Measuring routine childhood vaccination coverage in 204 countries and territories, 1980-2019: a systematic analysis for the Global Burden of Disease Study 2020, Release 1

Background: Measuring routine childhood vaccination is crucial to inform global vaccine policies and programme implementation, and to track progress towards targets set by the Global Vaccine Action Plan (GVAP) and Immunization Agenda 2030. Robust estimates of routine vaccine coverage are needed to identify past successes and persistent vulnerabilities. Drawing from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2020, Release 1, we did a systematic analysis of global, regional, and national vaccine coverage trends using a statistical framework, by vaccine and over time. // Methods: For this analysis we collated 55 326 country-specific, cohort-specific, year-specific, vaccine-specific, and dose-specific observations of routine childhood vaccination coverage between 1980 and 2019. Using spatiotemporal Gaussian process regression, we produced location-specific and year-specific estimates of 11 routine childhood vaccine coverage indicators for 204 countries and territories from 1980 to 2019, adjusting for biases in country-reported data and reflecting reported stockouts and supply disruptions. We analysed global and regional trends in coverage and numbers of zero-dose children (defined as those who never received a diphtheria-tetanus-pertussis [DTP] vaccine dose), progress towards GVAP targets, and the relationship between vaccine coverage and sociodemographic development. // Findings: By 2019, global coverage of third-dose DTP (DTP3; 81·6% [95% uncertainty interval 80·4–82·7]) more than doubled from levels estimated in 1980 (39·9% [37·5–42·1]), as did global coverage of the first-dose measles-containing vaccine (MCV1; from 38·5% [35·4–41·3] in 1980 to 83·6% [82·3–84·8] in 2019). Third-dose polio vaccine (Pol3) coverage also increased, from 42·6% (41·4–44·1) in 1980 to 79·8% (78·4–81·1) in 2019, and global coverage of newer vaccines increased rapidly between 2000 and 2019. The global number of zero-dose children fell by nearly 75% between 1980 and 2019, from 56·8 million (52·6–60·9) to 14·5 million (13·4–15·9). However, over the past decade, global vaccine coverage broadly plateaued; 94 countries and territories recorded decreasing DTP3 coverage since 2010. Only 11 countries and territories were estimated to have reached the national GVAP target of at least 90% coverage for all assessed vaccines in 2019. // Interpretation: After achieving large gains in childhood vaccine coverage worldwide, in much of the world this progress was stalled or reversed from 2010 to 2019. These findings underscore the importance of revisiting routine immunisation strategies and programmatic approaches, recentring service delivery around equity and underserved populations. Strengthening vaccine data and monitoring systems is crucial to these pursuits, now and through to 2030, to ensure that all children have access to, and can benefit from, lifesaving vaccines

Assessment of the Responsiveness to Different Stresses of the Microbial Community from Long-Term Hydrocarbon-Contaminated Soils

Soils exposed to long-term contamination with hydrocarbons may present extreme challenges to maintain the biological resilience to the stress. To eluci- date the relationships between the initial event of con- tamination and the responsiveness to the stress, we investigated the extent of the microbial resilience of biological functions from two contaminated soils sam- pled from a petrochemical area (S1, underwent diffuse hydrocarbon contamination, and S2, from a land farm- ing unit where an alkaline petrochemical sludge was treated) after the Cd, saline, and acid stresses. Both contaminated soils were characterized by low organic matter content compared with a pristine soil. Although similar Shannon diversity index and heterotrophic bac- terial count were observed, different bacterial commu- nity structures (PCR-DGGE) and less enzymatic activ- ities characterized the contaminated soils. Particularly, functional diversity determined by Biolog EcoPlatesTM was not detected in S2 soil. Only the S1 soil showed resilience of the enzymatic activities and functional diversity, suggesting the presence of a well-adapted microbial community able to face with the stresses.The S2 was the most disturbed and less responsive soil. However, an increase in the functional diversity was evidenced after acidification, and it is possible to corre- late this responsiveness with the sludge properties treat- ed in the land farming unit. In addition, if the selected stress can reverse the soil condition provoked for the first disturbance, responsiveness could be expected