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mariasundaram's profile
Maria Sundaram, PhD
Maria Sundaram, PhD
Maria Sundaram, PhD
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@mariasundaram

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Maria Sundaram, PhDVerified account

@mariasundaram

ID epidemiologist, postdoc @UofT_dlsph. Respiratory viruses, vaccines, & mat/child health. Previously @EmoryRollins, @PublicHealthUMN and @JohnsHopkinsSPH.

Toronto, ON
bit.ly/3uaqGkk
Joined March 2011

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    Maria Sundaram, PhD‏Verified account @mariasundaram 7 Dec 2020

    How to talk with vaccine-hesitant people: a thread for epidemiologists & humans in general, on what the research suggests, and what has worked for me in the past.

    10:43 AM - 7 Dec 2020
    • 5,270 Retweets
    • 17,004 Likes
    • Shane Lamba 11:11 🇮🇳 Dana Greenfield MD PhD Maritere Valenzuela memewhile Niki Woitowich, PhD Ryan K Harrison, MD sushi, md Manvir Shokar
    191 replies 5,270 retweets 17,004 likes
      1. New conversation
      2. Maria Sundaram, PhD‏Verified account @mariasundaram 7 Dec 2020

        1. Start by acknowledging the person's individual fears & concerns about vaccines. Ultimately, many of these are things we share--otherwise we wouldn't do clinical trials to assess safety and effectiveness.

        8 replies 67 retweets 1,826 likes
        Show this thread
      3. Maria Sundaram, PhD‏Verified account @mariasundaram 7 Dec 2020

        2. Acknowledge a common goal too. If the reason they don't want a vaccine is that they're worried about their health outcomes or their child's health outcomes--ding ding ding, that's common ground. You also want good health outcomes for them! https://pubmed.ncbi.nlm.nih.gov/32281992/ 

        4 replies 54 retweets 1,481 likes
        Show this thread
      4. Maria Sundaram, PhD‏Verified account @mariasundaram 7 Dec 2020

        3. If they are a member of an underserved community, I think it's only fair to acknowledge that they may have a *right* to distrust public health authorities and white male physicians. But that leads me to ...

        16 replies 56 retweets 1,688 likes
        Show this thread
      5. Maria Sundaram, PhD‏Verified account @mariasundaram 7 Dec 2020

        4. Be a real person when talking to them. Start from the common ground of both of y'all being humans. (Don't be a science robot feeding information into an empty vessel--that's not how people work.) I talk about my own life and my own choices a lot ("here's what I would do").

        5 replies 48 retweets 1,499 likes
        Show this thread
      6. Maria Sundaram, PhD‏Verified account @mariasundaram 7 Dec 2020

        (4a. Being a real person can also help establish common ground. If you both have kids, great! If you both love the same musical artist, great! If you both are sick of being cooped up, GREAT! Commiseration is a balm. You can both feel fulfilled by this convo.)

        1 reply 28 retweets 1,097 likes
        Show this thread
      7. Maria Sundaram, PhD‏Verified account @mariasundaram 7 Dec 2020

        (4b. Humour can help, if the timing is right. I like to tell people that if I truly were a secret shill for Big Pharma that there's no way I'd be driving a 11-year-old Corolla with a broken A/C. Make sure you are laughing TOGETHER at the same thing, not at your or their expense!)

        7 replies 32 retweets 1,401 likes
        Show this thread
      8. Maria Sundaram, PhD‏Verified account @mariasundaram 7 Dec 2020

        5. Address *individual* concerns. People have lots of reasons why they are hesitant: personal freedoms, not knowing what all is in the vaccine, the schedule, what kind of safety monitoring is there, etc. Respond directly. Actually answer their questions.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6612430/ …

        3 replies 55 retweets 1,221 likes
        Show this thread
      9. Maria Sundaram, PhD‏Verified account @mariasundaram 7 Dec 2020

        5a. Be honest! If you don't know, say, "oh, that's a very good question. I don't know off the top of my head, but let me look into it and get back to you." Do👏not👏pretend👏to👏know👏if👏you👏don't👏! Validate their questions as being similar to ones you ask in your research.

        2 replies 44 retweets 1,467 likes
        Show this thread
      10. Maria Sundaram, PhD‏Verified account @mariasundaram 7 Dec 2020

        6. Make sure you're communicating with people who have a real interest. In my house we have a saying: "My mind is made up, don't confuse me with the facts." If you're talking to a person with this mindset, you may not be able to change their mind. That's OK. Be kind & let it go.

        2 replies 37 retweets 1,187 likes
        Show this thread
      11. Maria Sundaram, PhD‏Verified account @mariasundaram 7 Dec 2020

        6a. If you can, try not to "well, actually" them. It's very important to get correct info out there, but don't just tell them flatly "that's wrong and you're wrong", if they truly want to know & learn. Because... 👇https://www.theatlantic.com/health/archive/2014/12/vaccine-myth-busting-can-backfire/383700/ …

        6 replies 62 retweets 1,058 likes
        Show this thread
      12. Maria Sundaram, PhD‏Verified account @mariasundaram 7 Dec 2020

        7. Take breaks!! Good communication with folks you don't see eye-to-eye with can be tiring, because it requires a TON of empathy. Take breaks and always, always, always be kind. (To others AND to yourself.)

        5 replies 28 retweets 1,043 likes
        Show this thread
      13. Maria Sundaram, PhD‏Verified account @mariasundaram 7 Dec 2020

        I'm going to try to tweet about vaccine safety in the next few days, so here's hoping I can put my own advice into action🤞 Also, follow @rabednarczyk and @SaadOmer3 and @abuttenheim and @Muhellingson, whose work informs a lot of this.

        48 replies 31 retweets 1,035 likes
        Show this thread
      14. End of conversation

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