The Public Health Crisis of Under-Immunisation: A Global Plan of Action

Gostin LO, Hodge JG, et al. The public health crisis of under-immunization: A global plan of action. Lancet – Infectious Diseases. November 6, 2019 (online)

18 Pages Posted: 15 Nov 2019

See all articles by Lawrence O. Gostin

Lawrence O. Gostin

Georgetown University - Law Center - O'Neill Institute for National and Global Health Law

James G. Hodge

Arizona State University (ASU) - Sandra Day O'Connor College of Law

Barry R. Bloom

affiliation not provided to SSRN

Ayman El-Mohandes

City University of New York (CUNY) - School of Public Health and Health Policy

Jonathan E. Fielding

University of California, Los Angeles (UCLA) - Jonathan and Karin Fielding School of Public Health

Peter Hotez

Baylor College of Medicine

Ann E. Kurth

Yale University - Yale School of Nursing

Heidi J. Larson

London School of Hygiene & Tropical Medicine - Department of Infectious Disease and Epidemiology

Walter A. Orenstein

Emory University - School of Medicine

Kenneth Rabin

City University of New York (CUNY) - School of Public Health and Health Policy

Scott C. Ratzan

Harvard Kennedy School of Government

Daniel Salmon

Johns Hopkins University - Bloomberg School of Public Health

Date Written: November 6, 2019

Abstract

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.

Keywords: vaccination, vaccine, immunization, under-immunization, law, policy, hesitancy, misinformation, false, data, social media, reforms, global health, WHO, Gavi

Suggested Citation

Gostin, Lawrence O. and Hodge, James G. and Bloom, Barry R. and El-Mohandes, Ayman and Fielding, Jonathan E. and Hotez, Peter and Kurth, Ann E. and Larson, Heidi J. and Orenstein, Walter A. and Rabin, Kenneth and Ratzan, Scott C. and Salmon, Daniel, The Public Health Crisis of Under-Immunisation: A Global Plan of Action (November 6, 2019). Gostin LO, Hodge JG, et al. The public health crisis of under-immunization: A global plan of action. Lancet – Infectious Diseases. November 6, 2019 (online), Available at SSRN: https://ssrn.com/abstract=3481396

Lawrence O. Gostin

Georgetown University - Law Center - O'Neill Institute for National and Global Health Law ( email )

600 New Jersey Avenue, NW
Washington, DC 20001
United States
202-662-9038 (Phone)
202-662-9055 (Fax)

James G. Hodge (Contact Author)

Arizona State University (ASU) - Sandra Day O'Connor College of Law ( email )

Sandra Day O'Connor College of Law
111 E. Taylor Street, MC 9520
Phoenix, AZ 85004-4467
United States
480-727-8576 (Phone)

HOME PAGE: http://https://law.asu.edu/degree-programs/public-health-law-policy

Barry R. Bloom

affiliation not provided to SSRN

Ayman El-Mohandes

City University of New York (CUNY) - School of Public Health and Health Policy ( email )

New York, NY
United States

Jonathan E. Fielding

University of California, Los Angeles (UCLA) - Jonathan and Karin Fielding School of Public Health ( email )

650 Charles E. Young Drive South
Los Angeles, CA 90095
United States

Peter Hotez

Baylor College of Medicine ( email )

Ann E. Kurth

Yale University - Yale School of Nursing ( email )

400 West Campus Drive
Orange, CT 06477
United States

Heidi J. Larson

London School of Hygiene & Tropical Medicine - Department of Infectious Disease and Epidemiology ( email )

London
United Kingdom

Walter A. Orenstein

Emory University - School of Medicine ( email )

201 Dowman Drive
Atlanta, GA 30322
United States

Kenneth Rabin

City University of New York (CUNY) - School of Public Health and Health Policy ( email )

New York, NY
United States

Scott C. Ratzan

Harvard Kennedy School of Government ( email )

111 Western Avenue 10 soldiers Field park apartmen
Boston, MA 02163
United States

Daniel Salmon

Johns Hopkins University - Bloomberg School of Public Health ( email )

India

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