Acknowledgement of Country

We acknowledge the Traditional Custodians of the land upon which we create and meet, the Gadigal of the Eora Nation. We pay our respect to their Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander peoples today.

Always was, always will be, Aboriginal land.

A shot of urgency: Five key pathways to reach more people with lifesaving vaccines

This World Immunisation Week and beyond, MSF teams share access and innovation advancements that, if achieved in the years to come, could result in lifesaving vaccines reaching more people around the world.

Child receiving a vaccine

Vaccines save millions of lives every year. They reduce the risks of getting a disease by working with the body’s natural defences to build protection against vaccine-preventable diseases. Immunisation – the process of protecting the human body against infectious disease, typically through vaccination administration – currently prevents 3.5 to 5 million deaths every year from vaccine-preventable diseases like diphtheria, tetanus, pertussis (whooping cough), influenza, and measles. Vaccines are also very important in preventing and controlling infectious disease outbreaks.

And yet, although they are one of the most successful and widespread public health tools used to protect against diseases, vaccines are not always affordable, adapted to context, or accessible to everyone who needs them. And, in some cases, there are simply no vaccines available yet to protect against certain diseases.

This World Immunisation Week and beyond, MSF teams in Pakistan, France, South Sudan, Nigeria, and Sudan share access and innovation advancements that, if achieved in the years to come, could result in lifesaving vaccines reaching more people around the world.

A vaccine to protect adolescents and adults against tuberculosis

Tuberculosis (TB) continues to kill more than one million people each year. That’s why we want to see a safe, effective, and affordable vaccine against tuberculosis which – when combined with sustained investment in preventive therapies, diagnostics, and effective treatment regimens – would be a significant step towards reducing global mortality due to tuberculosis.

Mobile TB screening
In Ukraine, MSF’s TB activities have focused on assisting the Ministry of Health in areas near frontlines. This includes targeted screening in communities which have been severely affected by the war. Between April 2024 and March 2025, active TB screening in the Kherson region covered 5,735 people. That led to the detection of 21 bacteriologically confirmed cases. All diagnosed patients were successfully referred for medical care and started treatment for tuberculosis. © Mariia Nahorna

While there is a vaccine (BCG) that helps to protect young children from severe forms of tuberculosis, there is currently no approved vaccine that protects adults and adolescents, either before or after exposure to tuberculosis infection. However, with several vaccine candidates in clinical development showing some promising initial results, there may soon be a viable tuberculosis vaccine that everyone can benefit from.

Read the statement from MSF’s International president on novel TB vaccines.

Innovations like vaccine Microarray Patches to overcome barriers in reaching remote areas

Through investing in innovative medical tools like microarray patches, we want to reach more people in remote, conflict-affected, and fragile settings with lifesaving vaccinations.

Vaccine Microarray Patches (MAPs) allow vaccines to be administered through the skin without needles or syringes. While studies into MAPs are still ongoing, investing into their implementation is critical because they may be advantageous to normal vaccines in low-resource settings.

They’re easier to transport, more thermostable (they require less refrigeration), and can be administered by community healthcare workers or volunteers after a brief training – all critical in remote settings far from routine healthcare and where there are often limited numbers of medical professionals available.

Find out more about our study on the use of MAPs in humanitarian settings.

Hepatitis B birth dose vaccine for all newborns

We want to see hepatitis B birth dose vaccine introduced by every country without delay, so that more newborns can be protected from hepatitis B at birth. Each year, over a quarter of a million children acquire chronic hepatitis B at birth, resulting in many premature deaths due to liver cancer or other liver diseases. These deaths could be prevented if hepatitis B birth dose – an affordable vaccine supported by Gavi, the Vaccine Alliance since 2024 – were given to all newborns within their first 24 hours of life.

Find out more about our earlier call to Gavi to start its hepatitis B birth dose vaccine program.

Vaccines to protect against neglected diseases

We want to see increased interest and investment into the research and development of vaccines for neglected diseases, including Lassa fever. Neglected diseases are mainly prevalent among impoverished communities in tropical areas, are estimated to affect more than one billion people, and frequently cause significant public health issues.

Nurse treating Lassa fever patient
A nurse administers medication to a Lassa fever patient at the MSF-supported Lassa fever treatment centre, at Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Bauchi state, northeast Nigeria. © Abba Adamu Musa/MSF

However, with neglected diseases rarely or never affecting people living in wealthier countries, there is limited attention and funding into vaccine research and development for these diseases. Safe and effective vaccines, including against Lassa fever, would be an impactful contribution to reducing the burden of neglected diseases in affected areas.

Find out more about how we’re responding to Lassa fever in Nigeria.

Timely access to vaccines for all children, no matter where in the world they live

We want to see the rapid and uninterrupted supply and administration of vaccines to children everywhere, and especially those living in areas often underserved by vaccination activities.

Princia Kotto holds her daughter Adora
“When the team arrived, we were worried because of the disease. Today, my child has been vaccinated and I feel reassured. Without this campaign, many children would have remained unprotected,” says Princia Kotto, who brought her daughter Adora for vaccination in Kakobo, in the Kabo area of Central African Republic. © Amadou Barazé/MSF

In 2024, 14.3 million children missed out on receiving any vaccination, half of whom lived in countries affected by conflict, fragility, or humanitarian crises. Reaching all children with vaccination is critical to preventing disease outbreaks and saving lives.

Find out more about our work on immunisation.