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The public health crisis of underimmunisation: a global plan of action.
The Lancet Infectious Diseases ( IF 56.3 ) Pub Date : 2019-11-06 , DOI: 10.1016/s1473-3099(19)30558-4
Lawrence O Gostin 1 , James G Hodge 2 , Barry R Bloom 3 , Ayman El-Mohandes 4 , Jonathan Fielding 5 , Peter Hotez 6 , Ann Kurth 7 , Heidi J Larson 8 , Walter A Orenstein 9 , Kenneth Rabin 10 , Scott C Ratzan 11 , Daniel Salmon 12
Affiliation  

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.

中文翻译:

免疫接种不足的公共卫生危机:一项全球行动计划。

疫苗接种是公共卫生领域最伟大的成就之一,它挽救了数十亿人的生命。然而,全世界20%的儿童没有得到充分的保护,每年导致1 500万儿童死于可预防疫苗的疾病。数以百万计的人由于免疫不足而导致严重的致残性疾病,癌症和残疾。全球疫苗接种率下降的原因包括公众对疫苗的信任度低,对可负担性或可及性的限制以及政府疫苗投资不足。因此,疫苗犹豫不决的新危机从地方性到全国性乃至全世界。暴发通常起源于免疫率低的小型岛屿社区。地方性暴发可以迅速蔓延,但超越边界。
更新日期:2019-12-25
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