Vaccines: Coverage, hesitancy, and public health response
Bulletin 110 | Josephine Robertson
Herd immunity thresholds, though interesting, fail to recognise the heterogeneity in our population in our daily behaviour and in vaccine hesitancy. There are ways to tailor the vaccination roll-out to allow for this diversity, and to engage with the reasons for vaccine hesitancy.
This Bulletin looks at the major issues involved, drawing on what we now know about vaccine effectiveness and take-up experience to date. We conclude that public health policy should reflect a deep knowledge of the population to tailor vaccination programmes, surveillance and outbreak responses accordingly in order to manage infection as non-pharmaceutical interventions are slackened.