COVID-19, vaccine hesitancy and child vaccination: Challenges from Brazil.
COVID-19, vaccine hesitancy and child vaccination: Challenges from Brazil.
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DOI：
10.1016/j.lana.2022.100246
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发表时间：
2022-04
期刊：
影响因子：
--
通讯作者：
Paiva E
中科院分区：
文献类型：
--
作者：
Fernandez M;Matta G;Paiva E
在全球，各国政府应对COVID-19的政策决定大相径庭。1许多国家，包括美洲国家，2，3卫生政策中的政治两极分化被用作意识形态争端的工具，使围绕社会保障和健康权的辩论失去活力。于二零二一年，该等策略已用于疫苗接种政策。传播关于COVID-19疫苗的错误信息的后果将不信任和犹豫溢出到整个公共卫生项目中。2020年年初以来，巴西人目睹了联邦政府在否认主义和争议的引导下出现的几次失误和疏漏，在健康保护和经济复苏之间制造了冲突和虚假的对立。4.国家未能履行其保护公众健康的宪法义务，其后果不仅是造成无数人死亡。联邦政府的立场始于与非药物措施相反的态度，4通过没有科学证据的建议，4影响了COVID-19的疫苗接种过程。巴西拥有世界上最广泛的免疫政策之一，即国家免疫计划（PNI），该计划已纳入国家卫生系统（SUS）。然而，最近，我们观察到儿童的信心和总体疫苗接种覆盖率下降5（图1）。从历史上看，反疫苗话语在巴西的政治影响很小，因为PNI是在民主政治领导的支持下制定的，尽管创建于军事独裁时期。6然而，通过总统对COVID-19疫苗的沮丧和不信任态度，反疫苗运动获得了相当大的投入。7.联邦政府对儿童进行疫苗接种的方式以鼓励儿童接种疫苗的言论和行为为标志。
In the world, the governments’ policy decisions in response to COVID-19 were very different. 1 Many countries, including in the Americas, 2, 3 political polarisation in health policies has been used as a tool for ideological dispute, draining out the debate around the right to social protection and health. During 2021, these strategies were used in vaccination policies. The consequences of the dissemination of misinformation about COVID-19 vaccines overflows distrust and hesitation into an entire public health project. Since the beginning of 2020, Brazilians have witnessed several mistakes and omissions by the Federal Government, guided by denialism and controversies, creating conflicts and a false opposition between health protection and economic recovery. 4 The consequences of the State’s failure in its constitutional duty to defend public health are felt beyond the countless deaths. The Federal Government’s position that began with attitudes contrary to non-pharmacological measures, 4 through recommendations without scientific evidence, 4 has impacted the vaccination process against COVID-19. Brazil has one of the most extensive immunisation policies worldwide, the National Immunisation Program (Programa Nacional de Imunizaçoes− PNI), integrated into the National Health System (Sistema Unico de Saúde− SUS). However, recently, we have observed a drop in confidence and overall vaccination coverage in children 5 (Figure 1).Historically, the anti-vaccine discourse has had a minimal political impact in Brazil, because the PNI was developed with the support of democratic political leadership, although created during the military dictatorship period. 6 However, the anti-vaccine movement has received considerable input through the President’s posture of discouragement and distrust towards COVID-19 vaccines. 7 The way the Federal Government has conducted the vaccination of the paediatric population has been marked by speeches and behaviours that encourage
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DOI：
10.1016/j.lana.2022.100206
发表时间：
2022-04
期刊：
Lancet regional health. Americas
影响因子：
--
作者：
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通讯作者：
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DOI：
10.1056/nejmoa2116298
发表时间：
2022-01-06
期刊：
The New England journal of medicine
影响因子：
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通讯作者：
C4591007 Clinical Trial Group
DOI：
10.1016/j.socscimed.2021.114093
发表时间：
2021-07
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
Fonseca EMD;Shadlen KC;Bastos FI
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Bastos FI
影响因子：
2.8
作者：
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通讯作者：
Sato APS
DOI：
10.1590/0102-311x00222919
发表时间：
2020-01-01
期刊：
Cadernos de Saúde Pública
影响因子：
--
作者：
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通讯作者：
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