The World Health Organization (WHO) has recently identified
10 threats to global health [1] including a reluctance to vaccinate
or refusal to be vaccinated, reversing progress made in diminishing
vaccine-preventable diseases. Vaccine development is a great
achievement to cater Covid-19 pandemic, but the hesitance to
vaccinate may create devastating consequences. Although, the recent
surveys in different countries have reported the vaccine reluctance
to Covid-19, [2-4] but it is more drastic in Pakistan. Pakistan is on
the verge to hit the third wave with more than 70% cases are with
more infectious UK based mutant strain. Pakistan has procured the
vaccine somehow and dedicated the first phase for the citizens of
above 60 years of age (8 Million) [5]. As per figures supplied by
the National Health Services, Pakistan, only 1,80,000 senior citizens
have registered their selves for the vaccination, that is merely the
2.25% of the targeted population5 – creating an alarming situation.
This denial to vaccination is not only limited to the residents of
Pakistan but interestingly the similar trend has also been observed
among the Pakistani immigrants in UK. In a Bradford based survey,
Pakistanis are at top (23%) to refuse for the vaccination followed
by the Bangladeshis and Indians, 15%, 6% respectively. We have
already seen the failure in the eradication of polio virus due to the
vaccine reluctance and WHO has declared the 80% responsibility of
polio virus spread to Pakistan.6 This denial of vaccine in a specific
community will act like a reservoir of Covid-19 as it is already in the
case of polio virus. This could act as a serious threat to the global
community and must be dealt with swift approaches.
In order to achieve the herd immunity, 70% individuals in a
community should be vaccinated. Currently, it is important to run a
vibrant and a large-scale public awareness campaign to overcome
the conspiracy theories that are similar to the polio and influenza
vaccines i.e., infidel vaccine, embedded nano chips, infertility,
containing monkey fecal content [6] etc. It is also a well-established
fact that a successful vaccination program requires high coverage,
prepared ground for acceptance and an effective delivery strategy.
A rigorous campaign must be run by involving the public figures,
religious scholar along with the social, print and electronic wings of
the media. In Pakistan more than 90% population is following Islam,
religion-based conspiracy theories i.e., infidel vaccine, embedded
nano chips, birth control etc. can easily be addressed by prominent
clerics taking in confidence. The spread of mis-information can be
combated, and trust level can be strengthened by vaccinating the
religious figures first or by sharing their success stories through
the webinars, seminars and short video clips. It is also required to
eliminate the ill-bound rumors about the preparation of Covid-19
vaccines, what does it contain, how it works, possible side effects.
The team of local experts can be hired to educate the citizens to
disseminate the rumors. In another global survey on “attitude to
vaccines” it has been observed the publics with better awareness
achieved high rates on vaccine acceptance [7]. Covid-19 vaccine
reluctance is a matter of concern for global health, it must be
addressed immediately by the administration of Pakistan along
with the international watch dogs as country is already surrounded
by many problems like lack of food security, floods, political
instability and bad economy.