Vaccination Hesitation and Vaccination Challenges in 2017


Vaccine Hesitancy
Vaccine Refusal
Public Health
Vaccine Safety
Antivaccination Movements


How to Cite

Bégué P. Vaccination Hesitation and Vaccination Challenges in 2017. Integr J Med Sci [Internet]. 2017 May 3 [cited 2022 Dec. 6];4:80-5. Available from:


Many countries are affected today by the rise of hesitations to vaccinate. This trend has only increased in the last two decades, as all surveys show. The last major international survey reveals that 41% of French people doubt vaccine safety. The result is a reduction in vaccination coverage in children for the measles-mumps-rubella vaccine, the meningococcal C vaccine and the HPV vaccine, and in adults a decline in influenza vaccination. The causes of this hesitation are multiple and societal: fear of the supposed serious adverse effects replacing the fear of diseases, disinformation by the media and the Internet, various beliefs and growing individualism, loss of confidence in experts and institutions. The solutions are multiple and vary from country to
country. They are dominated by the improvement of the university and continuing education of health personnel in vaccinology, by providing more precise, readable, and transparent information. Strong commitment from health authorities is essential to improve confidence and support vaccinators. Health education should be tailored to the demands of modern society and be more relevant to education.


Bégué P. Le refus des vaccinations. Aspects actuels en 2012 et solutions en santé publique. Bull Acad Natle Méd. 2012 Mar ; 196(3: 603-618.

Kestenbaum L, Femster K. Identifying and Addressing Vaccine Hesitancy. Pediatr Ann. 2015 Apr; 44(4): e71–e75.

Dubé E, Gagnon D , Ouakki M, Bettinger JA, Guay M, Halperin S, et al. Understanding Vaccine Hesitancy in Canada: Results of a Consultation Study by the Canadian Immunization Research Network. Plose One. 2016 Jun 3;11 (6) :e0156118.

CFES -Promotion de la vaccination 1997-1998-1999. Dossiers techniques. Éditions du CFES 2000.

Gust D, Brown C, Sheedy K, Hibbs B, Weaver D, Nowak G. Immunization attitudes and beliefs among parents: beyond a dichotomous perspective. Am J Health Behav. 2005; 29: 81-92.

Benin AL, Wisler-Scher DJ, Colson E, Sharpiro ED, Holmboe ES. Qualitative analysis of mothers’ decision-making about vaccines for infants: the importance of trust. Pediatrics.2006 May; 117(5):1532–41.

Opel DJ, Taylor JA, Mangione-Smith R, Solomon C, Zhao C,et al. Validity and reliability of a survey to identify vaccine-hesitant parents. Vaccine. 2011 Sep 2; 29(38): 6598-605.

Smith PJ, Humiston SG, Parnell T, Vannice KS, Salmon DA. The association between intentional delay of vaccine administration and timely childhood vaccination coverage. Public health reports. Jul-Aug 2010; 125(4): 534-41.

Smith PJ,Chu SY, Barker LE. Children who have received no vaccines: who are they and where they live? Pediatrics. 2004 Jul; 114(1): 187-95.

Sabiani L, Bremond A, Mortier I, Lecuyer M, Boubli L,et al. [HPV prophylactic vaccine coverage in France: Results of a survey among high school and university students in Marseilles' area] J Gynecol Obstet Biol Reprod (Paris). 2012 Apr; 41(2):136-44.

Larson HJ, de Figueiredo A, Xiahong Z, Schulz WS, Verger P, Johnston IG, et al. The state of vaccine confidence 2016: global insights through a 67-country survey. Ebiomedecine. 2016 Oct; 12: 295-301.

Taylor B, Miller E, Farrington CP, Petropoulos MC, Mayoud IF,Li J, et al. Autism and measles , mumps and rubella vaccine: no epidemiological evidence for a causal association. Lancet. 1999 Jun; 353(9169): 2026-9.

Mäkelä A, Nuorti JP, Peltoha H. Neurologic disorders after measles-mumps-rubella vaccination. Pediatrics. 2002 Nov;110(5) : 957-63.

Brown K, Kroll JS, Hudson MJ, Ramsay M, Green J, Long SJ, et al. Factors underlying parental decisions about combination childhood vaccinations including MMR: a systematic review. Vaccine. 2010; 28: 4235- 48.

Schmid D, Holzmann H, Abele S, Kasper S, König S, Meusburger S, et al. An ongoing multi-state outbreak of measles linke to non-immune anthroposophic communities in Austria, Germany and Norway, March-April 2008. Euro surveill. 2008 Apr 17; 13(16): 18838.

Wadl M, Siedler A, Krämer W, Haindl ME, Gebrande S, Krenn-Lanzl I, et al. Measles transmission from an anthroposophic community to the general population, Germany 2008. BMC Public Heatlh. 2011 Jun 15; 11: 474.

Anonyme. Rapport de la concertation citoyenne sur la vaccination. 30 novembre 2016.

Paterson P, Meurice F, Stanberry L, Glismann S, Rosenthal SL, Larson HJ. Vaccine hesitancy and healthcare providers. Vaccine. 2016 Dec 20;34(52): 6700-6706.

Verger P, Collange F, Fressard L, Bocquier A, Gautieer A, Pulcini C, et al. Prevalence and correlates of vaccine hesitancy among general practitioners: a cross-sectional telephone survey in France, April to July 2014. Euro Surveill. 2016 Nov; 21(47): 30406.

Bégué P, Bricaire F. A propos d’éventuels effets indésirables graves de la vaccination anti-papillomavirus humains en France. Bull Acad Natle Méd. 2013 Dec ; 197(9):1783-85.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2017 Pierre Begue


Download data is not yet available.