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Global Routine Immunization Hits Plateau With Over 14 Million Zero-Dose Children

Meeting Immunization Agenda 2030 goals risks slipping further due to shrinking global health aid alongside rampant misinformation.

A young child receives the measles-mumps-rubella vaccine in Texas.
A health worker administers a polio vaccine to a child in Karachi, Pakistan, on January 8, 2024.
A health worker marks the gate of a house visited as part of a vaccination campaign against polio in Nigeria.
A little girl reacts after receiving an oral vaccine during a vaccination drive for diphtheria, influenza, tetanus and pneumococcus, after several new cases of diphtheria were identified, as the coronavirus disease (COVID-19) outbreak continues, in Lima, Peru November 7, 2020. REUTERS/Sebastian Castaneda     TPX IMAGES OF THE DAY

Overview

  • WHO and UNICEF data show 14.3 million children received no vaccines in 2024 while nearly 20 million missed at least one dose of diphtheria, tetanus and pertussis vaccine.
  • Coverage for the first DTP dose held steady at 89 percent and completion of the three-dose series rose to 85 percent, adding about one million fully immunized children.
  • Measles two-dose coverage edged up to 76 percent but remains far below the 95 percent threshold needed to prevent outbreaks reported in 60 countries.
  • More than half of zero-dose children live in nine countries, including Nigeria, India, Sudan, the Democratic Republic of Congo and Ethiopia.
  • Despite HPV vaccine uptake rising to 31 percent among eligible girls, funding cuts and growing vaccine hesitancy threaten to undermine recent gains.