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Vaccination Coverage: An Ongoing Public Health Challenge

When one looks at global morbidity and mortality rates over the last century, three major innovations stand out as the biggest drivers in reducing  the impact of infectious disease: establishment of public health/sanitation authorities, antibiotics, and vaccination [Fig. 1].  Fig 1. Deaths per 100k Population due to Infectious Diseases, 1900-2000 All three of these pillars are now under threat. Public health departments have been chronically underfunded for decades, and outside of major emergencies public health is poorly prioritized [1]. Antibiotic resistance is proliferate and we are now seeing microorganisms that are effectively immune to all known antimicrobial treatments [2]. Vaccines, long held to be safe and effective prophylaxis, are increasingly targets of mistrust and misinformation, especially in the wake of the COVID-19 pandemic, and vaccination rates have declined in recent years, due to a number of reasons. There is no question that vaccines have saved lives in t...

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Spillovers and H5N1 HPAI

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