1989) and working from a larger frame of communication methods, scientists will be able to work more effectively with the public to address vaccine-related issues. A mix of information, dissemination, education services, and community-based dialogues are probably needed (NRC, 1989).

To address these goals, the committee recommends developing programs to increase public participation in vaccine safety research and policy decisions and to enhance the skills and willingness of scientists and government officials to engage in constructive dialogue with the public about research findings and their implications for policy development. Programs such as Project LEAD®, COPUS Grant Schemes, or the IOM Vaccine Safety Forum may serve as useful models. Any proposed program should be easily accessible to the public and should involve a wide range of individuals. Additionally, ways to rebuild trust between the public, scientists, professionals, media, and government should be explored.

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