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Health Science Monitor 2023, 2(1): 10-12 |
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Ghelichi-Ghojogh M, Khezri R, Rezaei F, Aljalili S, Valizadeh R, Sadighpour T. Health inequality in COVID-19 vaccination coverage. Health Science Monitor 2023; 2 (1) :10-12
URL: http://hsm.umsu.ac.ir/article-1-69-en.html
URL: http://hsm.umsu.ac.ir/article-1-69-en.html
Mousa Ghelichi-Ghojogh 
, Rozhan Khezri, Fatemeh Rezaei , Somayeh Aljalili , Rohollah Valizadeh * , Tella Sadighpour
, Rozhan Khezri, Fatemeh Rezaei , Somayeh Aljalili , Rohollah Valizadeh * , Tella Sadighpour
PhD in Epidemiology, Iran University of Medical Sciences, Tehran, Iran
Abstract: (123 Views)
Dear Editor,
According to the latest report of World Health Organization, which was published on November 8, 2021, more than 249,743,428 people were infected with COVID-19 and 5,047,652 people died from this disease worldwide. Furthermore, more than seven billion doses of vaccine have been used against the COVID-19 pandemic across the world (1). COVID-19 can take two forms including the asymptomatic and symptomatic forms and may cause a wide and varied range of symptoms (2-6). One of the most serious and current human rights is to have access to diagnostic, treatment and vaccination facilities against COVID-19, especially in the poor areas and low-income countries. In addition, vaccination is regarded to be a very important primary preventive measure since it causes a significant reduction in the COVID-19 development, decreases its morbidity, and reduces its mortality rates (7). In fact, health inequality is a comprehensive concept that reflects the differences and inequalities in people's access to health care (8). It is obvious that health-care-access injustice ultimately leads to inequality in health (9).
At the beginning of 2021, several COVID-19 vaccines were developed. These vaccines were classified into three categories. The first category involved the RNA messenger vaccines (mRNA) which included Moderna and Pfizer-BioNTech vaccines. The second category comprised the vaccines which were made with the help of human and mammalian adenoviruses such as Spuntink-V, Astera-Zenec, and Johnson & Johnson. Finally, the third category involved the inactivated viral vaccines such as Bharat Biotech, Sinopharm, and Sinovac (10). These vaccines and the new medications have been effective (11). Nonetheless, there are still countries around the world which are not able to purchase the approved vaccines. Moreover, a number of the people, who have access to the vaccines, are not willing to trust a new vaccine. These two issues are major concerns which severely affect the vaccination coverage rate, the break in the disease transmission chain, and the end of the COVID-19 pandemic (12).
Finally, it can be stated that the causes of low vaccination coverage include the following factors (13, 14):
According to the latest report of World Health Organization, which was published on November 8, 2021, more than 249,743,428 people were infected with COVID-19 and 5,047,652 people died from this disease worldwide. Furthermore, more than seven billion doses of vaccine have been used against the COVID-19 pandemic across the world (1). COVID-19 can take two forms including the asymptomatic and symptomatic forms and may cause a wide and varied range of symptoms (2-6). One of the most serious and current human rights is to have access to diagnostic, treatment and vaccination facilities against COVID-19, especially in the poor areas and low-income countries. In addition, vaccination is regarded to be a very important primary preventive measure since it causes a significant reduction in the COVID-19 development, decreases its morbidity, and reduces its mortality rates (7). In fact, health inequality is a comprehensive concept that reflects the differences and inequalities in people's access to health care (8). It is obvious that health-care-access injustice ultimately leads to inequality in health (9).
At the beginning of 2021, several COVID-19 vaccines were developed. These vaccines were classified into three categories. The first category involved the RNA messenger vaccines (mRNA) which included Moderna and Pfizer-BioNTech vaccines. The second category comprised the vaccines which were made with the help of human and mammalian adenoviruses such as Spuntink-V, Astera-Zenec, and Johnson & Johnson. Finally, the third category involved the inactivated viral vaccines such as Bharat Biotech, Sinopharm, and Sinovac (10). These vaccines and the new medications have been effective (11). Nonetheless, there are still countries around the world which are not able to purchase the approved vaccines. Moreover, a number of the people, who have access to the vaccines, are not willing to trust a new vaccine. These two issues are major concerns which severely affect the vaccination coverage rate, the break in the disease transmission chain, and the end of the COVID-19 pandemic (12).
Finally, it can be stated that the causes of low vaccination coverage include the following factors (13, 14):
- Lack of access to vaccines
- Distrust of governments
- Negative role of national media
- Poor performance of health personnel
- Negative role of social and virtual networks
- Complications of vaccination
- Low knowledge about the consequences of the COVID-19 among the general population.
Type of Study: Applicable |
Subject:
Special
Received: 2022/09/8 | Accepted: 2022/12/28 | Published: 2023/01/20
Received: 2022/09/8 | Accepted: 2022/12/28 | Published: 2023/01/20
References
1. World Health Organization (WHO). Coronavirus disease (COVID-19) Weekly Epidemiological Update and Weekly Operational Update. Available at: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports [URL]
2. Lotfi B, Farshid S, Dadashzadeh N, Valizadeh R, Rahimi MM. Is coronavirus disease 2019 (COVID-19) associated with renal involvement? A review of century infection. Jundishapur J Microbiol. 2020;13(4):1-6. [DOI]
3. Rahimi MM, Jahantabi E, Lotfi B, Forouzesh M, Valizadeh R, Farshid S. Renal and liver injury following the treatment of COVID-19 by remdesivir. J Nephropathol. 2021;10(2):e10. DOI: 10.34172/jnp.2021.10. [DOI]
4. Tabatabaii S A, Soltani P, Khanbabaee G, Sharma D, Valizadeh R, et al. SARS Coronavirus 2, Severe Acute Respiratory Syndrome, and Middle East Respiratory Syndrome in Children: A Review on Epidemiology, Clinical Presentation, and Diagnosis, Arch Pediatr Infect Dis. 8(4): e104860. [DOI]
5. Dadashzadeh N, Farshid S, Valizadeh R, Nanbakhsh M, Rahimi MM. Acute respiratory distress syndrome in COVID-19. Immunopathol Persa. 2020 Mar 28;6(2):e16. [DOI]
6. Besharat S, Alamda NM, Dadashzadeh N, Talaie R, Mousavi SS, Barzegar A, et al. Clinical and demographic characteristics of patients with covid-19 who died in modarres hospital. Open Access Maced J Med Sci. 2020 Sep 20;8(T1):144-9. [DOI]
7. Ghiasi N, Valizadeh R, Arabsorkhi M, Hoseyni TS, Esfandiari K, Sadighpour T, et al. Efficacy and side effects of Sputnik V, Sinopharm and AstraZeneca vaccines to stop COVID-19; a review and discussion. Immunopathol Persa. 2021;7(2): e31. [DOI]
8. Norheim OF, Asada Y. The ideal of equal health revisited: definitions and measures of inequity in health should be better integrated with theories of distributive justice. Int J Equity Health. 2009;8(1):1-9. [DOI] [PMID] [PMCID]
9. Braveman P, Gruskin S. Defining equity in health. J Epidemiol Community Health. 2003;57(4):254-8. [DOI] [PMID] [PMCID]
10. Ndwandwe D, Wiysonge CS. COVID-19 vaccines. Curr Opin Immunol. 2021 Jul 12.71:111-16. [DOI] [PMID] [PMCID]
11. Barzegar A, Ghadipasha M, Rezaei N, Forouzesh M, Valizadeh R. New hope for treatment of respiratory involvement following COVID-19 by bromhexine. J Nephropharmacol. 2021;10(2):e11. DOI: 10.34172/npj.2021.11. [DOI]
12. Daneshfar M, Dadashzadeh N, Ahmadpour M, Haghi HR, Rahmani V, Frouzesh M, et al. Lessons of mortality following COVID-19 epidemic in the United States especially in the geriatrics. Journal of Nephropharmacology. 2020;10(1):e06. [DOI]
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