2 JUNE 2020 PEER - REVIEWED RESEARCH: TRUST IMPROVES VACCINATION RATES Jeffrey V. Lazarus ,Scott Ratzan,Adam Palayew,Francesco C. Billari,Agnes Binagwaho,Spencer Kimball,Heidi J. Larson,Alessia Melegaro,Kenneth Rabin,Trenton M. White,Ayman El - Mohandes . (2020) COVID - SCORE: A global survey to assess public perceptions of government responses to COVID - 19 (COVID - SCORE - 10). PLoS ONE 15(10): e0240011. https://doi.org/10.1371/journal.pone.0240011 https://www.newyorker.com/science/annals - of - medicine/heidi - larson - vaccine - anthropologist A successful vaccination effort requires trust in: • Scientists who create the vaccine • Companies that manufacture the vaccine • Healthcare workers who inject it • Government that overseas the process Trust in government was the strongest predictor of willingness to be immunized That trust chain is a far more important lever of [vaccine] acceptance than any piece of information. The chain is made more fragile by ‘the feeling of being disenfranchised and not heard.’ Key findings “ Heidi J. Larson, PhD, Founding Director of the Vaccine Confidence Project at the London School of Hygiene & Tropical Medicine