TY - JOUR
T1 - The public health crisis of underimmunisation
T2 - a global plan of action
AU - Gostin, Lawrence O.
AU - Hodge, James G.
AU - Bloom, Barry R.
AU - El-Mohandes, Ayman
AU - Fielding, Jonathan
AU - Hotez, Peter
AU - Kurth, Ann
AU - Larson, Heidi J.
AU - Orenstein, Walter A.
AU - Rabin, Kenneth
AU - Ratzan, Scott C.
AU - Salmon, Daniel
N1 - Funding Information:
The global crises of underimmunisation risks hard-won gains in preventing infectious diseases. Resurging childhood diseases and fragile global vaccination campaigns necessitate concerted action. Our action plan focuses on the prime causes of underimmunisation: vaccine availability, public distrust, and lax immunisation laws. Immunisation is a potent public health tool. Finding the political will and holding governments accountable are essential. Countless lives can be saved if the international community sustainably funds vaccination systems, assures reliable information, and safeguards the common good through meaningful law reform. Contributors LOG and JGH contributed to the original conception, research, drafting, editing, revision, and supervision of the Personal View and are responsible for the integrity of the data, accuracy of the information, and final edits. BRB, AE-M, JF, PH, AK, HJL, WAO, KR, SCR, and DS contributed to the underlying research, review, editing, and revision of the Personal View. Declaration of interests HJL reports grants and other funding from GlaxoSmithKline, outside the submitted work. DS reports personal fees from Merck & Co and previous grants from Walgreens, outside the submitted work. All other authors declare no competing interests. Acknowledgments We acknowledge Erica N White, Senior Legal Researcher, Center for Public Health Law and Policy, Sandra Day O'Connor College of Law, Arizona State University, Phoenix, AZ, for her research contributions.
Funding Information:
We acknowledge Erica N White, Senior Legal Researcher, Center for Public Health Law and Policy, Sandra Day O'Connor College of Law, Arizona State University, Phoenix, AZ, for her research contributions.
Publisher Copyright:
© 2020 Elsevier Ltd
PY - 2020/1
Y1 - 2020/1
N2 - 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.
AB - 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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U2 - 10.1016/S1473-3099(19)30558-4
DO - 10.1016/S1473-3099(19)30558-4
M3 - Review article
C2 - 31706795
AN - SCOPUS:85076852359
SN - 1473-3099
VL - 20
SP - e11-e16
JO - The Lancet Infectious Diseases
JF - The Lancet Infectious Diseases
IS - 1
ER -