Overview
- An estimated 15.7 million children remained zero-dose in 2023, with more than half living in Nigeria, India, the Democratic Republic of Congo, Ethiopia, Somalia, Sudan, Indonesia and Brazil.
- Global immunisation rates have stalled since 2010 and Covid-19 disruptions left 15.6 million children without full diphtheria-tetanus-pertussis or measles vaccination between 2020 and 2023.
- Measles cases surged to over 32,000 in the European Union in 2024 and the United States has recorded more than 1,000 cases with two deaths in 2025, while polio outbreaks rose in Pakistan, Afghanistan and Papua New Guinea.
- Vaccine misinformation and hesitancy drove declines in at least one routine vaccine dose in 21 of 36 high-income countries, reversing progress against diseases like measles and pertussis.
- Routine childhood immunisations have prevented about 154 million deaths since 1980, but experts say transformational improvements in equity and health-system investment are needed to hit WHO’s 2030 goal.