疫苗不公平:对非洲从 COVID-19 中恢复的威胁。

IF 3.6 Q1 TROPICAL MEDICINE
Calvin R Wei, Samuel Kamande, Godwin C Lang'at
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引用次数: 0

摘要

背景:疫苗不公平是撒哈拉以南非洲地区面临的一个现实问题,因为高收入国家(HICs)的疫苗民族主义导致获得终止大流行病所需的救命疫苗的机会有限。在非洲,很大一部分人口尚未接种 Covid-19 疫苗;然而,尽管实施了旨在支持中低收入国家(LMICs)加强疫苗接种的 COVAX 基金,但获得此类疫苗的障碍(包括能力挑战)依然存在:本研究进行了系统的叙述性综述,根据定义的关键词使用 NCBI 的 PMC 和 BMC 数据库进行了文献检索。三位作者参与了文献检索,并达成了共识,以解决分歧并验证研究结果:在这篇系统叙述性综述中,我们报告了疫苗民族主义仍是低收入国家面临的挑战,因为高收入国家仍在囤积疫苗,甚至绕过 COVAX 直接从制造商处采购疫苗。在非洲,促使人们对疫苗犹豫不决的因素包括有关科维-19 疫苗的错误信息、对政治家和制药业缺乏信任以及对疫苗安全性和有效性的担忧。为提高疫苗在非洲的覆盖率而实施的政策,如授权、社区参与和合作伙伴关系等,都旨在促进疫苗接种的公平性和终结Covid-19:结论:Covid-19 疫苗接种不公平现象持续存在,导致大流行病在低收入和中等收入国家长期存在。为此,非洲各国政府采取了一些措施来提高疫苗接种率,但还需要做更多工作来解决疫苗耐受性问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vaccine inequity: a threat to Africa's recovery from COVID-19.

Background: Vaccine inequity is a reality facing the Sub-Saharan Africa region as vaccine nationalism from high-income countries (HICs) leads to limited access to the lifesaving vaccines needed to end the pandemic. In Africa, a significant portion of the population has yet to be vaccinated against Covid-19; however, the barriers to accessing such vaccines, including capacity challenges, still persist despite the implementation of the COVAX facility meant to support the lower- and middle-income countries (LMICs) to boost vaccination.

Methods: This study involved a systemic narrative review where literature search was conducted using the NCBI's PMC and BMC databases based on defined keywords. Three authors were involved in the literature search and consensus was applied to settle disagreements and validate the findings.

Results: In this systematic narrative review, we report that vaccine nationalism remains a challenge for LMICs as HICs still hoard vaccines and even bypass COVAX to procure doses directly from the manufacturers. Factors that promote vaccine hesitancy in Africa include misinformation regarding the Covid-19 vaccine, a lack of trust in politicians and the pharmaceutical industry, and concerns about vaccine safety and efficacy. The policies implemented to enhance vaccine coverage in Africa, such as mandates, community engagement, and partnerships, all seek to promote equity of vaccination and ending Covid-19.

Conclusion: Covid-19 vaccine inequity persists and contributes to prolonged pandemic in LMICs. In response, African governments have taken certain measures to enhance vaccine uptake but more needs to be done to address resistance to vaccines.

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来源期刊
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
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