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The State of Vaccine Confidence

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The Vaccine Confidence Project    2015
LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE 

Lead Authors:  Heidi Larson, PhD and Will Schulz, MPH

Why this report:
 

In July 2003, five states in Nigeria’s predominantly Muslim
north initiated a boycott of polio vaccination which persisted
in Kano State for eleven months. The damage – short as well
as longer term – was severe. The boycott, driven by rumours
and distrust, quintupled polio incidence in Nigeria between
2002 and 2006, seeded polio outbreaks across three continents
(Figure 1), and cost over US$500 million.
 
The boycott and its impacts were a wake-up call to the
immunisation and global health community as to the power
of seemingly benign rumours to disrupt, not only a local
immunisation programme, but a global eradication initiative.
The good news is that the boycott prompted extensive
community engagement, ongoing listening and dialogue, trust
building with religious and traditional leaders and an overall
strengthened polio programme....

This report analyses a number of vaccine confidence issues
and the paths to their resolution over the past decade, including
and beyond polio. It also presents options for monitoring and
measuring public confidence to detect waning confidence early
and identify issues of concern, as well as reporting on
strategies that have had positive impacts in engaging populations to build trust and confidence

Read complete report:
http://www.vaccineconfidence.org/The-State-of-Vaccine-Confidence-2015.pdf

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