COVID-19 vaccine hesitancy in conflict zones: A review of current literature

BackgroundVaccine hesitancy (VH) is prevalent in conflict zones due to a lack of essential resources and knowledge, thereby escalating the coronavirus disease of 2019 (COVID-19) cases in these territories. This has resulted in a higher incidence of cases from exposure to a single COVID-19 positive c...

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Main Authors: Amna Siddiqui, Priya, Alishba Adnan, Samina Abbas, Khulud Qamar, Zarmina Islam, Zainab Syyeda Rahmat, Mohammad Yasir Essar, Ramadan Abdelmoez Farahat
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.1006271/full
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author Amna Siddiqui
Priya
Alishba Adnan
Samina Abbas
Khulud Qamar
Zarmina Islam
Zainab Syyeda Rahmat
Mohammad Yasir Essar
Mohammad Yasir Essar
Ramadan Abdelmoez Farahat
author_facet Amna Siddiqui
Priya
Alishba Adnan
Samina Abbas
Khulud Qamar
Zarmina Islam
Zainab Syyeda Rahmat
Mohammad Yasir Essar
Mohammad Yasir Essar
Ramadan Abdelmoez Farahat
author_sort Amna Siddiqui
collection DOAJ
description BackgroundVaccine hesitancy (VH) is prevalent in conflict zones due to a lack of essential resources and knowledge, thereby escalating the coronavirus disease of 2019 (COVID-19) cases in these territories. This has resulted in a higher incidence of cases from exposure to a single COVID-19 positive case and further burdens the health care system of conflict zones which are already on the brink of collapsing.AimThis narrative review aims to determine VH to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine in five conflict zones that include Somalia, Yemen, Palestine, Syria, and Afghanistan.MethodologyA Boolean search was carried out in MEDLINE-PubMed from inception till 6 June 2022. The search was performed by using the following keywords: “(SARS-CoV-2 OR covid OR covid 19) AND (vaccine hesitancy OR covid vaccine acceptance OR intention to vaccinate) AND (Syria OR Yemen OR Palestine OR Afghanistan OR Somalia”). The full text of all relevant articles in English along with their supplementary material was extracted.ResultsAll the included studies reported at least 30% or more increase in vaccine hesitancy among conflict settings. VH was mostly due to a lack of available resources, lack of appropriate knowledge, and believing misleading rumors about the vaccine.DiscussionConsidering the massive amount of reluctance among people residing in conflict zones, the need to take effective measures against VH is undoubtedly apparent. This can be accomplished by carrying out mass vaccinations by the governments and proper health education through raising the public awareness regarding vaccines, thereby eliminating rumors that exacerbate the fear of adverse effects.ConclusionThe approach described in this article to combat VH can be implemented to increase vaccination rates and significantly alleviate R0 across the globe.
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spelling doaj.art-406c45d9c64246d98d1dc3b79b1aa8432022-12-22T04:36:05ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-12-011010.3389/fpubh.2022.10062711006271COVID-19 vaccine hesitancy in conflict zones: A review of current literatureAmna Siddiqui0 Priya1Alishba Adnan2Samina Abbas3Khulud Qamar4Zarmina Islam5Zainab Syyeda Rahmat6Mohammad Yasir Essar7Mohammad Yasir Essar8Ramadan Abdelmoez Farahat9Department of Medicine, Karachi Medical and Dental College, Karachi, PakistanDepartment of Medicine, Dow University of Health Sciences, Karachi, PakistanDepartment of Medicine, Karachi Medical and Dental College, Karachi, PakistanDepartment of Medicine, Dow University of Health Sciences, Karachi, PakistanDepartment of Medicine, Dow University of Health Sciences, Karachi, PakistanDepartment of Medicine, Dow University of Health Sciences, Karachi, PakistanDepartment of Medicine, Dow University of Health Sciences, Karachi, PakistanAfghanistan National Charity Organization for Special Diseases, Kabul, AfghanistanKabul University of Medical Sciences, Kabul, AfghanistanFaculty of Medicine, Kafrelsheikh University, Kafr El-Shaikh, EgyptBackgroundVaccine hesitancy (VH) is prevalent in conflict zones due to a lack of essential resources and knowledge, thereby escalating the coronavirus disease of 2019 (COVID-19) cases in these territories. This has resulted in a higher incidence of cases from exposure to a single COVID-19 positive case and further burdens the health care system of conflict zones which are already on the brink of collapsing.AimThis narrative review aims to determine VH to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) vaccine in five conflict zones that include Somalia, Yemen, Palestine, Syria, and Afghanistan.MethodologyA Boolean search was carried out in MEDLINE-PubMed from inception till 6 June 2022. The search was performed by using the following keywords: “(SARS-CoV-2 OR covid OR covid 19) AND (vaccine hesitancy OR covid vaccine acceptance OR intention to vaccinate) AND (Syria OR Yemen OR Palestine OR Afghanistan OR Somalia”). The full text of all relevant articles in English along with their supplementary material was extracted.ResultsAll the included studies reported at least 30% or more increase in vaccine hesitancy among conflict settings. VH was mostly due to a lack of available resources, lack of appropriate knowledge, and believing misleading rumors about the vaccine.DiscussionConsidering the massive amount of reluctance among people residing in conflict zones, the need to take effective measures against VH is undoubtedly apparent. This can be accomplished by carrying out mass vaccinations by the governments and proper health education through raising the public awareness regarding vaccines, thereby eliminating rumors that exacerbate the fear of adverse effects.ConclusionThe approach described in this article to combat VH can be implemented to increase vaccination rates and significantly alleviate R0 across the globe.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1006271/fullCOVID-19vaccine hesitancyconflict zonesAfghanistanYemenSyria
spellingShingle Amna Siddiqui
Priya
Alishba Adnan
Samina Abbas
Khulud Qamar
Zarmina Islam
Zainab Syyeda Rahmat
Mohammad Yasir Essar
Mohammad Yasir Essar
Ramadan Abdelmoez Farahat
COVID-19 vaccine hesitancy in conflict zones: A review of current literature
Frontiers in Public Health
COVID-19
vaccine hesitancy
conflict zones
Afghanistan
Yemen
Syria
title COVID-19 vaccine hesitancy in conflict zones: A review of current literature
title_full COVID-19 vaccine hesitancy in conflict zones: A review of current literature
title_fullStr COVID-19 vaccine hesitancy in conflict zones: A review of current literature
title_full_unstemmed COVID-19 vaccine hesitancy in conflict zones: A review of current literature
title_short COVID-19 vaccine hesitancy in conflict zones: A review of current literature
title_sort covid 19 vaccine hesitancy in conflict zones a review of current literature
topic COVID-19
vaccine hesitancy
conflict zones
Afghanistan
Yemen
Syria
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.1006271/full
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