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These three health related issues have become major

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(Lang, 2007), until recently little effort has been made by the country to provide such services. These three health-related issues have become major concerns for the Swiss population and overall health. Populations Impacted Disease prevention in Switzerland varies throughout cantons and each family. As most vaccines are given during childhood, children whose parents do not believe in disease prevention and those around them are at the most risk. The French regions have a higher number of adolescents that have been vaccinated compared to the German and Italian regions. Researchers believe this may be due to the fact that every French speaking school has a vaccination program, while it varies based on canton in the Italian and German regions. Despite such vaccination programs, there were 4,415 cases of measles between November 2006 and September 2009, with 93% of those infected having never been vaccinated. Additionally, past outbreaks in Austria, Germany, Israel, and the U.S. have been linked to measles strains originating in Switzerland (Lang, Zimmermann, Piller, Steffen, & Hatz, 2011). Thus, it is plausible to say that anyone who
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SUMMARY OF THE ISSUES 12 has not been vaccinated and either lives in or travels to Switzerland has the potential to contract vaccine preventable diseases. Social and Cultural Factors Research has suggested that there are a few key cultural factors that play into a person’s perspective on vaccinations. Such factors include: (1) individual rights and public health stances towards vaccination, (2) various religious standpoints and vaccine objections and (3) suspicion and mistrust of vaccines among different global cultures and communities (The History of Vaccines, 2018). Ultimately, it is a parent’s decision whether or not to vaccinate their child, thus, any person whose parents did not believe in vaccination is vulnerable to contracting a vaccine preventable disease. Economic Factors Economic factors may also be responsible for the lack of people getting vaccinated. Such factors also include vaccine shortages, which can be caused by a diminishing number of manufactures, manufacturing delays, and situations that demand an excess supply of the vaccine (Stevenson, 2009). Vaccine costs can affect immunization numbers. A healthcare provider must make a large investment in supplies and educated personnel who can administer the vaccinations (Stevenson, 2009). When there are a limited number of vaccines, supply prices are more expensive. Thus, in order for a healthcare practice to provide all the recommended vaccinations, significant investments must be made by the practice. Current Actions The Swiss Confederation, together with the cantons and other stakeholders, created a national vaccination strategy (NVS), aimed at guaranteeing the Swiss population is sufficiently protected from vaccine preventable diseases (Federal Office of Public Health [FOPH], n.d.). The
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SUMMARY OF THE ISSUES 13 NVS has three main points: creating coordinated conditions for effective and efficient vaccine administration, ensuring the public is well informed such that an individual is able to make informed decisions, and reducing the barriers to vaccination.
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