Elsevier

The Lancet

Volume 392, Issue 10149, 1–7 September 2018, Page 711
The Lancet

Editorial
Measles, war, and health-care reforms in Ukraine

https://doi.org/10.1016/S0140-6736(18)31984-6Get rights and content

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Cited by (12)

  • Diphtheria and tetanus seroepidemiology among children in Ukraine, 2017

    2022, Vaccine
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    By 2016, coverage with three doses of diphtheria-tetanus-pertussis vaccine (DTP3) in Ukraine reached a low of 19% (Fig. 1). The reasons for this decline have been described previously [4–12], including insufficient funding and inadequate vaccine procurement practices that resulted in frequent shortages; widespread safety concerns and mistrust in vaccinations among the general population and healthcare providers, particularly after a failed national measles-rubella vaccination campaign in 2008 when the vaccine was incorrectly blamed for the death of a child [7,13], and a strong anti-vaccine media environment. Political and economic instability and armed conflict, leading to large-scale population displacement in the east, further contributed to the collapse of the national immunization program [8–12].

  • Seroprevalence of hepatitis B virus infection markers among children in Ukraine, 2017

    2021, Vaccine
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    Widespread use of false contraindications and misguided perceptions about hepatitis B vaccine safety, particularly for newborns among both caregivers and providers, is another contributing factor [27,28]. Frequent shortages of hepatitis B vaccine in the past, particularly during the period of 2012–2015, also played a part in low coverage [16–18,29,30]. Reliance on the monovalent vaccine for hepatitis B in the national immunization schedule, which until mid-2018 required a separate visit at one month exclusively for hepatitis B vaccination, could also have contributed to low vaccine uptake.

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