Vaccine confidence in the time of COVID-19

In the early months of the COVID-19 epidemic, some have wondered if the force of this global experience will solve the problem of vaccine refusal that has vexed and preoccupied the global public health community for the last several decades. Drawing on historical and epidemiological analyses, we cri...

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Veröffentlicht in:	European journal of epidemiology Jg. 35; H. 4; S. 325 - 330
Hauptverfasser:	Harrison, Emily A., Wu, Julia W.
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Dordrecht Springer Netherlands 01.04.2020 Springer Nature B.V
Schlagworte:	Cardiology Coronavirus Infections - epidemiology Coronavirus Infections - prevention & control Coronaviruses COVID-19 COVID-19 vaccines Drug delivery systems Epidemics Epidemiology Essay Humans Infectious Diseases Medicine Medicine & Public Health Oncology Pandemics - prevention & control Pneumonia, Viral - epidemiology Pneumonia, Viral - prevention & control Public concern Public Health Public Opinion Safety regulations United States - epidemiology Vaccination Vaccination Refusal Vaccine hesitancy Vaccines Vaccines - administration & dosage United States COVID-19 Vaccine safety regulation Vaccine hesitancy Vaccine confidence Culture Historical
ISSN:	0393-2990, 1573-7284, 1573-7284
Online-Zugang:	Volltext
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Abstract	In the early months of the COVID-19 epidemic, some have wondered if the force of this global experience will solve the problem of vaccine refusal that has vexed and preoccupied the global public health community for the last several decades. Drawing on historical and epidemiological analyses, we critique contemporary approaches to reducing vaccine hesitancy and articulate our notion of vaccine confidence as an expanded way of conceptualizing the problem and how to respond to it. Intervening on the rush of vaccine optimism we see pervading present discourse around the COVID-19 epidemic, we call for a re-imagination of the culture of public health and the meaning of vaccine safety regulations. Public confidence in vaccination programs depends on the work they do for the community—social, political, and moral as well as biological. The concept of public health and its programs must be broader than the delivery of the vaccine technology itself. The narrative work and policy actions entailed in actualizing such changes will, we expect, be essential in achieving a true vaccine confidence, however the public reacts to the specific vaccine that may be developed for COVID-19.
AbstractList	In the early months of the COVID-19 epidemic, some have wondered if the force of this global experience will solve the problem of vaccine refusal that has vexed and preoccupied the global public health community for the last several decades. Drawing on historical and epidemiological analyses, we critique contemporary approaches to reducing vaccine hesitancy and articulate our notion of vaccine confidence as an expanded way of conceptualizing the problem and how to respond to it. Intervening on the rush of vaccine optimism we see pervading present discourse around the COVID-19 epidemic, we call for a re-imagination of the culture of public health and the meaning of vaccine safety regulations. Public confidence in vaccination programs depends on the work they do for the community—social, political, and moral as well as biological. The concept of public health and its programs must be broader than the delivery of the vaccine technology itself. The narrative work and policy actions entailed in actualizing such changes will, we expect, be essential in achieving a true vaccine confidence, however the public reacts to the specific vaccine that may be developed for COVID-19. In the early months of the COVID-19 epidemic, some have wondered if the force of this global experience will solve the problem of vaccine refusal that has vexed and preoccupied the global public health community for the last several decades. Drawing on historical and epidemiological analyses, we critique contemporary approaches to reducing vaccine hesitancy and articulate our notion of vaccine confidence as an expanded way of conceptualizing the problem and how to respond to it. Intervening on the rush of vaccine optimism we see pervading present discourse around the COVID-19 epidemic, we call for a re-imagination of the culture of public health and the meaning of vaccine safety regulations. Public confidence in vaccination programs depends on the work they do for the community-social, political, and moral as well as biological. The concept of public health and its programs must be broader than the delivery of the vaccine technology itself. The narrative work and policy actions entailed in actualizing such changes will, we expect, be essential in achieving a true vaccine confidence, however the public reacts to the specific vaccine that may be developed for COVID-19.In the early months of the COVID-19 epidemic, some have wondered if the force of this global experience will solve the problem of vaccine refusal that has vexed and preoccupied the global public health community for the last several decades. Drawing on historical and epidemiological analyses, we critique contemporary approaches to reducing vaccine hesitancy and articulate our notion of vaccine confidence as an expanded way of conceptualizing the problem and how to respond to it. Intervening on the rush of vaccine optimism we see pervading present discourse around the COVID-19 epidemic, we call for a re-imagination of the culture of public health and the meaning of vaccine safety regulations. Public confidence in vaccination programs depends on the work they do for the community-social, political, and moral as well as biological. The concept of public health and its programs must be broader than the delivery of the vaccine technology itself. The narrative work and policy actions entailed in actualizing such changes will, we expect, be essential in achieving a true vaccine confidence, however the public reacts to the specific vaccine that may be developed for COVID-19.
Author	Harrison, Emily A. Wu, Julia W.
Author_xml	– sequence: 1 givenname: Emily A. orcidid: 0000-0001-5964-9283 surname: Harrison fullname: Harrison, Emily A. email: harrison@post.harvard.edu organization: Department of Epidemiology, Harvard University (TH Chan School of Public Health), Department of the History of Science, Harvard University (GSAS) – sequence: 2 givenname: Julia W. orcidid: 0000-0002-1320-4788 surname: Wu fullname: Wu, Julia W. organization: Department of Epidemiology, Harvard University (TH Chan School of Public Health)
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/32318915$$D View this record in MEDLINE/PubMed
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Keywords	COVID-19 Vaccine safety regulation Vaccine hesitancy Vaccine confidence Culture Historical
Language	English
License	This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
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References	GatesBResponding to Covid-19—a once-in-a-century pandemic?NEJM202010.1056/NEJMp200376232109012 US Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. Crimson Contagion 2019 Functional Exercise Draft After-Action Report. October 2019. AndersenRMHow will country-based mitigation measures influence the course of the COVID-19 epidemic?Lancet202039593193410.1016/S0140-6736(20)30567-5 YangLGrenfellBTMinaMJMeasles vaccine escape: Should we be concerned?Eur J Epidemiol20193489389610.1007/s10654-019-00574-7 MacMahonBPughTIpsenJEpidemiologic methods1960BostonLittle, Brown, and Co. KahanDBramanDCohenGGastilJSlovicPWho fears the HPV vaccine, who doesn’t, and why? An experimental study of the mechanisms of cultural cognitionLaw Human Behav20103450151610.1007/s10979-009-9201-0 McMillenCBrimnesNMedical modernization and medical nationalism: resistance to mass tuberculosis vaccination in postcolonial India 1948–1955Comp Stud Soc Hist20105218020910.1017/S0010417509990375 NeedellJDThe Revolta Contra Vacina of 1904: the revolt against modernization in Belle-Epoque Rio de JaneiroHisp Am Hist Rev1987672332691:STN:280:DC%2BD3Mros1Wrtg%3D%3D11619656 CDC. Flu vaccination coverage, United States, 2018–19 Influenza Season. 2019. https://www.cdc.gov/flu/fluvaxview/coverage-1819estimates.htm. Accessed 3 Apr 2020. MarksHThe progress of experiment: science and therapeutic reform in the United States, 1900–19901997CambridgeCambridge University Press PortnoyAJitMFerrariMHansonMBrenzelLVerguetSEstimates of case-fatality ratios of measles in low-income and middle-income countries: a systematic review and modeling analysisLancet Glob Health20197e472e48110.1016/S2214-109X(18)30537-0 RosenbergCThe therapeutic revolution: medicine, meaning and social change in nineteenth century AmericaPerspect Biol Med19772044855061:STN:280:DyaE2s3ls1amtA%3D%3D10.1353/pbm.1977.0040 Centers for Disease Control and Prevention (CDC)Ten great public health achievements—United States, 1900–1999MMWR199948241243 BhattacharyaSHarrisonMWorboysMFractured States: small pox, public health and vaccination policy in British India 1800–19472005HyderabadOrient Longman EnriaLLeesSSmoutEMooneyTTengbehAFLeighBGreenwoodBWatson-JonesDLarsonHPower, fairness and trust: understanding and engaging with vaccine trial participants and communities in the setting up the EBOVAC-Salone vaccine trial in Sierra LeoneBMC Public Health201616114010.1186/s12889-016-3799-x WHO. Implementation of the International Health Regulations (2005): Report of the Review Committee on the Functioning of the International Health Regulations (2005) in relation to Pandemic (H1N1) 2009. In: Presented to the 64th World Health Assembly, Provisional Agenda Item 13.2; 5 May 2011. FoxRWeiszGThe evolution of American bioethicsSocial science perspectives on medical ethics1990PhiladelphiaUniversity of Pennsylvania Press Interviewee Brandt AM. Lessons from Ebola: preventing the next pandemic. Interview by Jha A. HarvardX. September 2015. https://www.edx.org/course/lessons-from-ebola-preventing-the-next-pandemic-2. Accessed 3 April 2020. VibianAKamuyaDMwachiroDKalamaBMarshVNjugunaPMolyneuxSComplex realities: community engagement for a paediatric randomized controlled malaria vaccine trial in Kilifi, KenyaTrials20141516510.1186/1745-6215-15-65 KohHGellinBMeasles as metaphor: what resurgence means for the future of immunizationJAMA20203231091491510.1001/jama.2020.1372 LarsonHJBhuttaZASecurity, insecurity, and health workers: the case of polioJAMA Intern Med2013173151393139410.1001/jamainternmed.2013.7191 BeneckeODeYoungSEAnti-vaccine decision-making and measles resurgence in the United StatesGlobal Pediatr Health201961510.1177/2333794X19862949 World Health Organization. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). February 2020. pp. 16–24. RobertAFunkSKucharskiAJThe measles crisis in Europe—the need for a joined-up approachLancet201910.1016/S0140-6736(19)31039-631668847 FreemanPThe biology of vaccines and community decisions to vaccinatePublic Health Rep1997112121193133181381832 FrostWHThe age selection of mortality from tuberculosis in successive decades. 1936Am J Epidemiol199514141:STN:280:DyaK2M7gtVaiug%3D%3D10.1093/oxfordjournals.aje.a117343 Nuzzo JB, Mullen L, Snyder M, Cicero A, Inglesby TV. Preparedness for a high-impact respiratory pathogen pandemic. A report of the Johns Hopkins center for health security. 2019. https://www.centerforhealthsecurity.org/our-work/pubs_archive/pubs-pdfs/2019/190918-GMPBreport-respiratorypathogen.pdf. Accessed 3 April 2020. WarnerJHThe therapeutic perspective: medical practice, knowledge, and identity in America, 1820–18851986CambridgeHarvard University Press RosenbergCWhat is an epidemic? AIDS in historical perspectiveDaedalus198911821171:STN:280:DC%2BD3MrnvFKntQ%3D%3D11612464 Centers for Disease Control and Prevention (CDC). Measles (Rubeola): cases and outbreaks. 2020. https://www.cdc.gov/measles/cases-outbreaks.html. Accessed 3 Apr 2020. LarsonHJSchulzWSReverse global vaccine dissentScience20193646436 WallochKThe Antivaccine Heresy: Jacobson v. Massachusetts and the troubled history of vaccination in the United States2015RochesterRochester University Press PiotPLarsonHJO’BrienKLN’kengasongJNgESowSKampmannBImmunization: vital progress, unfinished agendaNature201910.1038/s41586-019-1656-7316952036601349 DrezeJSenAIndia: development and participation2002OxfordOxford University Press10.1093/acprof:oso/9780199257492.001.0001 Bill & Melinda Gates Foundation. The Goalkeepers Report 2018. 2020. https://www.gatesfoundation.org/goalkeepers/report. Accessed 3 Apr 2020. Wilson R, Paterson R, Chiu J, Schulz W, Larson H. HPV vaccination in Japan: The continuing debate and global Impacts. A Report of the CSIS Global Health Policy Center. 2015. ConisEVaccine-Nation: America’s changing relationship with immunization2015ChicagoUniversity of Chicago Press DabbaghALawsRLSteuletCDumolardLMuldersMNKretsingerKAlexanderJPRotaPAGoodsonJLProgress toward regional measles elimination—worldwide, 2000–2017MMWR2018671323132930496160 Paul JR. Original text of Address to the ASCI. John Rodman Paul Papers, MS 1333 Series III, Box 18, Folder 4. Manuscripts and Archives, Yale University Library. HammondsEChildhood’s deadly scourge: the campaign to control diphtheria in New York City1999BaltimoreJohns Hopkins University Press ColgroveJBayerRManifold restraints: liberty, public health, and the legacy of Jacobson v MassachusettsAJPH200595457110.2105/AJPH.2004.055145 FitzpatrickMThe cutter incident: how America’s first polio vaccine led to a growing vaccine crisisJ R Soc Med20069931561383764 World Health Organization. New measles surveillance data for 2019. 2020. www.who.int/immunization/newsroom/measles-data-2019/en/. Accessed 3 Apr 2020. MeadeRCivilizing Rio de Janeiro: the public health campaign and riot of 1904J Soc Hist1986203013221:STN:280:DC%2BD3MrosVKqsA%3D%3D10.1353/jsh/20.2.301 Steelfisher GK, Blendon RJ, Caporello H, Ben-Porath E. Harvard Vaccination Poll. Harvard TH Chan School of Public Health and SSRS. 2019. https://ssrs.com/harvard-vaccination-poll/. Accessed 3 April 2020. WHO. Ten threats to global health in 2019. 2020. https://www.who.int/news-room/feature-stories/ten-threats-to-global-health-in-2019. Accessed 3 Apr 2020. WHO. Vaccine Safety Net. 2019. https://www.who.int/vaccine_safety/initiative/communication/network/vaccine_safety_websites/en. Accessed 3 Apr 2020. RobbinsAThe CIA’s vaccination ruseJ Public Health Policy20123338738910.1057/jphp.2012.37 Homeland Security CouncilNational strategy for pandemic influenza: implementation plan2006Washington, DCGovernment Printing Office MolAThe logic of care: health and the problem of patient choice2008LondonRoutledge10.4324/9780203927076 634_CR11 634_CR15 L Yang (634_CR13) 2019; 34 634_CR14 634_CR19 B Gates (634_CR7) 2020 A Portnoy (634_CR10) 2019; 7 R Fox (634_CR39) 1990 O Benecke (634_CR20) 2019; 6 JH Warner (634_CR45) 1986 634_CR9 S Bhattacharya (634_CR29) 2005 634_CR49 HJ Larson (634_CR48) 2013; 173 WH Frost (634_CR26) 1995; 141 Centers for Disease Control and Prevention (CDC) (634_CR3) 1999; 48 A Robbins (634_CR22) 2012; 33 C McMillen (634_CR31) 2010; 52 B MacMahon (634_CR41) 1960 J Dreze (634_CR30) 2002 E Hammonds (634_CR24) 1999 634_CR37 634_CR36 A Dabbagh (634_CR8) 2018; 67 634_CR35 A Vibian (634_CR46) 2014; 15 P Piot (634_CR18) 2019 K Walloch (634_CR28) 2015 R Meade (634_CR32) 1986; 20 C Rosenberg (634_CR44) 1977; 20 634_CR1 634_CR2 M Fitzpatrick (634_CR50) 2006; 99 634_CR5 A Robert (634_CR12) 2019 J Colgrove (634_CR38) 2005; 95 H Marks (634_CR42) 1997 C Rosenberg (634_CR34) 1989; 118 634_CR21 Homeland Security Council (634_CR4) 2006 E Conis (634_CR27) 2015 634_CR25 L Enria (634_CR47) 2016; 16 A Mol (634_CR40) 2008 JD Needell (634_CR33) 1987; 67 P Freeman (634_CR43) 1997; 112 H Koh (634_CR23) 2020; 323 D Kahan (634_CR16) 2010; 34 RM Andersen (634_CR6) 2020; 395 HJ Larson (634_CR17) 2019; 364
References_xml	– reference: MolAThe logic of care: health and the problem of patient choice2008LondonRoutledge10.4324/9780203927076 – reference: RosenbergCThe therapeutic revolution: medicine, meaning and social change in nineteenth century AmericaPerspect Biol Med19772044855061:STN:280:DyaE2s3ls1amtA%3D%3D10.1353/pbm.1977.0040 – reference: LarsonHJSchulzWSReverse global vaccine dissentScience20193646436 – reference: WHO. Vaccine Safety Net. 2019. https://www.who.int/vaccine_safety/initiative/communication/network/vaccine_safety_websites/en. Accessed 3 Apr 2020. – reference: RobertAFunkSKucharskiAJThe measles crisis in Europe—the need for a joined-up approachLancet201910.1016/S0140-6736(19)31039-631668847 – reference: RobbinsAThe CIA’s vaccination ruseJ Public Health Policy20123338738910.1057/jphp.2012.37 – reference: BeneckeODeYoungSEAnti-vaccine decision-making and measles resurgence in the United StatesGlobal Pediatr Health201961510.1177/2333794X19862949 – reference: MacMahonBPughTIpsenJEpidemiologic methods1960BostonLittle, Brown, and Co. – reference: Steelfisher GK, Blendon RJ, Caporello H, Ben-Porath E. Harvard Vaccination Poll. Harvard TH Chan School of Public Health and SSRS. 2019. https://ssrs.com/harvard-vaccination-poll/. Accessed 3 April 2020. – reference: Paul JR. Original text of Address to the ASCI. John Rodman Paul Papers, MS 1333 Series III, Box 18, Folder 4. Manuscripts and Archives, Yale University Library. – reference: DrezeJSenAIndia: development and participation2002OxfordOxford University Press10.1093/acprof:oso/9780199257492.001.0001 – reference: Homeland Security CouncilNational strategy for pandemic influenza: implementation plan2006Washington, DCGovernment Printing Office – reference: US Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. Crimson Contagion 2019 Functional Exercise Draft After-Action Report. October 2019. – reference: AndersenRMHow will country-based mitigation measures influence the course of the COVID-19 epidemic?Lancet202039593193410.1016/S0140-6736(20)30567-5 – reference: Nuzzo JB, Mullen L, Snyder M, Cicero A, Inglesby TV. Preparedness for a high-impact respiratory pathogen pandemic. A report of the Johns Hopkins center for health security. 2019. https://www.centerforhealthsecurity.org/our-work/pubs_archive/pubs-pdfs/2019/190918-GMPBreport-respiratorypathogen.pdf. Accessed 3 April 2020. – reference: PortnoyAJitMFerrariMHansonMBrenzelLVerguetSEstimates of case-fatality ratios of measles in low-income and middle-income countries: a systematic review and modeling analysisLancet Glob Health20197e472e48110.1016/S2214-109X(18)30537-0 – reference: WarnerJHThe therapeutic perspective: medical practice, knowledge, and identity in America, 1820–18851986CambridgeHarvard University Press – reference: FrostWHThe age selection of mortality from tuberculosis in successive decades. 1936Am J Epidemiol199514141:STN:280:DyaK2M7gtVaiug%3D%3D10.1093/oxfordjournals.aje.a117343 – reference: LarsonHJBhuttaZASecurity, insecurity, and health workers: the case of polioJAMA Intern Med2013173151393139410.1001/jamainternmed.2013.7191 – reference: DabbaghALawsRLSteuletCDumolardLMuldersMNKretsingerKAlexanderJPRotaPAGoodsonJLProgress toward regional measles elimination—worldwide, 2000–2017MMWR2018671323132930496160 – reference: KohHGellinBMeasles as metaphor: what resurgence means for the future of immunizationJAMA20203231091491510.1001/jama.2020.1372 – reference: FoxRWeiszGThe evolution of American bioethicsSocial science perspectives on medical ethics1990PhiladelphiaUniversity of Pennsylvania Press – reference: FitzpatrickMThe cutter incident: how America’s first polio vaccine led to a growing vaccine crisisJ R Soc Med20069931561383764 – reference: World Health Organization. Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). February 2020. pp. 16–24. – reference: KahanDBramanDCohenGGastilJSlovicPWho fears the HPV vaccine, who doesn’t, and why? An experimental study of the mechanisms of cultural cognitionLaw Human Behav20103450151610.1007/s10979-009-9201-0 – reference: CDC. Flu vaccination coverage, United States, 2018–19 Influenza Season. 2019. https://www.cdc.gov/flu/fluvaxview/coverage-1819estimates.htm. Accessed 3 Apr 2020. – reference: Centers for Disease Control and Prevention (CDC)Ten great public health achievements—United States, 1900–1999MMWR199948241243 – reference: ColgroveJBayerRManifold restraints: liberty, public health, and the legacy of Jacobson v MassachusettsAJPH200595457110.2105/AJPH.2004.055145 – reference: VibianAKamuyaDMwachiroDKalamaBMarshVNjugunaPMolyneuxSComplex realities: community engagement for a paediatric randomized controlled malaria vaccine trial in Kilifi, KenyaTrials20141516510.1186/1745-6215-15-65 – reference: Interviewee Brandt AM. Lessons from Ebola: preventing the next pandemic. Interview by Jha A. HarvardX. September 2015. https://www.edx.org/course/lessons-from-ebola-preventing-the-next-pandemic-2. Accessed 3 April 2020. – reference: MarksHThe progress of experiment: science and therapeutic reform in the United States, 1900–19901997CambridgeCambridge University Press – reference: Wilson R, Paterson R, Chiu J, Schulz W, Larson H. HPV vaccination in Japan: The continuing debate and global Impacts. A Report of the CSIS Global Health Policy Center. 2015. – reference: MeadeRCivilizing Rio de Janeiro: the public health campaign and riot of 1904J Soc Hist1986203013221:STN:280:DC%2BD3MrosVKqsA%3D%3D10.1353/jsh/20.2.301 – reference: HammondsEChildhood’s deadly scourge: the campaign to control diphtheria in New York City1999BaltimoreJohns Hopkins University Press – reference: World Health Organization. New measles surveillance data for 2019. 2020. www.who.int/immunization/newsroom/measles-data-2019/en/. Accessed 3 Apr 2020. – reference: WHO. Ten threats to global health in 2019. 2020. https://www.who.int/news-room/feature-stories/ten-threats-to-global-health-in-2019. Accessed 3 Apr 2020. – reference: RosenbergCWhat is an epidemic? AIDS in historical perspectiveDaedalus198911821171:STN:280:DC%2BD3MrnvFKntQ%3D%3D11612464 – reference: Bill & Melinda Gates Foundation. The Goalkeepers Report 2018. 2020. https://www.gatesfoundation.org/goalkeepers/report. Accessed 3 Apr 2020. – reference: NeedellJDThe Revolta Contra Vacina of 1904: the revolt against modernization in Belle-Epoque Rio de JaneiroHisp Am Hist Rev1987672332691:STN:280:DC%2BD3Mros1Wrtg%3D%3D11619656 – reference: PiotPLarsonHJO’BrienKLN’kengasongJNgESowSKampmannBImmunization: vital progress, unfinished agendaNature201910.1038/s41586-019-1656-7316952036601349 – reference: Centers for Disease Control and Prevention (CDC). Measles (Rubeola): cases and outbreaks. 2020. https://www.cdc.gov/measles/cases-outbreaks.html. Accessed 3 Apr 2020. – reference: ConisEVaccine-Nation: America’s changing relationship with immunization2015ChicagoUniversity of Chicago Press – reference: YangLGrenfellBTMinaMJMeasles vaccine escape: Should we be concerned?Eur J Epidemiol20193489389610.1007/s10654-019-00574-7 – reference: WHO. 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Snippet	In the early months of the COVID-19 epidemic, some have wondered if the force of this global experience will solve the problem of vaccine refusal that has...
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SubjectTerms	Cardiology Coronavirus Infections - epidemiology Coronavirus Infections - prevention & control Coronaviruses COVID-19 COVID-19 vaccines Drug delivery systems Epidemics Epidemiology Essay Humans Infectious Diseases Medicine Medicine & Public Health Oncology Pandemics - prevention & control Pneumonia, Viral - epidemiology Pneumonia, Viral - prevention & control Public concern Public Health Public Opinion Safety regulations United States - epidemiology Vaccination Vaccination Refusal Vaccine hesitancy Vaccines Vaccines - administration & dosage
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Title	Vaccine confidence in the time of COVID-19
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