Aix Marseille Univ, IRD, AP-HM, SSA, IHU-Méditerranée Infection, VITROME: Tropical and Mediterranean Vectors - Infections, Marseille, France; Université Paris-Diderot, CNRS, LIED, Interdisciplinary Laboratory of Tomorrow's Energies, Paris, France.
Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, NY, USA.
Vaccine. 2018 Mar 27;36(14):1801-1803. doi: 10.1016/j.vaccine.2018.02.095. Epub 2018 Mar 2.
France is one of the countries with the highest prevalence of vaccine hesitancy in the world. In an attempt to raise vaccination coverages, the French government made on January 1, 2018 eight more vaccines mandatory in addition to the three required until then. The process that led to this policy choice is of particular interest. We describe how vaccines became contentious in France and how French authorities came to view mandatory vaccination as the solution to the rise in vaccine hesitancy. In a bold move, French public health authorities turned to a new type of institutional device grounded in the ideal of democracy and public participation to political decision-making: "a citizen consultation". This consultation anchored the idea that legal coercion could be the solution to France's crisis with vaccines. Time will tell whether the French extension of mandatory vaccination will reduce tensions around vaccines.
法国是世界上疫苗犹豫率最高的国家之一。为了提高疫苗接种率，法国政府于 2018 年 1 月 1 日在之前要求接种三种疫苗的基础上，又增加了八种强制性疫苗。这一政策选择的过程特别有趣。我们描述了疫苗在法国是如何变得有争议的，以及法国当局如何将强制接种疫苗视为解决疫苗犹豫率上升的办法。法国公共卫生当局采取了大胆的举措，引入了一种新的制度手段，这种手段基于民主和公众参与政治决策的理想：“公民咨询”。这种咨询使人们相信，法律强制可能是解决法国疫苗危机的办法。时间将证明法国扩大强制接种疫苗的范围是否会减少疫苗接种的紧张局势。
