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Routine Immunization Stalls as 14 Million Children Remain Unvaccinated

Funding cuts coupled with rising misinformation threaten to reverse progress in child immunization

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

  • Global DTP first-dose coverage held at 89% in 2024, while measles first-dose rates lingered at 84%, reflecting a near-term plateau in routine vaccinations
  • Zero-dose children grew to 14.3 million—4 million above the Immunization Agenda 2030 target—with nine countries accounting for over half of these unprotected kids
  • Half of all zero-dose cases are concentrated in 26 conflict-affected or fragile nations where access barriers persist
  • HPV vaccine uptake climbed to 31% for eligible girls in 2024, up from 27% the year before, offering a rare bright spot in global immunization
  • WHO and UNICEF leaders have urged governments to replenish Gavi funding and counter vaccine misinformation to safeguard decades of hard-won gains