Danladi Nengak P, Agboola Progress, Olaniyi Peter, Eze Solomon, Oladapo Oluwatimilehin, Obiwulu Danielle, Akano Olatokun Shamsudeen, Adeola Olowoyeye Aishat, Olawale Khaliq, Adiatu Azeez Idowu, Peace Agboola
Global Health Infectious Diseases and Control Institute, Nasarawa State University Keffi, RWR4+H9P, Keffi 961101, Nigeria.
African Community for Systematic Review and Meta-Analysis, 172 Akai Efa, MCC Road, Calabar 540211, Cross River State, Nigeria.
Viruses. 2024 Nov 21;16(12):1815. doi: 10.3390/v16121815.
The monkeypox outbreak has grown beyond the regions in which it was considered endemic. It has spread from central and west Africa to non-endemic regions like Europe, America, and other parts of the world. It has recently been classified as a public health emergency of international concern. This study evaluated the challenges faced globally and equitable access to monkeypox vaccines. Global competition has been observed in the race to obtain vaccines, with low- and middle-income countries being disadvantaged. Great inequity exists in the distribution of vaccines globally through advance purchase agreements, vaccine stockpiling, vaccine nationalism, the inequitable distribution of existing resources, and insufficient surveillance and reporting mechanisms. To address some of these challenges, there is a need for strengthening the global vaccine manufacturing capacity, targeting countries with elevated risk profiles and limited resources, strengthening surveillance systems, and addressing vaccine hesitancy.
猴痘疫情已蔓延至原本被视为地方病流行区域之外的地区。它已从非洲中部和西部传播到欧洲、美洲及世界其他非地方病流行地区。最近，它被列为国际关注的突发公共卫生事件。本研究评估了全球面临的挑战以及猴痘疫苗的公平可及性。在获取疫苗的竞赛中出现了全球竞争，低收入和中等收入国家处于不利地位。通过预购协议、疫苗储备、疫苗民族主义、现有资源分配不均以及监测和报告机制不足，全球疫苗分配存在巨大不平等。为应对其中一些挑战，有必要加强全球疫苗生产能力，针对风险较高且资源有限的国家，加强监测系统，并解决疫苗犹豫问题。
