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Promoting COVID-19 vaccine acceptance: recommendations from the Lancet Commission on Vaccine Refusal, Acceptance, and Demand in the USA
- Omer, Saad B;
- Benjamin, Regina M;
- Brewer, Noel T;
- Buttenheim, Alison M;
- Callaghan, Timothy;
- Caplan, Arthur;
- Carpiano, Richard M;
- Clinton, Chelsea;
- DiResta, Renee;
- Elharake, Jad A;
- Flowers, Lisa C;
- Galvani, Alison P;
- Lakshmanan, Rekha;
- Maldonado, Yvonne A;
- McFadden, SarahAnn M;
- Mello, Michelle M;
- Opel, Douglas J;
- Reiss, Dorit R;
- Salmon, Daniel A;
- Schwartz, Jason L;
- Sharfstein, Joshua M;
- Hotez, Peter J
- et al.
Published Web Location
https://doi.org/10.1016/s0140-6736(21)02507-1Abstract
Since the first case of COVID-19 was identified in the USA in January, 2020, over 46 million people in the country have tested positive for SARS-CoV-2 infection. Several COVID-19 vaccines have received emergency use authorisations from the US Food and Drug Administration, with the Pfizer-BioNTech vaccine receiving full approval on Aug 23, 2021. When paired with masking, physical distancing, and ventilation, COVID-19 vaccines are the best intervention to sustainably control the pandemic. However, surveys have consistently found that a sizeable minority of US residents do not plan to get a COVID-19 vaccine. The most severe consequence of an inadequate uptake of COVID-19 vaccines has been sustained community transmission (including of the delta [B.1.617.2] variant, a surge of which began in July, 2021). Exacerbating the direct impact of the virus, a low uptake of COVID-19 vaccines will prolong the social and economic repercussions of the pandemic on families and communities, especially low-income and minority ethnic groups, into 2022, or even longer. The scale and challenges of the COVID-19 vaccination campaign are unprecedented. Therefore, through a series of recommendations, we present a coordinated, evidence-based education, communication, and behavioural intervention strategy that is likely to improve the success of COVID-19 vaccine programmes across the USA.
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