Inegalites en vaccination contre la COVID-19 au Canada en 2021.

Contexte: Pour mesurer les inegalites dans la vaccination contre la COVID-19 chez les adultes au Canada, nous avons analyse les donnees de l'Enquete sur la sante dans les collectivites canadiennes de juin a septembre 2021 et identifie les facteurs sociodemographiques associes a la non-vaccination et a l'intention de ne pas se faire vacciner. Methodes: Les donnees proviennent d'une enquete annuelle transversale et representative a l'echelle nationale menee par Statistique Canada. Des modeles de regression logistique ajustes ont ete utilises pour mesurer les associations entre, d'une part, des variables sociodemographiques et liees a la sante (region, age, sexe, scolarite, statut autochtone, statut de minorite visible, etat de sante percu et acces regulier a un professionnel de la sante) et d'autre part la non-vaccination et l'intention de ne pas se faire vacciner. Resultats: La non-vaccination etait associee a un faible niveau de scolarite (RCa jusqu'a 3,5), a la presence d'enfants de moins de 12 ans dans le menage (RCa 1,6), a l'absence d'acces regulier a un professionnel de la sante (RCa 1,6) et a une mauvaise perception de sa propre sante (RCa 1,8). Seuls 5 % des adultes n'avaient pas l'intention de se faire vacciner. L'intention de ne pas se faire vacciner etait associe au jeune age (RCa jusqu'a 4,0), a une scolarite moindre (RCa jusqu'a 3,8), a la non-appartenance a une minorite visible (RCa 3,0), a la presence d'enfants de moins de 12 ans (RCa 1,8) et a une mauvaise perception de sa propre sante (RCa 2,0). Discussion/Conclusion: Des disparites ont ete observees dans la couverture vaccinale et l'intention de ne pas se faire vacciner. Les strategies de promotion de la vaccination devraient tenir compte de ces disparites. Declaration de liens d'interets: Les auteurs declarent ne pas avoir de liens d'interets.Copyright © 2022

Vaccination of children in marginalized neighbourhoods: equity and diversity challenges with COVID-19 vaccination campaigns

The coronavirus disease 2019 (COVID-19) pandemic has exacerbated social inequities along ethnic, racial and socio-economic lines, with significant harmful consequences for children. Building on the lessons learned from community-based initiatives, this commentary proposes a reflection around equity, diversity, and inclusion challenges embedded in child vaccination campaigns during an emergency context. We argue that building equitable and inclusive practices around marginalized communities' child vaccination is a multifaceted challenge. Beyond good intentions-wanting to protect children-the risks and benefits associated with highlighting diversity in each intervention need to be carefully considered, especially when it comes to a contested/polarizing procedure such as vaccination with a novel type of vaccine. Often, a one-size-fits-all approach negates and perpetuates structural inequities. In other cases, highlighting diversity and inequities may inadvertently increase stigma and discrimination, and further harm or infantilize targeted communities. By providing multiple perspectives, a transdisciplinary approach can support decision-making in a crisis context.

The infuence of health perceptions on Zimbabwe Muslim responses to COVID-19 restrictions over Ramadan, pilgrimages and funeral rites in 2020

This chapter argues that Muslim public health perceptions had immense influence on the way Zimbabwe Muslims coped with COVID-19 restrictions. Such perceptions are centred on the Quran and the Sunnah of the Prophet;with the central maxim legalizing lockdowns coming from the hadith stating: “When you hear about a break of plague in any area, do not enter there and when it has broken in a land where you are, then do not run away from it [and spread elsewhere].” This and other sacred texts helped Muslims comprehend restrictions barring them from prayer houses during the invaluable Ramadan. They were equally enabled to accept science and anthropological research works barring them from their religious shrines, where they touched and kissed parts of the shrines. They understood the decrees of the religious laws proscribing them from being in areas where their presence could exacerbate epidemics. It was easy to take the results from Shia shrines, because history had a number of plagues in the holy shrines. Funeral rites appeared to be the only challenges for Zimbabwe Muslims, as elsewhere. The spontaneity and outpouring grief could not be contained leading to disregard for social distancing. The need to prove the social media wrong, as well as religious competition worsened the chances for breaking the law, even in the face of strong religious morality. Since funeral rites have the tenacity to resist regulation, which endangers the whole community, state security agents should work closely with religious leadership and the health sector during funerals. © 2022 selection and editorial matter, Fortune Sibanda, Tenson Muyambo and Ezra Chitando;individual chapters, the contributors.

Royal society of Canada COVID-19 report: Enhancing COVID-19 vaccine acceptance in Canada

COVID-19 vaccine acceptance exists on a continuum from a minority who strongly oppose vaccination, to the "moveable middle" heterogeneous group with varying uncertainty levels about acceptance or hesitancy, to the majority who state willingness to be vaccinated. Intention for vaccine acceptance varies over time. COVID-19 vaccination decisions are influenced by many factors including knowledge, attitudes, and beliefs;social networks;communication environment;COVID-19 community rate;cultural and religious influences;ease of access;and the organization of health and community services and policies. Reflecting vaccine acceptance complexity, the Royal Society of Canada Working Group on COVID-19 Vaccine Acceptance developed a framework with four major factor domains that influence vaccine acceptance (people, communities, health care workers;immunization knowledge;health care and public health systems including federal/provincial/territorial/indigenous factors)-each influencing the others and all influenced by education, infection control, extent of collaborations, and communications about COVID-19 immunization. The Working Group then developed 37 interrelated recommendations to support COVID vaccine acceptance nested under four categories of responsibility: 1. People and Communities, 2. Health Care Workers, 3. Health Care System and Local Public Health Units, and 4. Federal/Provincial/Territorial/Indigenous. To optimize outcomes, all must be engaged to ensure co-development and broad ownership. [GRAPHICS] .