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1

Promoting COVID-19 vaccine acceptance: recommendations from the Lancet Commission on Vaccine Refusal, Acceptance, and Demand in the USA

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A low uptake of COVID-19 vaccines will prolong the social and economic repercussions of the pandemic on families and communities, especially low-income and minority ethnic groups, into 2022, or even longer. The scale and challenges of the COVID-19 vaccination campaign are unprecedented. Therefore, through a series of recommendations, we present a coordinated, evidence-based education, communication, and behavioural intervention strategy that is likely to improve the success of COVID-19 vaccine programmes across the USA.

2

Priorities for COVID-19 Research Response and Preparedness in Low-resource Settings

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Strengthening research capacity must be embedded in research funding across LMICs to support the COVID-19 response now and to prepare to manage future infectious disease threats effectively. Such programmes need to be informed by local contexts and be driven by regionally and nationally identified priorities. Lessons learned in LMICs have global relevance and require global attention.

3

Can Technology Increase COVID-19 Vaccination Rates?

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The WHO Digital Health Flagship initiative has stated that digital technology could play a critical role during the COVID-19 pandemic by improving communications between people and health services, empowering individuals and patients, and strengthening critical public health functions including disease surveillance.

5

COVID-19 and Homelessness: When Crises Intersect

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In this study the authors present the findings of a large-scale serosurvey of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among people experiencing homelessness and precarious housing in the greater Paris region. More than half of those sampled had SARS-CoV-2 immunoglobulin (Ig)G antibodies, reflecting a substantially higher burden of previous SARS-CoV-2 infection than that seen in the general population.

7

COVID-19, Comics, and the Visual Culture of Contagion

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This narrative traces the emergence and spread of a novel pathogen and the scientific, social, and political responses to the outbreak. In doing so, the outbreak narrative emphasises the breakdown of boundaries, the sites of infection, the social interactions that are disrupted and enacted, and the efforts of science to contain the spread and find a cure.

8

Providing Maternal Health Services during the COVID-19 Pandemic in Nepal

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In this article, the authors compare intrapartum care before and during the lockdown period in Nepal. The number of institutional births decreased by 52·4% during the first 2 months of lockdown, and women in relatively disadvantaged ethnic groups were found to be affected more than those in more advantaged groups, indicating a widening equity gap due to COVID-19.

9

Vaccine Confidence: A Global Analysis Exploring Volatility, Polarization, and Trust

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This study reports that there is growing evidence of vaccine delays or refusals due to a lack of trust in the importance, safety, or effectiveness of vaccines, alongside persisting access issues. Although immunization coverage is reported administratively across the world, no similarly robust monitoring system exists for vaccine confidence. In this study, vaccine confidence was mapped across 149 countries between 2015 and 2019.

10

COVID-19 Care in India: The Course to Self-Reliance

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The public health response to COVID-19 in India has been highly centralized, resulting in a homogenous strategy applied across a sixth of the world’s population. India was placed in a nationwide lockdown on March 24, 2020, with restrictions being relaxed in three phases since June. In May 2020, the prime minister called upon the Indian people to be self-reliant. The authors discuss opportunities to modify several aspects of the medical response to echo this sentiment. They conclude that what is still needed is a plethora of low-tech solutions (especially facial coverings), adherence to science, and societal participation in caring for vulnerable people.