How to ensure a needs-driven and community-centred vaccination strategy for COVID-19 in Africa.
How to ensure a needs-driven and community-centred vaccination strategy for COVID-19 in Africa.
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DOI：
10.1136/bmjgh-2021-005306
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发表时间：
2021-03
影响因子：
8.1
通讯作者：
Okonta C
中科院分区：
文献类型：
--
作者：
Boum Ii Y;Ouattara A;Torreele E;Okonta C
尽管世界领导人承诺在全球范围内公平获得和公平分配COVID-19疫苗，但疫苗民族主义和囤积行为，特别是富裕国家的囤积行为，使非洲在开始为最弱势群体接种疫苗并有效遏制疫情的竞赛中基本上处于边缘地位。大流行（图1）。非洲联盟和非洲疾病控制和预防中心（CDC）最近宣布，他们能够获得6.7亿剂疫苗，1但交付时间尚不清楚。到目前为止，南非是非洲大陆受灾最严重的国家，刚刚收到了第一批最后一刻采购的150万剂疫苗。不幸的是，他们不得不给阿斯利康剂量，因为这种疫苗表现不佳的新变种的比例很高。[2]然而，包括非洲在内的卫生专家和政治家的公开言论继续设想为三分之二的人口接种疫苗以控制COVID-19，正如最近的《柳叶刀》社论所概述的那样。[3]它假定，几个富裕国家所采取的利用首批疫苗迅速进行大规模接种的战略，在任何地方都是现实和可取的。这种统一的思维，包括对确保大量疫苗接种的关注，忽视了不同国家的现实可能需要不同的COVID-19应对措施，包括疫苗接种策略，以及当地利益相关者和社区在设计和实施成功的公共卫生干预措施方面发挥着核心作用。尽管COVID-19疫苗无疑将发挥关键作用，但它们不是银。正如我们在西非和中非工作的经验所知，包括应对埃博拉疫情，在获得疫苗授权和部署疫苗接种作为有效的公共卫生干预措施之间存在巨大差距。我们已经知道疫苗
Despite pledges from world leaders for equitable access and fair allocation of COVID-19 vaccines globally, vaccine nationalism and hoarding, in particular by wealthy countries, have left Africa largely side-lined in the race to start vaccinating the most vulnerable and effectively curb the pandemic (figure 1). The African Union and Africa centre for disease control and prevention (CDC) recently announced that they were able to secure 670 million doses, 1 yet delivery times are unclear. South Africa, by far the hardest hit country on the continent, just received a first shipment of a last-minute procured 1.5 million doses. Unfortunetely they had to give the Astra Zeneca doses because of the high proportion of new variants on which this vaccine is performing poorly. 2 Nevertheless, the public discourse from health experts and politicians including in Africa continues to envision vaccination of two-thirds of the population in order to control COVID-19, as also outlined in a recent Lancet editorial. 3 It assumes that the strategy of rushing towards mass-vaccination with the first available vaccines, as pursued by several wealthy countries, is both realistic and desirable everywhere. Such uniform thinking, including the focus on securing large numbers of doses, overlooks that distinct country realities may require different COVID-19 responses, including vaccination strategies, and that local stakeholders and communities have a central role in designing and implementing successful public health interventions.While COVID-19 vaccines undoubtedly will have a critical role, they are no silver bullets. As we know from experience working in West and Central Africa, including responding to Ebola epidemics, there is a huge gap between having a vaccine authorised and deploying vaccination as an effective public health intervention. We already know that vaccine
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DOI：
10.1016/s1473-3099(20)30700-3
发表时间：
2021-01
期刊：
The Lancet. Infectious diseases
影响因子：
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作者：
Weiss DJ;Bertozzi-Villa A;Rumisha SF;Amratia P;Arambepola R;Battle KE;Cameron E;Chestnutt E;Gibson HS;Harris J;Keddie S;Millar JJ;Rozier J;Symons TL;Vargas-Ruiz C;Hay SI;Smith DL;Alonso PL;Noor AM;Bhatt S;Gething PW
通讯作者：
Gething PW
影响因子：
8.1
作者：
Murphy A;Mbau L;McKee M;Hanson K;Torreele E
通讯作者：
Torreele E
影响因子：
56.3
作者：
Moore, Kerryn A.;Simpson, Julie A.;McGready, Rose
通讯作者：
McGready, Rose
DOI：
10.1057/s41301-020-00261-1
发表时间：
2020
期刊：
Development (Society for International Development)
影响因子：
--
作者：
Torreele E
通讯作者：
Torreele E