Vaccine hesitancy

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Vaccine Hesitancy

Vaccine hesitancy refers to the delay in acceptance or refusal of vaccinations despite availability of vaccination services. It is a complex issue influenced by factors such as complacency, convenience, and confidence. Vaccine hesitancy is recognized by the World Health Organization (WHO) as one of the top ten threats to global health.

History

The history of vaccine hesitancy dates back to the introduction of the first vaccines. Edward Jenner's development of the smallpox vaccine in the late 18th century faced opposition from some quarters. The Anti-vaccination movement has evolved over the centuries, with various groups opposing vaccines for different reasons, including religious beliefs, personal beliefs, and safety concerns.

Factors Influencing Vaccine Hesitancy

Complacency

Complacency occurs when the perceived risks of vaccine-preventable diseases are low, leading individuals to believe that vaccination is unnecessary. This is often seen in regions where successful vaccination programs have reduced the prevalence of diseases.

Convenience

Convenience refers to the availability, affordability, and accessibility of vaccines. Barriers such as distance to healthcare facilities, cost, and time can contribute to vaccine hesitancy.

Confidence

Confidence in vaccines is influenced by trust in the effectiveness and safety of vaccines, the system that delivers them, and the motivations of policymakers. Misinformation and disinformation can erode public confidence in vaccines.

Impact

Vaccine hesitancy can lead to outbreaks of vaccine-preventable diseases. For example, the measles outbreaks in the United States and Europe have been linked to declining vaccination rates. The resurgence of diseases like diphtheria and pertussis in certain areas has also been attributed to vaccine hesitancy.

Strategies to Address Vaccine Hesitancy

Efforts to combat vaccine hesitancy include public education campaigns, improving access to vaccines, and engaging with communities to build trust. The WHO and other organizations advocate for tailored strategies that address the specific concerns and barriers faced by different populations.

Related Pages

References

  • World Health Organization. (2019). Ten threats to global health in 2019. Retrieved from [1]
  • MacDonald, N. E. (2015). Vaccine hesitancy: Definition, scope and determinants. Vaccine, 33(34), 4161-4164.

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Contributors: Prab R. Tumpati, MD