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RELUCTANCE TO VACCINE: WHY SOME FILIPINOS ARE UNVACCINATED BY CHOICE

Aguilar, Charizza Danielle O.

Ferolino, Gabrielle Nevic R.

Guillermo, Hanelyn Mae B.

Gullod, Janielle Kaye O.

Paunon, Juliana Michelle J.

Tomboc, Arzelie Marie R.

Valenzona, Kael Mandee Ann A.

Grade 11 - St. Bridget

Ms. Jayzer Billones

2021-2022

2nd Semester
Chapter 1
INTRODUCTION

Background of the Study


In the early times of the COVID-19 pandemic, a series of health protocols provided by
the World Health Organization (WHO) were strictly implemented worldwide to control the spread
of the virus. Mitigations were immediately effectuated such as socially distancing, staying at
home, washing hands often, and wearing filtered face masks. At the same time, one of the most
highly prioritized and funded research since this global health crisis was the development of
vaccines. Multiple scientists and researchers raced against time, using existing resources to
study the virus in hopes to promptly create a safe and effective vaccine that will combat against
the disease. Fortunately, that hope became a reality when companies and manufacturers have
already reported successful testing of their vaccines in a span of little less than a year, with
leading brands Pfizer and Moderna acquiring not less than 90% efficacy rate during the first
three phases.

Following this phenomenon, months after the confirmation of a triumphant and effective
production, the initiation of vaccination was immediately enforced shortly after the approval of
WHO and the Food and Drug Administration (FDA). In the Philippines, almost 51% of the
population has become fully vaccinated, as of January (Our World in Data, 2022). Because of
the distribution and inoculation of vaccines, getting infected was reduced. However, despite the
months that have passed since the availability of these COVID-19 shots, there are still those
who are reluctant to vaccinate. While some worry because of their health conditions, others who
do not suffer from any choose to remain unvaccinated. Their reasons for vaccine hesitancy are
yet to be discussed, more so to be accepted by society. Hence, the unvaccinated people by
choice becomes subjects of criticization, judgement, and discrimination.

The history of COVID-19 can be traced back to Wuhan City, Hubei Province of China
before it subsequently spread worldwide. During the months of November and December, 2019,
an outbreak of similar cases of acute respiratory illnesses in the area was reported to the
Chinese Center for Disease Control (CDC). The diseases found were caused by the etiological
agent behind COVID-19, a newly identified novel coronavirus named Severe Acute Respiratory
Syndrome Coronavirus 2 or SARS-CoV-2 (initially was called 2019-nCoV) (Mohan & Nambiar,
2020). SARS-CoV-2, like any other viruses, evolves as time goes by. As a result, its properties
may or may not change, depending on the level of modification. Since January of 2020, WHO,
alongside different academic researchers, have been analyzing the mutation of SARS-CoV-2 to
examine the possible variants that may appear. Later in the same year, specific Variants of
Interest (VOIs) and Variants of Concern (VOCs) were identified and categorized such as VOCs’
Omicron and Delta variant (WHO, 2022). Omicron being the most recent discovery imposed a
greater threat to global health. First appearing in South Africa, this variant is more dangerous
because of its rapid transmission than Delta. Because of the minimal number of cases
originating from this mutation, its association to the severity of the disease and death rates is
still unknown (Centers for Disease Control and Prevention, 2021).

Vaccines are vital weapons for combat against the virus. Successful immunization and
production of vaccines are the world’s only hope to alleviate society's current situation, more so
to eliminate further severe infections. Late December of 2020 to early 2021, there were already
three vaccines that have been granted with Emergency Use Authorization (EUA) by the FDA,
namely: Pfizer-BioNTech, Moderna, and Johnson & Johnson’s Janssen. Following this was the
approval to initiate an early vaccination process to prioritize the public’s welfare from the
growing number of COVID-19 cases. FDA collaborated with vaccine manufacturers, research
centers, and other organizations in the same field to study, interpret and assess the data of
these vaccines through conducting a series of tests. As a result, findings report that all three
were successful in achieving two of FDA’s major standards for vaccination: (1) preventing
severe COVID-19 infections, and (2) having extremely low risks of serious side effects (Kelen &
Maragakis, 2021). However, with the presence of new variants such as the Omicron, late 2021
to early 2022, booster shots were immediately effectuated afterward when studies from the
Centers for Disease Control and Prevention (CDC) reported how booster shots for COVID-19
vaccines "reduces a person's odds of hospitalization from the Omicron variant" (as cited in the
published article of Edwards, 2022).

A study conducted by the CDC (2021) shows that a rough estimation of 85% of adults
ages 18 and above in the United States have already received at least one dose of COVID-19
immunization as of December 14. However, the remaining 15% are reported to be the exact
opposite. In a survey carried out by the U.S. Census Bureau’s Household Pulse Survey (HPS),
it was presented that there were multiple reasons why many have not received any. Among the
responses, about half of the respondents revealed that they were "concerned" with the possible
side effects of the vaccines. 42% were saying they “don’t trust the COVID-19 vaccine; less than
10% were because of their doctor’s recommendations; and about 2% of the respondents
showed that they were experiencing difficulties in accessing to COVID-19 vaccines (Monte,
2021). The same behavior was also seen in a community-based survey about the attitude
towards COVID-19 vaccines in Tamil Nadu, India where about 19.5% percent denied vaccines
while 40.7% were hesitant. The most garnered reason was their “mistrust in the health systems
and the vaccines” (Danabal, Gopichandran, Magesh, & Saravanan, 2021).

In the Philippines, similar cases were also reported regarding the behavior and
acceptance of Filipinos all around the country towards COVID-19 vaccines. In the study of Amit,
Dayrit, Pepito, and Tanchanco (2022) about vaccine hesitancy and other challenges of
vaccination in the country, findings reveal some factors that greatly influence the opposition of
attaining a successful immunization such as the having vaccine brand hesitancy. With rumors
circulating about producing a specific vaccine, respondents expressed their concern over its
efficacy and safety; therefore, they preferred specific brands that were recognized and fully
approved in other countries. Others also view the vaccination process as unsafe and deadly,
while some deem it unnecessary. Other aspects include: negative experiences as a source of
vaccine hesitancy and/or anti-vaccination; skepticism towards incentives; low health literacy;
and many more reasons as to why people have poor and negative attitudes towards COVID-19
vaccines. In Davao City, around 30% of its people are still not vaccinated despite the continuous
turnout of the three-day Bakunahan from November 29 to December 1, 2021, and other
strategies imposed by the Local Government Unit (LGU) like house-to-house and barangay
mobile vaccinations. Aside from local residents, vaccine hesitancy was also prevailing
among indigenous people (IP) communities in the city (City Government of Davao City,
2021).

WHO defines vaccine hesitancy and refusal as the

“…delay in acceptance or refusal of vaccines despite the availability of vaccination


services. Vaccine hesitancy is described to be complex and context specific varying
across time, place, and vaccines, and is influenced by factors such as complacency,
convenience, and confidence.” (Nossier, 2021).

Apprehension and rejection towards immunization is already an expected occurrence in all


vaccination regimens. It is generally the consequences brought by different factors that may
influence and affect people’s perspectives and decision-making to vaccinate. In a span of little
less than a year after the emergence of COVID-19, vaccines for immunity boosts were already
developed and authorized to be inoculated to the public. While other vaccines take years to be
completely assessed as effective, COVID-19 immunization being administered in just a short
amount of time led to people questioning its effectiveness. Additionally, controversies from the
past about vaccines such as Dengvaxia have already traumatized people. Alongside this,
misinformation, rumors, and false conspiracy theories about its production circulated in both
media and people, contributing to the public’s reluctance in accepting the said vaccines.

With that being stated, successful immunization still remains unclear as 3 billion people
worldwide are still unvaccinated since February (Our World in Data, 2022). Early this year, the
Philippines was at high alert level for COVID-19 infection when the new mutation, Omicron, was
found in the capital city. Taking matters further, the Inter-Agency Task Force for the
Management of Emerging Infectious Diseases’ (IATF) imposed specific guidelines, limiting the
movements of civilians; two of which are restricting unvaccinated people’s access to public
transport and requiring employees to be vaccinated (Coventus Law, 2022). Their guidelines
garnered mixed reactions from citizens. While some projected positive feedback, others
expressed their displeasure, with the Kilusang Magbubukid ng Pilipinas commenting, “Dividing
the population into vaccinated and unvaccinated is anti-people and inhumane.” (Cervantes,
2022).

The significance of this study is to present a new outlook and perspective on the attitude
of how Filipinos acknowledge the presence of COVID-19 immunization. In this research, the
students gathered the necessary information to address the different factors that influence the
hesitancy of the involved citizens towards COVID-19 vaccines, subsequently leading to their
decisiveness to remain unvaccinated even after the appearance of variants such as Omicron
and Delta. This study served as a platform for unvaccinated citizens to share and express their
sentiments as to why they are hesitant to vaccinate. In line with this, because of restricted
actions caused by the pandemic and limited studies focusing on the residents of Davao City,
this research took the initiative to explore and interview only Davaoeños for their reasons and
opinions. Furthermore, the researchers also wanted to promote a respectful community despite
the differences in perspectives. As people who are not yet vaccinated are unfortunately
criticized and discriminated against in the country for their “selfish” and “risky” decisions, the
researchers aim to eliminate any form of judgment and mistreatment towards unvaccinated
people. Not only are they heard, but they are also protected.

Scopes and Limitations of the Study


The study presented the factors that affect, more so influence Filipinos’ hesitancy
towards COVID-19 vaccination, which subsequently contributes to their reasons as to why they
choose to be unvaccinated despite the rising cases of COVID-19 infected and the emerging
mutations of the virus such as the Omicron and Delta variant that is timely in the Philippines.
The data gathering was conducted on several 5 Davao City residents of legal age and are
unvaccinated by choice through one-on-one in-depth interviews and focus group discussions on
giving them the options to choose from between having to be interrogated separately or with
people.

The study's limitations are those that fall outside its scope, which are the vaccinated,
people living outside of Davao City, and those who have not yet reached the age of legality.
Given the circumstances that follow with the prevalence of COVID-19 pandemic and its
restrictions, the researchers were unable to conduct actual face-to-face in-depth interviews with
the respondents due to the risks that may be encountered during physical meetings and
engagements. Moreover, since the study only focuses on Davao City residents as responders,
those that do not live within the location were not included. A limited number of people residing
in certain areas of the city was only covered during the entire process of researching since
COVID-19 outbreak is still alarming, and with an insufficient amount of time, the study can no
longer cater to a much larger sample size. Therefore, the study's sample size may become
insufficient to collect the general and necessary information for the findings.

Hence, all interviews and discussions between the researchers and respondents were
conducted online via virtual meeting platforms such as Google Meet and Zoom to ensure the
safety and welfare of both parties. In line with this, the researchers sent a letter of permission,
supplied with a consent form to the chosen respondents of the study. The respondents were
free to accept or decline the researchers’ invitation, and no sense of disrespect or displeasure
from the investigators was portrayed if they were to be rejected. Furthermore, the respondents
were given the freedom to talk about their reasons and share their lived experiences about the
topic of COVID-19 vaccinations, and their hesitancy and/or refusal towards it. It did not,
however, involve any discussions that diverted away from the topic, and contexts that generated
any form of insolence towards the respondents.

Statement of the Problem


Since the early months of the COVID-19 pandemic, health protocols were immediately
administered by the World Health Organization (WHO) worldwide to control the spread of the
virus. One of the most highly prioritized and funded research was vaccines' development in line
with the situation. Multiple researchers studied the virus in hopes to create a safe and effective
vaccine that will combat against the disease by boosting immunity. Less than a year since the
pandemic, COVID-19 vaccines were already created successfully. Months after WHO's
approval and the Food and Drug Administration (FDA), initiation of vaccines were effectuated. In
the Philippines, the national COVID-19 vaccination strategy's immediate goal is to lower the risk
of new variations and minimize deaths, severe disease, and overall disease burden through
attaining 100% fully vaccinated citizens. It also aims to lessen the impact of COVID-19 towards
its health system. Currently, as of January 2022, almost 51% of the country’s population have
become fully vaccinated or atleast received their first dose (Our World in Data, 2022).

In line with their goal, issues have arised, contradicting the plans of the government.
Around 39% of Filipinos are unwilling to be vaccinated because they feel that vaccines may hurt
them. Moreover, the Dengvaxia Controversy years ago caused many Filipinos vaccine trauma,
and from then on, caused their loss of trust in immunizations, more so with those generated in
less than a year. Other reasons include their suspiciousness. They are wary of the vaccines in
effectively protecting and securing their health and welfare. During the first years, the majority of
the dosages that have arrived in the Philippines are from China, and they are not as effective as
those from Pfizer or Moderna. For this very reason alone, many Filipinos claim that they do not
want to be vaccinated since the country supplies insufficient vaccinations for everyone to be
properly immunized. Because of these issues, the government is having difficulty persuading
Filipinos to get vaccinated (Westerman, 2021).

In order to deal with the problem of vaccine hesitancy, there is a need to know about the
“C’s”. The World Health Organization (WHO) has outlined three “C’s” that contribute to
vaccinating hesitancy: complacency, convenience, and confidence. Confidence in the safety of
vaccines exposes the main reason for vaccine hesitancy, the fear of unforeseeable secondary
effects. In addition, people are afraid to try and trust once again because of the past
controversies about vaccines. Thus, it can be seen that Filipinos are harder to convince. Many
factors hinder them from listening to implemented government protocols against COVID-19.
Therefore, the government must make a great effort to gain the trust of the majority. The
government and leading organizations can use the data that will be gathered in this study to
develop more excellent strategies in persuading the unvaccinated people to change their minds
about not getting their immunizations, like eliminating the false information about the vaccine
through informative videos or an infographic. As a result, the unvaccinated citizens might be
encouraged and convinced to have their immunizations.
This proposed research aspired to explore and better understand the reasons and lived
experiences on why some Filipinos choose to be unvaccinated, and eradicate any form of
discrimination between the vaccinated and unvaccinated. In doing so, the Local Government
Units (LGUs) or any leading organization may use this study to identify needed improvement,
share better and truthful information about vaccines, and strategize much more effective
methods to encourage people to get vaccinated. To do this, the researchers gathered
information about their opinions, reasons, stories, and sentiments of delaying their immunization
to achieve its purpose.

Purpose of the Study


This study was intended to present the factors that influence some Filipinos’ hesitancy or
refusal towards COVID-19 vaccines. It was focused on gathering information about their
opinions, reasons, stories, and sentiments of delaying their immunization. Its objectives were to
explore and better understand the reasons and lived experiences on why some Filipinos choose
to be unvaccinated, and eradicate any form of discrimination between the vaccinated and
unvaccinated. The researchers conducted one-on-one in-depth interviews and focus group
discussions in collecting the necessary data to achieve this. In determining the said factors and
reasons, using the mentioned methods provided the answers to queries regarding their reasons
why they are unvaccinated.

As previously mentioned, this research did not aim to discriminate or differentiate people
by their stand on vaccines. In contrast, it was to identify why other people choose to be
unvaccinated despite the ongoing COVID-19 outbreak, and the emerging mutations or variants
of the virus. It sought to eliminate discrimination and mistreatment between vaccinated and
unvaccinated citizens of the country, and give the unvaccinated people a chance to present
their reasons; thus, it will help the government and other people to further understand their
perspectives.

The beneficiaries of this study were the unvaccinated people by choice. Consequently,
this study will give us a thorough grasp of why these people choose to be unvaccinated;
allowing the other civilians or citizens to be enlightened of their perspectives. Therefore, both
the unvaccinated and vaccinated benefited since the former was heard, and the latter had
learned their reasons, and developed a sense of respect and understanding towards their
decision. From then on, any form of discrimination and criticization between the two parties was
completely eliminated. Other beneficiaries of this study include the Department of Health, the
Local Government Unit, specifically that focused in Davao, and the researchers. The DOH,
LGU, and the Davao City Health Office will be more aware of the different factors that cause
vaccine hesitancy. Thus, they can remodify their methods and develop more effective and
persuasive strategies when it comes to COVID-19 immunizations. On the other hand,
researchers and other investigators from and outside of this study benefited as well because
their objectives were attained, and a new knowledge to solve a prevailing issue was discovered,
leading to more exploration to be done by succeeding researchers, in order to generate new
ideas and concepts.

Research Questions
This research was intended to explore, identify, and better understand the reasons and
lived experiences of several five (5) Filipinos who chose to be unvaccinated, and eradicate any
form of discrimination between the vaccinated and unvaccinated. This study answered the
following specific questions:

1. What are the factors/reasons that contribute to their hesitation/reluctance to get


vaccinated?
2. How do these factors/reasons influence their decisiveness to remain unvaccinated?

Theoretical Lens
Rational Choice Theory
Professor Renata Salecl presented the Rational Choice Theory, a theory originally created
by Philosopher Adam Smith, as to how different people perceive the idea of getting COVID-19
shots. The theory suggests the concept of making rational decisions relying on rational
projections that people think will suit and serve them best (Olivia, 2021). In the original ideology
of Smith (1776), written in his work entitled “An Inquiry into the Nature and Causes of the
Wealth of Nations”, was a proposition that “human nature has a tendency toward[s] self-interest,
and this self-interest results in prosperity through the control of the so-called ‘invisible hand’ —
the collective actions of the self-interested human race.” (cited in the publication of Nickerson,
2021). In line with this, the theory suggests that decision-making is solely in the hands of every
individual. As humans are drawn towards the thought of “self-gain”, this leads to making choices
derived from personal experiences for self-benefits. Even so, the theory still believes that behind
every behavior is a rational justification that supports certain decisions being made.
With this being said, Professor Salecl used the theory to describe the issue of vaccine
hesitancy among certain people. While some countries are dealing with a scarcity of vaccines,
people of other nations, mostly from rich countries, fight for their rights to not be vaccinated
because of personal preferences. These kinds of citizens think vaccination is a matter of
individual choice. The idea of producing vaccinations in less than a year started people’s
suspicions. As a result, despite the high efficacy rate for specific leading brands, it was
overlooked because minimal side effects were discovered. Thus, as cons outweigh pros, this
leads to certain people’s decisiveness to not get immunized because it is deemed to be the
more rational and self-beneficial choice for an individual.

Furthermore, the Philippines is a democratic country. Therefore, the public has complete
authority to deliberate and participate in decision-making; all the more reason why a portion of
the country’s population believe that they have the right and validation to not get their shots
because they were never inoculated as “mandatory”. Although recent news reports show
President Rodrigo Roa Duterte threatening his countrymen with an order of arrest for
unvaccinated people (Parrocha, 2022), it remains a harmless threat because no law or bill was
filed, passed and implemented to permit such actions.

In accordance with Smith's theory, the Availability Heuristic Theory by Tersky and
Kahneman is another theory with the same proponents as Rational Choice. The Availability
Heuristic Theory is a type of cognitive bias in which one makes a decision based on an
example, information, or recent experiences (Gleason, 2021). In a similar manner, the
Availability Heuristic causes people to incorrectly assess the likelihood of events. For instance,
individuals who believe that vaccines cause COVID-19 after getting vaccinated, based on
isolated media reports (Macareg, 2021). Stories and experiences have great impacts on
decision-making. With fake news, rumors and false conspiracy theories about vaccines, it is no
surprise that people would believe such misinformation with supporting evidence driven out from
stories and experiences seen, read or heard. Therefore, the theory of Availability Heuristic can
be applied, suggesting that misleading information and assumptions about the COVID-19 shots
may contribute to vaccine refusal or hesitancy.

Moreover, people tend to overestimate their supposed knowledge or ability in specific


areas or dilemmas, despite the fact that numerous health experts have already confirmed the
safety and efficacy of COVID-19 vaccines. Hence, this is where the idea of the Dunning-Kruger
Effect can be presented, which is a theory or ideology proposed by Psychologists David
Dunning and Justin Kruger. Dunning and Kruger claimed that confidence is what causes the
effect, wherein people would rather pretend to be smart or skilled than risk looking inadequate
(Psychology Today, n.d.). This ideology can be connected to the idea of the Availability
Heuristic Theory. After hearing myths such as “COVID-19 vaccine kills, more dangerous than
the disease” (Macareg, 2021), participants who had less knowledge endorsed the myth and
believed that they knew more than the experts. Subsequently, this leads to making choices
based on opinions and experiences, rather than facts and evidence presented by experts.

Psychologist Cornelia Betscha and colleagues created a scale called “5C’s”, which
shows the five factors behind the reason for vaccine hesitancy. The following five C’s are:
Confidence in the Safety of Vaccines; Complacency; Constraints; Calculation; and Collective
Responsibility. Confidence in the Safety of Vaccines exposes fear for unforeseeable secondary
effects as the main reason for vaccine denial. Complacency is how people perceive their own
risk of contracting the disease (Garcia & Gordon, 2021). While COVID-19 shots are proven as
effective, the results after vaccination remain unknown. This heightens people’s fear and
anxiety, subsequently pushing them to delay or refuse immunization as they may consider the
possibility of risks acquired through getting vaccinated. Third, Constraints are how easy or
difficult it is for people to be vaccinated, considering the accessibility of vaccination sites and
restraints in time for school, work, childcare, etc. Calculation is how people engage in searching
for information to weigh the pros and cons. And finally, Collective Responsibility is the
willingness to protect others through one’s own vaccination (Garcia & Gordon, 2021).

Choice plays an important role in immunization. Since the beginning, prioritizing health
and welfare has already been recognized as a matter of personal choice and/or preferences.
Thus, unvaccinated people are in full control over their decisions to not vaccinate.
Consequently, the Rational Choice Theory, as the main theory, can be applied to the study as
it implies people’s thinking before they act, and make decisions pursuing to maximize their
benefits and reduce losses. Meanwhile, the Availability Heuristic Theory, The Dunning-Kruger
Effect, and the Five C’s scale serve as subtheories that further support the main theory and
suggest possible agents that may influence the decision-making of unvaccinated people.
Definition of Terms
❖ WHO - World Health Organization
❖ FDA - Food and Drug Administration
❖ IATF - Inter-Agency Task Force
❖ CDC - Center for Disease Control
❖ HPS - Household Pulse Survey
❖ VOIs - Variants of Interest
❖ VOCs - Variants of Concern
❖ CDCP - Centers for Disease Control and Prevention
❖ EUA - Emergency Use Authorization
❖ Vaccine Hesitancy - Is a delay in acceptance, or refusal of vaccines despite the availability
of vaccine services.
❖ SARS-CoV-2 - Severe Acute Respiratory Syndrome Coronavirus 2
❖ Regimens - A prescribed course of medical treatment, way of life, or diet for the promotion
or restoration of health.
❖ IATF-EID - Inter-Agency Task Force for the Management of Emerging Infectious Diseases.
❖ Non- mandatory - not required by law or mandate.
❖ One-on-one interview - the most common interview where only the interviewer and the
interviewee is present.
❖ Focus group - a group interview involving a small number of demographically similar
people or participants who have other common traits/experiences.
❖ Immunization - the process by which an individual's immune system becomes fortified
against an infectious agent.
❖ Rational choice theory - this refers to a set of guidelines that help understand economic
and social behavior.
❖ Foundation of Democracy - refers to freedom from unwanted governmental deprivation of
the right to life and liberty, and minority rights.
❖ “Five C’s”- Confidence in the Safety of Vaccines, Complacency, Constraints, Calculation,
and Collective Responsibility.
❖ Dunning Kruger Effect Theory - Also known as “double curse”
❖ Availability Heuristic - It describes our tendency to use information that comes to mind
quickly and easily when making decisions about the future.
❖ Complacency - a feeling of smug or uncritical satisfaction with oneself or one's
achievements.
❖ DOH - Department of Health
❖ LGU - Local Government Units
❖ Phenomenon - is an observable fact or event
❖ Inoculation - is a set of methods of artificially inducing immunity against various infectious
diseases.
❖ Etiological - causing or contributing to the development of a disease or condition.
❖ Mitigation- the reduction of something harmful or the reduction of its harmful effects.
❖ Hesitancy - the quality or state of being hesitant.
❖ Mutation - is a change in a DNA sequence
❖ Apprehension - anxiety or fear that something bad or unpleasant will happen.
❖ Modification - a change or alteration, usually to make something work better.
❖ Queries - a question, especially one addressed to an official or organization
❖ Enforced - the proper execution of the process of ensuring compliance with laws,
regulations, rules, standards, and social norms.
❖ Inconsolably - incapable of being consoled.
❖ Statistics - the discipline that concerns the collection, organization, analysis, interpretation,
and presentation of data.
❖ Respiratory Diseases - any of the diseases and disorders of the airways and the lungs that
affect human respiration. bronchioles of the lungs.
❖ Psychological - related to the mental and emotional state of a person.
❖ Inoculated - to implant a disease agent or antigen in a person, animal, or plant to produce a
disease for study or to stimulate disease resistance.
❖ Complacency - a feeling of smug or uncritical satisfaction with oneself or one's
achievements.
❖ Omicron Variant- likely will spread more easily than the original SARS-CoV-2 virus and
how easily Omicron spreads compared to Delta remains unknown.
❖ Skepticism - the attitude of doubting knowledge claims set forth in various areas.
❖ Incentives - a thing that motivates or encourages one to do something.
❖ Delta Variant - Is a variant of the COVID-19 virus.
❖ Booster - that boosts: such as ; a : an enthusiastic supporter.
❖ Emergence - the process of coming into view or becoming exposed after being concealed.
❖ Conspiracy theories - An explanation for an event or situation that invokes a conspiracy by
sinister and powerful groups, often political in motivation, when other explanations are more
probable
❖ Infectious Diseases - are disorders caused by organisms.
❖ Sentiments - a view of or attitude toward a situation or event; an opinion.
❖ Heuristic Theory - A mental shortcuts that can facilitate problem-solving and probability
judgments.
❖ Inadequate - lacking the quality or quantity required; insufficient for a purpose.
❖ Scarcity - The state of being scarce or in short supply; shortage.

REFERENCES
Amit, A. M.; Dayrit, M.; Pepito, V.C.; & Tanchanco, L. (2022, January 13). COVID-19
Vaccine Brand Hesitancy and Other Challenges to Vaccination in the Philippines. PLOS
Global Public Health. https://doi.org/10.1371/journal.pgph.0000165

Centers for Disease Control and Prevention. (2021, December 13). About Variants.
cdc.gov. https://www.cdc.gov/coronavirus/2019-ncov/variants/about-variants.html

Cervantes, D. (2022, January 7). Group Hits “Discrimination” of Unvaccinated People.


Onenews.ph. https://www.onenews.ph/articles/group-hits-discrimination-of-
unvaccinated-people

City Government of Davao City. (2021, December 6). 75.4K Dabawenyos Vaxxed in 3-
Day ”Bayanihan Bakunahan”. davaocity.gov.ph.
https://www.davaocity.gov.ph/covid-19/davao-city-hits-87-target-herd-immunity-for-first-
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Conventus Law. (2022, January 12). Philippines – The Fine Line Between Vaccinated
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https://www.conventuslaw.com/report/philippines-the-fine-line-between-vaccinated-and/

Danabal, K. G. M.; Gopichandran, V.; Magesh, S. S.; & Saravanan, S. (2021, September
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Edwards, E. (2022, January 22). Covid booster shots effective against severe illness
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Garcia, K., & Gordon R. M. (2021, September 17). The Psychology Behind COVID-19
Hesitancy. psychologytoday.com.
https://www.psychologytoday.com/us/blog/psychological-trauma-coping-and-
resilience/202109/the-psychology-behind-covid-19-vaccine

Gleason, C. (2021, November 3). Availability Heuristic and Decision Making


https://www.simplypsychology.org/availability-heuristic.html?
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