Vaccine-preventable disease control in the People’s Republic of China: 1949–2016

Wang, Yu; Lee, Lisa A.; Liu, Yanmin; Scherpbier, Robert; Ning, Wen; Zhang, Guomin; Zhu, Xu; Ning, Guijun; Wang, Fuzhen; Li, Yixing; Hao, Lixin; Zhang, Xuan; Wang, Huaqing

doi:10.1016/j.vaccine.2018.10.005

Cited by 49 publications

(43 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Decades of painstaking efforts have made China’s planned immunization one of the largest in the world. Smallpox, polio and diphtheria have been eliminated nationwide, and the incidence of other vaccine-preventable infectious diseases is comparable to the levels in developed countries [21]. However, in this study, only 29.78% of respondents reported positive confidence in vaccines after the crisis occurred.…”

Section: Discussionmentioning

confidence: 57%

“…A national planned immunization policy for children was started in 1978 [20]. Smallpox and polio have been eradicated nationwide, and the last case of diphtheria was reported in 2006 [21]. In 1983, the inoculation coverage rates of the recommended Bacillus Calmette-Guerin (BCG) vaccine, Diphtheria, Pertussis, and Tetanus (DPT) vaccine, Oral Polio vaccine (OPV) vaccine, and Measles vaccine were 34, 58, 79, and 78%, respectively, while the coverage rate of these vaccines all exceeded 95% nationwide by 2013.…”

Section: Introductionmentioning

confidence: 99%

“…In 1983, the inoculation coverage rates of the recommended Bacillus Calmette-Guerin (BCG) vaccine, Diphtheria, Pertussis, and Tetanus (DPT) vaccine, Oral Polio vaccine (OPV) vaccine, and Measles vaccine were 34, 58, 79, and 78%, respectively, while the coverage rate of these vaccines all exceeded 95% nationwide by 2013. Additionally, the number of free vaccines in the immunization program has increased from four to eleven [21]. However, these achievements have been shaken by one major negative vaccine incident in China.…”

Section: Introductionmentioning

confidence: 99%

“…In addition to widespread fear and indignation, the vaccine crisis led to a universal questioning of vaccines and severely threatened the achievements in immunization in China that were accumulated over the past decades [21]. To reverse this situation, measures should be taken to restore and sustain public confidence of vaccines in China, moreover, understanding the factors related to vaccine confidence will be a touchstone for a more standardized vaccine regulatory system and a sustainable immunization program in China.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Vaccine confidence in China after the Changsheng vaccine incident: a cross-sectional study

et al. 2019

View full text Add to dashboard Cite

BackgroundChina’s achievements in immunization are being threatened by a vaccine crisis. This paper aims to investigate vaccine confidence in China after the Changsheng vaccine incident and attempts to identify the factors contributing to it.MethodsAn online cross-sectional investigation was conducted from 1 to 25 September 2018. Descriptive analysis and logistic regression were performed to examine the associations between socio-demographic factors, cognition and attitudes towards the Changsheng vaccine incident and vaccine confidence.ResultsWe included 1115 respondents in the final analysis, and found that approximately 70% (783) of the respondents did not have vaccine confidence. More than half of the respondents (54.53%) were dissatisfied with the government’s response measures to the Changsheng vaccine incident. The logistic regression model indicated that vaccine confidence was positively associated with the degree of satisfaction with the government’s response measures (OR = 1.621, 95% CI = 1.215–2.163), attitudes towards the risks and benefits of vaccination (OR = 1.501, 95% CI = 1.119–2.013), concerns about vaccine safety (OR = 0.480, 95% CI = 0.317–0.726), and vaccine efficacy (OR = 0.594, 95% CI = 0.394–0.895).ConclusionsA majority of the respondents held negative attitudes towards vaccines after the Changsheng vaccine incident. A coordinated effort is required to restore public confidence in vaccines, especially in China, where a nationwide mandatory immunization policy is implemented. To end dissent towards inoculation, a series of actions is crucial and multiple parties should work together to advance efforts and explore the possibility of establishing an open and transparent regulatory system.

show abstract

Section: Discussionmentioning

confidence: 57%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Vaccine confidence in China after the Changsheng vaccine incident: a cross-sectional study

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Vaccines are not only highly effective in preventing disease, but are also highly cost-effective and may be cost saving [8]. Implementing vaccines has direct societal benefits, as illustrated by the expansion of a nationwide vaccination program in China which led to drastic decreases in vaccine-preventable diseases in the last 50 years [9]. By decreasing disease incidence, vaccination programmes indirectly lead to decreases in ICU admissions and/or complications, and it is safe to assume that any breach in vaccination programmes indirectly leads to increases in ICU admissions/complications.…”

Section: Introductionmentioning

confidence: 99%

Missed vaccinations and critical care admission: all you may wish to know or rediscover—a narrative review

et al. 2019

View full text Add to dashboard Cite

Most vaccines are so effective that they could lead to the control/elimination of the diseases they target and directly impact on intensive care admissions or complications. This is best illustrated by the use of vaccines against Haemophilus influenzae type b, Streptococcus pneumoniae, zoster, yellow fever, Ebola virus, influenza or measles-but also by third party strategies such as maternal, toddler and care-giver immunization. However, each of these vaccine-induced protection is threatened by insufficient vaccine uptake. Here, we briefly discuss how vaccine hesitancy has led to the resurgence of diseases that were considered as controlled and explore the effect of vaccine-hesitant healthcare workers on nosocomial infections. As intensive care physicians are in charge of polymorbid patients, we briefly summarize the current recommendations for vaccinations in high-risk patients. We finally give some perspective on ongoing research, and discuss how institutional policies and intensive care physicians could play a role in increasing the impact of vaccination, overall and in intensive care units.

show abstract

Vaccination and risky behaviors: evidence from the hepatitis B vaccination campaign in China

Huang

Liu

et al. 2023

J Popul Econ

View full text Add to dashboard Cite

Vaccine-preventable disease control in the People’s Republic of China: 1949–2016

Cited by 49 publications

References 10 publications

Vaccine confidence in China after the Changsheng vaccine incident: a cross-sectional study

Vaccine confidence in China after the Changsheng vaccine incident: a cross-sectional study

Missed vaccinations and critical care admission: all you may wish to know or rediscover—a narrative review

Vaccination and risky behaviors: evidence from the hepatitis B vaccination campaign in China

Contact Info

Product

Resources

About