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Vaccine independence, local competences and globalisation: Lessons from the history of pertussis vaccines

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  • Blume, Stuart
  • Zanders, Mariska

Abstract

In the context of global vaccine politics 'vaccine independence' has been defined as the assumption of financial responsibility for vaccine procurement. This paper suggests 'the possibility of vaccine choice' as an alternative meaning for the term. How far does local competence in vaccine development and production provide that possibility? Coupled to the national vaccination programme, such competence enabled the Netherlands to make use of a polio vaccine (Inactivated Polio Vaccine, or IPV) that it was felt best met national needs even though the rest of the world had switched to the alternative attenuated vaccine (generally known as Oral Polio Vaccine, or OPV); by the 1970s IPV was no longer commercially available. Over the past 20 years major changes in vaccine politics have occurred. Does the earlier conclusion regarding local competence still hold? The more recent example of pertussis (or whooping cough) vaccines, where again controversy surrounds the relative merits of alternative vaccines, permits the question to be posed anew. Results of our analysis from the Netherlands suggest, first, that the pressure to conform has become greater, and second, that the taken-for-granted globalism of today's vaccine system is in need of critical examination.

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  • Blume, Stuart & Zanders, Mariska, 2006. "Vaccine independence, local competences and globalisation: Lessons from the history of pertussis vaccines," Social Science & Medicine, Elsevier, vol. 63(7), pages 1825-1835, October.
    • Handle: RePEc:eee:socmed:v:63:y:2006:i:7:p:1825-1835
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    1. Hardon, Anita & Blume, Stuart, 2005. "Shifts in global immunisation goals (1984-2004): unfinished agendas and mixed results," Social Science & Medicine, Elsevier, vol. 60(2), pages 345-356, January.
    2. Muraskin, W., 2004. "The global alliance for vaccines and immunization: Is it a new model for effective public-private cooperation in international public health?," American Journal of Public Health, American Public Health Association, vol. 94(11), pages 1922-1925.
    3. Blume, Stuart S., 2005. "Lock in, the state and vaccine development: Lessons from the history of the polio vaccines," Research Policy, Elsevier, vol. 34(2), pages 159-173, March.
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    2. Luyten, Jeroen & Dorgali, Veronica & Hens, Niel & Beutels, Philippe, 2013. "Public preferences over efficiency, equity and autonomy in vaccination policy: An empirical study," Social Science & Medicine, Elsevier, vol. 77(C), pages 84-89.
    3. Yaqub, Ohid & Nightingale, Paul, 2012. "Vaccine innovation, translational research and the management of knowledge accumulation," Social Science & Medicine, Elsevier, vol. 75(12), pages 2143-2150.
    4. Yaqub, Ohid & Castle-Clarke, Sophie & Sevdalis, Nick & Chataway, Joanna, 2014. "Attitudes to vaccination: A critical review," Social Science & Medicine, Elsevier, vol. 112(C), pages 1-11.
    5. Blume, Stuart & Tump, Janneke, 2010. "Evidence and policymaking: The introduction of MMR vaccine in the Netherlands," Social Science & Medicine, Elsevier, vol. 71(6), pages 1049-1055, September.
    6. Luyten, Jeroen & Kessels, Roselinde & Atkins, Katherine E. & Jit, Mark & van Hoek, Albert Jan, 2019. "Quantifying the public's view on social value judgments in vaccine decision-making: A discrete choice experiment," Social Science & Medicine, Elsevier, vol. 228(C), pages 181-193.
    7. Manca, Terra, 2018. "“One of the greatest medical success stories:” Physicians and nurses’ small stories about vaccine knowledge and anxieties," Social Science & Medicine, Elsevier, vol. 196(C), pages 182-189.

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