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Skepticism remains in some high-income nations, with France having the lowest trust in vaccines.
The national preparedness index score was 6.7 out of 10 in 2018, a 3.1% improvement.
"The anti-vaccine movement is like its own media empire."
MSF calls a revised CEPI policy on vaccine access "toothless and weak."
"We have to make sure pregnant women are on the agenda, so they will never again be left unprotected."
The new data highlight an especially profound impact on the very young and very old.
Lessons learned from 140 outbreaks involving nearly 5,000 people and steps to minimize the risk of getting sick from swimming.
The US as a whole had a score of 7.1 out of 10 for 2017, nearly a 3% improvement.
Death rates dropped 18.7% from 1980 to 2014, with the largest decline in men.
The move is praised by some experts, but Redfield comes with a controversial past.
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