oral vaccination Caisii Mao/NurPhoto via Getty Images

Taking Vaccines the Last Mile

No single preventive health intervention is more cost-effective than immunization. And yet, despite significant progress on expanding global immunization, coverage has stalled at about 85% in recent years, which translates into millions of needless deaths.

GHAZIABAD, UTTAR PRADESH – A four-year-old girl recently came to the emergency room where I work as a resident doctor. She was writhing in pain, her body convulsed with seizures. My team and I moved fast to activate seizure protocol, secure her intravenous drip, and deliver all appropriate medications. We then performed a test: I blew air toward her, and she collapsed in pain; I offered her water, and her agony intensified sharply. The diagnosis was clear: she had rabies – and it was too late to save her.

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