, la Instituci\u00f3 expressa el seu ferm comprom\u00eds amb la promoci\u00f3 de la vacunaci\u00f3 com a eina essencial per mantenir la salut p\u00fablica, i recomana:
\n\u2022 Refor\u00e7ar la formaci\u00f3 dels professionals sanitaris en mat\u00e8ria de vacunaci\u00f3 i comunicaci\u00f3.
\n\u2022 Impulsar estrat\u00e8gies de comunicaci\u00f3 poblacional contrastades i basades en l\u2019evid\u00e8ncia cient\u00edfica.
\n\u2022 Combatre activament la desinformaci\u00f3 mitjan\u00e7ant campanyes coordinades entre institucions sanit\u00e0ries, educatives i cient\u00edfiques.
\n\u2022 Mantenir la vigil\u00e0ncia epidemiol\u00f2gica per identificar \u00e0rees de risc i prevenir brots.<\/p>\n

La Reial Acad\u00e8mia de Farm\u00e0cia de Catalunya recorda el paper dels farmac\u00e8utics en el desenvolupament, la promoci\u00f3, la sensibilitzaci\u00f3 i l’assessorament sobre la vacunaci\u00f3, contribuint a l\u2019eliminaci\u00f3 d\u2019obstacles que impedeixin augmentar les cobertures actuals.<\/p>\n

Finalment, la Reial Acad\u00e8mia de Farm\u00e0cia de Catalunya fa una crida a la societat per tal que continu\u00ef confiant en la ci\u00e8ncia i les vacunes com a eina segura, efica\u00e7 i essencial per protegir la salut col\u00b7lectiva.<\/p>\n

Cal incrementar el finan\u00e7ament i aprofundir en la investigaci\u00f3 de les barreres actitudinals enfront de la vacunaci\u00f3 perqu\u00e8 les vacunes per si soles no salven vides; s\u00f3n les vacunacions que ho fan possible.<\/p>\n

Barcelona, juliol de 2025<\/p>\n

Reial Acad\u00e8mia de Farm\u00e0cia de Catalunya<\/p>\n

Refer\u00e8ncies bibliogr\u00e0fiques:
\n1. World Health Organization. Ten threats to global health in 2019. Geneva: WHO; 2019 [consulta 2025 Jun 26]. Disponible a: https:\/\/www.who.int\/news-room\/spotlight\/ten-threats-to-global-health-in-2019
\n2. MacDonald NE. Vaccine hesitancy: Definition, scope and determinants. Vaccine. 2015;33(34):4161-4.
\n3. Wakefield AJ, Murch SH, Anthony A, Linnell J, Casson DM, Malik M, et al. Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. Lancet. 1998;351(9103):637\u201341. Retraction in: Lancet. 2010;375(9713):445.
\n4. Xu Z. Personal stories matter: topic evolution and popularity among pro- and anti-vaccine online articles. J Comput Soc Sc. 2019;2(2):207\u201320.
\n5. Abenova M, Shaltynov A, Jamedinova U, Semenova Y. Worldwide child routine vaccination hesitancy rate among parents of children aged 0\u20136 years: A systematic review and meta-analysis of cross-sectional studies. Vaccines. 2024;12 (1): 31.
\n6. O\u2019leary ST, Opel DJ, Cataldi JR, Hackell JM, Campbell JD, et al. Strategies for improving vaccine communication and uptake. Pediatrics. 2024;153(3): e2023065483.
\n7. Kiang MV, Bubar KM, Maldonado Y, Hotez PJ, Lo NC. Modeling reemergence of vaccine-eliminated infectious diseases under declining vaccination in the US. JAMA 2025;333(24):2176-87.<\/p>\n<\/div>

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