Closing the equity gap – opportunities and challenges in unlocking the value of immunizing children

IF 4.3 2区 医学 Q1 INFECTIOUS DISEASES International Journal of Infectious Diseases Pub Date : 2025-03-01 DOI:10.1016/j.ijid.2025.107822
Rudzani Muloiwa
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Abstract

Infection remains one of the greatest killers of children in the world. A large proportion of these deaths are due to infectious agents for which effective vaccines are already available.
Vaccination has been one the most successful and cost-effective public health interventions of the 20th century. Data indicates that the greatest return on investment from vaccination disproportionately accrues to the poorest communities. Unfortunately, access to vaccines is not equitable, with the most vulnerable least likely to receive them.
Using global data on the burden of disease, vaccination coverage, historical patterns of vaccine introduction and uptake, as well as access to currently available antigens, the talk will highlight the inequities in immunization practices and explore their causes. In addition, the talk will challenge the ethical framework that perpetuates these iniquities and suggests potential opportunities for addressing them.
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缩小公平差距--释放儿童免疫价值的机遇与挑战
感染仍然是世界上儿童的最大杀手之一。这些死亡中有很大一部分是由于已有有效疫苗的传染性病原体造成的。疫苗接种是20世纪最成功和最具成本效益的公共卫生干预措施之一。数据表明,疫苗接种投资的最大回报不成比例地流向了最贫穷的社区。不幸的是,获得疫苗的机会并不公平,最脆弱的群体最不可能获得疫苗。利用关于疾病负担、疫苗接种覆盖率、疫苗引进和吸收的历史模式以及获得现有抗原的全球数据,该演讲将突出免疫实践中的不公平现象并探讨其原因。此外,演讲将挑战使这些不公平现象永久化的道德框架,并提出解决这些不公平现象的潜在机会。
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来源期刊
CiteScore
18.90
自引率
2.40%
发文量
1020
审稿时长
30 days
期刊介绍: International Journal of Infectious Diseases (IJID) Publisher: International Society for Infectious Diseases Publication Frequency: Monthly Type: Peer-reviewed, Open Access Scope: Publishes original clinical and laboratory-based research. Reports clinical trials, reviews, and some case reports. Focuses on epidemiology, clinical diagnosis, treatment, and control of infectious diseases. Emphasizes diseases common in under-resourced countries.
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