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The complexities of vaccine decisions<br />
‣ Disease surveillance, pathogen variations in countries/populations<br />
‣ Incidence levels of each disease that qualify for mass vaccination<br />
‣ Efficacy, safety and affordability of the vaccine in the target population<br />
‣ Rigorous cost-benefit analyses for each (new) vaccine<br />
‣ Choice between indigenous development and/or procurement of vaccines<br />
‣ The role of public vs. private sector in vaccine R&D, production<br />
‣ Choice of technologies, their access and affordability<br />
‣ Individual vs. Combination vaccines (cocktails or multivalent?)<br />
‣ Choice of selective vs. universal vaccination<br />
‣ National priorities vs. international obligations<br />
‣ Personnel, logistics and resource mobilisation
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