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These populations are highly susceptible to vaccine-preventable diseases; therefore, optimising vaccine coverage to prevent disease outbreaks must be an international priority.
Before the war, vaccination rates in Ukraine were among the lowest in Europe. Childhood vaccination coverage consistently fell below WHO target thresholds required to establish herd immunity for some of the most serious diseases. In 2021, 20% of children in Ukraine were not fully vaccinated against measles and 13% were not protected against poliovirus; this proportion is likely to have risen due to the conflict.
Similarly, COVID-19 vaccination coverage has been poor; by February, 2022, less than 35% of the general population had received two vaccine doses, compared with a mean of 65% across the rest of Europe. Multiple factors have contributed to low vaccination uptake in Ukraine, including widespread vaccine hesitancy fuelled partly by social media campaigns that have served to disseminate vaccine misinformation and undermine public trust in Ukrainian authorities. Faltering trust has been compounded by vaccine supply issues and disruption to immunisation services related to the COVID-19 pandemic.
As a result of low vaccine coverage, Ukraine has recently experienced outbreaks of vaccine-preventable diseases. In 2017–20, Ukraine reported over 115 000 cases of measles and 40 measles-related deaths, representing the largest epidemic in Europe in over a decade.
The need to optimise vaccine coverage is recognised by the European Centre of Disease Prevention and Control, who recommend that all Ukrainian refugees without evidence of previous vaccination should be offered vaccinations under the immunisation schedule of the host country, ideally within 14 days of arrival, and with prioritisation of COVID-19, measles, and polio vaccines.
Although we applaud current efforts to tackle vaccine inequities, we argue that further urgent and collaborative action is imperative to prevent potentially devastating disease outbreaks within Ukraine and across Europe. First, availability of free vaccines for all refugees and displaced people must be guaranteed, and barriers to health-care access must be addressed. Second, public awareness about the urgent need for vaccination must be improved through provision of information in the multiple languages, media coverage, and community outreach programmes. Finally, concerted effort is needed to restore trust in vaccines, which requires the training of health-care workers to identify and address community-specific vaccine concerns, the provision of transparent and reliable information, and the engagement of trusted community representatives.
Осужденные за педофилию британцы в феврале-марте приезжали в Польшу под предлогом гумпомощи украинским беженцам, среди которых были тысячи детей без родителей, пишет Independent со ссылкой на правоохранителей (National Crime Agency).
Власти Британии работают над предотвращением подобного "туризма".