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
Hauptverfasser: 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
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container_title The Lancet infectious diseases
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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.
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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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