Evidence map›Paper›PMID 42339189›Full record

ArticleCanada communicable disease report = Releve des maladies transmissibles au Canada2026

Summary of approach to inclusive language in vaccine guidance from the National Advisory Committee on Immunization (NACI).

Ana Howarth, Matthew Tunis, Christina Jensen, Stephie Pierre, Fiann Crane, Winnie Siu, Robyn Harrison

Abstract read
In one paragraph

Article in Canada communicable disease report = Releve des maladies transmissibles au Canada, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ana HowarthCentre for Immunization Surveillance and Programs, Public Health Agency of Canada, Ottawa, ON.
Matthew TunisCentre for Immunization Surveillance and Programs, Public Health Agency of Canada, Ottawa, ON.
Christina JensenCentre for Immunization Surveillance and Programs, Public Health Agency of Canada, Ottawa, ON.
Stephie PierreCentre for Immunization Surveillance and Programs, Public Health Agency of Canada, Ottawa, ON.
Fiann CraneCentre for Immunization Surveillance and Programs, Public Health Agency of Canada, Ottawa, ON.
Winnie SiuCentre for Immunization Surveillance and Programs, Public Health Agency of Canada, Ottawa, ON.
Robyn HarrisonCentre for Immunization Surveillance and Programs, Public Health Agency of Canada, Ottawa, ON.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The National Advisory Committee on Immunization (NACI) has been working to develop inclusive language for vaccine guidance related to pregnancy and breastfeeding. Starting with early efforts in 2018, NACI sought to update the language approach in 2023 based on the latest available evidence. Methods: Gender-neutral and gender-additive language approaches were assessed using an equity lens focused on inclusion and representation. Evidence was gathered through a jurisdictional scan of National Immunization Technical Advisory Groups (NITAGs) and government organizations, a literature review, and iterative stakeholder engagement. Draft policy options were developed, translated into French, and reviewed by NACI. Results: The jurisdictional scan across Canada, the United States, Australia, the United Kingdom, and France showed wide variation, with many sources using gendered terms. The literature review identified little original research on language use in immunization settings. A Canadian research initiative examining inclusive language supported context-specific gender-additive terminology. Stakeholders emphasized the need for inclusive and adaptable language. NACI developed recommendations for a context-dependent gender-additive approach, including French language options. Conclusion: In February 2024, NACI endorsed an additive language approach, which has been implemented across NACI statements and relevant Canadian Immunization Guide chapters. NACI and the Public Health Agency of Canada will continue adapting to evolving language needs, recognizing that clinical communication should use terminology that best resonates with each individual. When implementing vaccine recommendations in clinical practice, it is important to use whatever language that will resonate best with the individual being immunized.

Indexed as

breastfeedingequitygenderinclusive languageNational Advisory Committee on Immunizationpregnancyrepresentation

Identifiers

PMID42339189
PMCPMC13285856

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.