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Letter
Functional disorders after COVID-19 vaccine fuel vaccination hesitancy
  1. Alfonso Fasano1,2,3,
  2. Antonio Daniele4,5
  1. 1 Department of Medicine, Division of Neurology, University of Toronto, Toronto, Ontario, Canada
  2. 2 Edmond J. Safra Program in Parkinson’s Disease, Morton and Gloria Shulman Movement Disorders Centre, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada
  3. 3 Krembil Brain Institute, Toronto, Ontario, Canada
  4. 4 Department of Neuroscience, Università Cattolica del Sacro Cuore, Rome, Italy
  5. 5 Neurology Unit, IRCCS Fondazione Policlinico Universitario A. Gemelli, Rome, Italy
  1. Correspondence to Prof Alfonso Fasano, Movement Disorders Centre, Toronto Western Hospital 399 Bathurst St, 7McL410, Toronto, Ontario, Canada; alfonso.fasano{at}gmail.com

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Due to the dramatic spread of COVID-19, public health measures and a campaign of widespread distribution of vaccines against SARS-CoV-2 are among the most important priorities for many governments worldwide. Attitudes of people towards vaccination against SARS-CoV-2 can be basically split into three major categories. A first category includes people (60%–80% of the population) who are convinced that the benefits of vaccination outweigh its risks. A second category of people include irreducible anti-vaxxers, who have not changed their opinion even during the COVID-19 pandemic. A third group of people understand the advantages of vaccination, but are still undecided about undergoing vaccination. In the era of COVID-19 pandemic, many individuals have also to deal with the ‘infodemic’ challenge, a term coined by the WHO to refer to the ‘overabundance of information—some accurate and some not—that occurs during an epidemic’. Misinformation in social media and conspiracy beliefs about COVID-19 pandemic are now enriched by the theories of anti-vaccine movements, in keeping with the notion that online false news stories spread more rapidly than true news.

Among the various adverse events which might observed after COVID-19 vaccination, the occurrence of functional—once called psychogenic—neurological disorders (FNDs) might be a challenging issue for healthcare providers, media and public opinion with a negative impact on vaccination campaigns. In fact, in the past few months, as the vaccination campaign against …

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Footnotes

  • Twitter @DrAlfonsoFasano

  • Contributors AF and AD drafted and revised the manuscript.

  • Funding This study was funded by the University of Toronto and University Health Network Chair in Neuromodulation and Multidisciplinary Care to AF.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.