World Health Organization


Rachel Ooi

Cite as

Topic A: The Universal Adoption of Immunisation

All across the world, countries which are developed or developing dispute over the right and use of immunisation and vaccinations of their people, whether young or old. This includes the delegate’s assigned country, Kenya, where diseases like tuberculosis are present, yet Kenya’s citizens can be vaccinated against by using the Bacille Calmette-Guérin (BCG) vaccine. However, most of Kenya’s citizens remain unvaccinated, especially the young.

In Kenya, the proportion of children aged 12-23 months that are reported to have received all WHO-recommended vaccinations, is 77.4%. However, this percentage varies from 48.3% in the North Eastern Province to 85.8% in the Central Province of Kenya. This geographical difference in vaccination coverage and percentage presents the difference in the influence of determinants of full vaccination across the different provinces. In Nairobi, the capitol of Kenya, 73% of children in this age range are reported to have received all vaccinations, but estimates in the slums in Nairobi are usually much lower. A study covering the slums of Nairobi showed that full vaccination coverage of children was about 44% as compared to 73% for the whole city of Nairobi. Polio and measles vaccinations in the slums were considerably lower than coverage in Nairobi, but slightly higher than that in the rural areas of Kenya, although the overall immunization coverage being lower than in the rural areas. Lower immunization coverage rates have also been observed in clinic facilities that serve slums in Nairobi and may be due to missed opportunities and identification of un-vaccinated children among clinic attendees and inappropriately administered vaccines.

It is definitely a yes to the question if immunisation should even be done in the first place – the pros of immunisation of people is significantly higher than the cons of immunisation. Immunisation prevents many diseases from taking place in the human body, and also can contain the spread of infectious disease outbreaks should one ever happen. The idea that one unvaccinated human contracting an infectious disease, spreading it to others and ultimately endangering the health of the whole country as well as causing an epidemic – it is already obvious what may happen from previous outbreaks of measles and polio, diseases which are rampant in Kenya. Therefore, the delegate highly favours that there vaccinations for common diseases in Kenya to be mandated, as it is sim...

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