The public health crisis of underimmunisation: a global plan of action
Vaccination is one of public health's greatest achievements, responsible for saving billions of lives. Yet, 20% of children worldwide are not fully protected, leading to 1·5 million child deaths annually from vaccine-preventable diseases. Millions more people have severe disabling illnesses, ca...
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Veröffentlicht in: | The Lancet infectious diseases 2020-01, Vol.20 (1), p.e11-e16 |
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creator | Gostin, Lawrence O Hodge, James G Bloom, Barry R El-Mohandes, Ayman Fielding, Jonathan Hotez, Peter Kurth, Ann Larson, Heidi J Orenstein, Walter A Rabin, Kenneth Ratzan, Scott C Salmon, Daniel |
description | Vaccination is one of public health's greatest achievements, responsible for saving billions of lives. Yet, 20% of children worldwide are not fully protected, leading to 1·5 million child deaths annually from vaccine-preventable diseases. Millions more people have severe disabling illnesses, cancers, and disabilities stemming from underimmunisation. Reasons for falling vaccination rates globally include low public trust in vaccines, constraints on affordability or access, and insufficient governmental vaccine investments. Consequently, an emerging crisis in vaccine hesitancy ranges from hyperlocal to national and worldwide. Outbreaks often originate in small, insular communities with low immunisation rates. Local outbreaks can spread rapidly, however, transcending borders. Following an assessment of underlying determinants of low vaccination rates, we offer an action based on scientific evidence, ethics, and human rights that spans multiple governments, organisations, disciplines, and sectors. |
doi_str_mv | 10.1016/S1473-3099(19)30558-4 |
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Yet, 20% of children worldwide are not fully protected, leading to 1·5 million child deaths annually from vaccine-preventable diseases. Millions more people have severe disabling illnesses, cancers, and disabilities stemming from underimmunisation. Reasons for falling vaccination rates globally include low public trust in vaccines, constraints on affordability or access, and insufficient governmental vaccine investments. Consequently, an emerging crisis in vaccine hesitancy ranges from hyperlocal to national and worldwide. Outbreaks often originate in small, insular communities with low immunisation rates. Local outbreaks can spread rapidly, however, transcending borders. Following an assessment of underlying determinants of low vaccination rates, we offer an action based on scientific evidence, ethics, and human rights that spans multiple governments, organisations, disciplines, and sectors.</description><identifier>ISSN: 1473-3099</identifier><identifier>EISSN: 1474-4457</identifier><identifier>DOI: 10.1016/S1473-3099(19)30558-4</identifier><identifier>PMID: 31706795</identifier><language>eng</language><publisher>United States: Elsevier Ltd</publisher><subject>Autism ; Crisis management ; Disabilities ; Epidemics ; Expenditures ; False information ; Health surveillance ; High income ; Human papillomavirus ; Human rights ; Illnesses ; Immunization ; Infectious diseases ; Influenza ; Infrastructure ; Internet ; Measles ; Medical colleges ; Medical policy ; Outbreaks ; Poliomyelitis ; Public health ; Social networks ; Supplies ; Tropical diseases ; Vaccination ; Vaccines ; World health</subject><ispartof>The Lancet infectious diseases, 2020-01, Vol.20 (1), p.e11-e16</ispartof><rights>2020 Elsevier Ltd</rights><rights>Copyright © 2020 Elsevier Ltd. 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Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c476t-7901ceafa56f10e2877d9963629e866efd23e96034fa33e81865fb59365b28393</citedby><cites>FETCH-LOGICAL-c476t-7901ceafa56f10e2877d9963629e866efd23e96034fa33e81865fb59365b28393</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2330046656?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31706795$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gostin, Lawrence O</creatorcontrib><creatorcontrib>Hodge, James G</creatorcontrib><creatorcontrib>Bloom, Barry R</creatorcontrib><creatorcontrib>El-Mohandes, Ayman</creatorcontrib><creatorcontrib>Fielding, Jonathan</creatorcontrib><creatorcontrib>Hotez, Peter</creatorcontrib><creatorcontrib>Kurth, Ann</creatorcontrib><creatorcontrib>Larson, Heidi J</creatorcontrib><creatorcontrib>Orenstein, Walter A</creatorcontrib><creatorcontrib>Rabin, Kenneth</creatorcontrib><creatorcontrib>Ratzan, Scott C</creatorcontrib><creatorcontrib>Salmon, Daniel</creatorcontrib><title>The public health crisis of underimmunisation: a global plan of action</title><title>The Lancet infectious diseases</title><addtitle>Lancet Infect Dis</addtitle><description>Vaccination is one of public health's greatest achievements, responsible for saving billions of lives. Yet, 20% of children worldwide are not fully protected, leading to 1·5 million child deaths annually from vaccine-preventable diseases. Millions more people have severe disabling illnesses, cancers, and disabilities stemming from underimmunisation. Reasons for falling vaccination rates globally include low public trust in vaccines, constraints on affordability or access, and insufficient governmental vaccine investments. Consequently, an emerging crisis in vaccine hesitancy ranges from hyperlocal to national and worldwide. Outbreaks often originate in small, insular communities with low immunisation rates. Local outbreaks can spread rapidly, however, transcending borders. Following an assessment of underlying determinants of low vaccination rates, we offer an action based on scientific evidence, ethics, and human rights that spans multiple governments, organisations, disciplines, and sectors.</description><subject>Autism</subject><subject>Crisis management</subject><subject>Disabilities</subject><subject>Epidemics</subject><subject>Expenditures</subject><subject>False information</subject><subject>Health surveillance</subject><subject>High income</subject><subject>Human papillomavirus</subject><subject>Human rights</subject><subject>Illnesses</subject><subject>Immunization</subject><subject>Infectious diseases</subject><subject>Influenza</subject><subject>Infrastructure</subject><subject>Internet</subject><subject>Measles</subject><subject>Medical colleges</subject><subject>Medical policy</subject><subject>Outbreaks</subject><subject>Poliomyelitis</subject><subject>Public health</subject><subject>Social networks</subject><subject>Supplies</subject><subject>Tropical diseases</subject><subject>Vaccination</subject><subject>Vaccines</subject><subject>World health</subject><issn>1473-3099</issn><issn>1474-4457</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqF0c9r2zAUB3BRVta03Z_QYRiM7OBOsn5ZvZQQlrUQ6GHtWcjyc6LgWJlkl-2_nxy3PezSk4T0kd7jfRG6IviaYCK-_yJM0pxipeZEfaOY8zJnJ2iWjlnOGJcfjvuJnKHzGHcYE0kw-4jOKJFYSMVnaPW4hewwVK2z2RZM228zG1x0MfNNNnQ1BLffD52Lpne-u8lMtml9Zdrs0JpuNMaOF5fotDFthE8v6wV6Wv14XN7l64ef98vFOrdMij6XChMLpjFcNARDUUpZKyWoKBSUQkBTFxSUwJQ1hlIoSSl4U3FFBa-Kkip6gebTv4fgfw8Qe7130UKbmgE_RF1QkqxQvEj0y39054fQpe6SohgzkWBSXye1MS1o11nf9fCn35ghRq0XgmHBqCJjZT5BG3yMARp9SKMx4a8mWI-J6GMiehy3JkofE9Esvfv80sZQ7aF-e_UaQQK3E4A0t2cHQUfroLNQuwC217V375T4BzoTl6w</recordid><startdate>202001</startdate><enddate>202001</enddate><creator>Gostin, Lawrence O</creator><creator>Hodge, James G</creator><creator>Bloom, Barry R</creator><creator>El-Mohandes, Ayman</creator><creator>Fielding, Jonathan</creator><creator>Hotez, Peter</creator><creator>Kurth, Ann</creator><creator>Larson, Heidi J</creator><creator>Orenstein, Walter A</creator><creator>Rabin, Kenneth</creator><creator>Ratzan, Scott C</creator><creator>Salmon, Daniel</creator><general>Elsevier Ltd</general><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8C2</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>202001</creationdate><title>The public health crisis of underimmunisation: a global plan of action</title><author>Gostin, Lawrence O ; 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subjects | Autism Crisis management Disabilities Epidemics Expenditures False information Health surveillance High income Human papillomavirus Human rights Illnesses Immunization Infectious diseases Influenza Infrastructure Internet Measles Medical colleges Medical policy Outbreaks Poliomyelitis Public health Social networks Supplies Tropical diseases Vaccination Vaccines World health |
title | The public health crisis of underimmunisation: a global plan of action |
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