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Approaches to Vaccination Among Populations in Areas of Conflict.

Abstract Vaccination is an important and cost-effective disease prevention and control strategy. Despite progress in vaccine development and immunization delivery systems worldwide, populations in areas of conflict (hereafter, "conflict settings") often have limited or no access to lifesaving vaccines, leaving them at increased risk for morbidity and mortality related to vaccine-preventable disease. Without developing and refining approaches to reach and vaccinate children and other vulnerable populations in conflict settings, outbreaks of vaccine-preventable disease in these settings may persist and spread across subnational and international borders. Understanding and refining current approaches to vaccinating populations in conflict and humanitarian emergency settings may save lives. Despite major setbacks, the Global Polio Eradication Initiative has made substantial progress in vaccinating millions of children worldwide, including those living in communities affected by conflicts and other humanitarian emergencies. In this article, we examine key strategic and operational tactics that have led to increased polio vaccination coverage among populations living in diverse conflict settings, including Nigeria, Somalia, and Pakistan, and how these could be applied to reach and vaccinate populations in other settings across the world.
PMID
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Authors

Mayor MeshTerms

Refugees

Keywords

conflict settings

immunization

insecurity

polio

vaccination

Journal Title the journal of infectious diseases
Publication Year Start




PMID- 28838202
OWN - NLM
STAT- MEDLINE
DA  - 20170825
DCOM- 20170905
LR  - 20170906
IS  - 1537-6613 (Electronic)
IS  - 0022-1899 (Linking)
VI  - 216
IP  - suppl_1
DP  - 2017 Jul 01
TI  - Approaches to Vaccination Among Populations in Areas of Conflict.
PG  - S368-S372
LID - 10.1093/infdis/jix175 [doi]
AB  - Vaccination is an important and cost-effective disease prevention and control
      strategy. Despite progress in vaccine development and immunization delivery
      systems worldwide, populations in areas of conflict (hereafter, "conflict
      settings") often have limited or no access to lifesaving vaccines, leaving them
      at increased risk for morbidity and mortality related to vaccine-preventable
      disease. Without developing and refining approaches to reach and vaccinate
      children and other vulnerable populations in conflict settings, outbreaks of
      vaccine-preventable disease in these settings may persist and spread across
      subnational and international borders. Understanding and refining current
      approaches to vaccinating populations in conflict and humanitarian emergency
      settings may save lives. Despite major setbacks, the Global Polio Eradication
      Initiative has made substantial progress in vaccinating millions of children
      worldwide, including those living in communities affected by conflicts and other 
      humanitarian emergencies. In this article, we examine key strategic and
      operational tactics that have led to increased polio vaccination coverage among
      populations living in diverse conflict settings, including Nigeria, Somalia, and 
      Pakistan, and how these could be applied to reach and vaccinate populations in
      other settings across the world.
CI  - (c) The Author 2017. Published by Oxford University Press for the Infectious
      Diseases Society of America.
FAU - Nnadi, Chimeremma
AU  - Nnadi C
AD  - Global Immunization Division, Centers for Disease Prevention and Control,
      Atlanta, Georgia.
FAU - Etsano, Andrew
AU  - Etsano A
AD  - Nigeria Polio Emergency Operations Center, National Primary Health Care
      Development Agency.
FAU - Uba, Belinda
AU  - Uba B
AD  - National Stop Transmission of Polio Program, Africa Field Epidemiology and
      Training Network Nigeria Country Office, Abuja, Nigeria.
FAU - Ohuabunwo, Chima
AU  - Ohuabunwo C
AD  - Global Immunization Division, Centers for Disease Prevention and Control,
      Atlanta, Georgia.
FAU - Melton, Musa
AU  - Melton M
AD  - National Stop Transmission of Polio Program, Africa Field Epidemiology and
      Training Network Nigeria Country Office, Abuja, Nigeria.
FAU - Wa Nganda, Gatei
AU  - Wa Nganda G
AD  - Global Immunization Division, Centers for Disease Prevention and Control,
      Atlanta, Georgia.
FAU - Esapa, Lisa
AU  - Esapa L
AD  - Global Immunization Division, Centers for Disease Prevention and Control,
      Atlanta, Georgia.
FAU - Bolu, Omotayo
AU  - Bolu O
AD  - Global Immunization Division, Centers for Disease Prevention and Control,
      Atlanta, Georgia.
FAU - Mahoney, Frank
AU  - Mahoney F
AD  - Global Immunization Division, Centers for Disease Prevention and Control,
      Atlanta, Georgia.
FAU - Vertefeuille, John
AU  - Vertefeuille J
AD  - Global Immunization Division, Centers for Disease Prevention and Control,
      Atlanta, Georgia.
FAU - Wiesen, Eric
AU  - Wiesen E
AD  - Global Immunization Division, Centers for Disease Prevention and Control,
      Atlanta, Georgia.
FAU - Durry, Elias
AU  - Durry E
AD  - Global Immunization Division, Centers for Disease Prevention and Control,
      Atlanta, Georgia.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Infect Dis
JT  - The Journal of infectious diseases
JID - 0413675
SB  - AIM
SB  - IM
MH  - Armed Conflicts
MH  - Disease Eradication/*methods
MH  - Humans
MH  - Immunization Programs/*methods
MH  - Poliomyelitis/*prevention & control
MH  - *Refugees
MH  - Vulnerable Populations
OTO - NOTNLM
OT  - conflict settings
OT  - immunization
OT  - insecurity
OT  - polio
OT  - vaccination
EDAT- 2017/08/26 06:00
MHDA- 2017/09/07 06:00
CRDT- 2017/08/26 06:00
AID - 3935080 [pii]
AID - 10.1093/infdis/jix175 [doi]
PST - ppublish
SO  - J Infect Dis. 2017 Jul 1;216(suppl_1):S368-S372. doi: 10.1093/infdis/jix175.