David Elliman
Honorary Senior Associate Professor, UCL
Vaccination is one of the most cost-effective ways that the health service can improve the lives of children around the world. It is a great success story with more vaccines being introduced all the time. Not only does vaccination save lives, but it often saves money. However, in the last ten to twenty years, many countries, worldwide, have seen a reduction in the proportion of children receiving all the available vaccines. This article by a large group of researchers has documented the decline. It may be difficult to measure uptake of vaccination accurately, but the researchers have allowed for this. It is clear that the decline in uptake is happening around the world. This has resulted in outbreaks of disease, for examples measles and whooping cough in USA and Europe (including UK) as well as in resource poor countries. These diseases can and do kill children. While part of the fall in vaccination is related to COVID, the trend was clear before then.
Declining vaccination rates are often blamed on misinformation, but there are many reasons, of which this is only one. Access to vaccines is often overlooked or underestimated as a factor, even in the UK. Around the world, the increasing number of countries torn apart by civil unrest and wars, combined with the drastic cuts in foreign aid from rich nations, such as USA and UK, makes it difficult to get vaccines to many populations. With the political changes in USA where it appears that policy is being made on the basis of ill-informed opinion, rather than science, we have a perfect storm. The researchers’ recommendations to strengthen primary health-care systems, address vaccine misinformation and hesitancy, and adapt to local contexts can, and should, be applied to all countries, including the UK. In addition we should ensure that vaccines are available to all.
It is in everyone’s interest that this situation is rectified. Not only is it a moral imperative to improve the health of ALL children, wherever possible, but as was said during the COVID pandemic, no-one is safe, until everyone is safe. While vaccine-preventable infectious diseases, occur anywhere in the world, we are all at risk. Universal vaccination is a perfect example of enlightened self interest.