It is unclear how great a challenge pandemic and vaccine fatigue present to public health. We assessed perspectives on coronavirus disease 2019 (COVID-19) and routine immunization as well as trust in pandemic information sources and future pandemic preparedness in a survey of 23,000 adults in 23 countries in October 2023. The participants reported a lower intent to get a COVID-19 booster vaccine in 2023 (71.6%), compared with 2022 (87.9%). A total of 60.8% expressed being more willing to get vaccinated for diseases other than COVID-19 as a result of their experience during the pandemic, while 23.1% reported being less willing. Trust in 11 selected sources of vaccine information each averaged less than 7 on a 10-point scale with one’s own doctor or nurse and the World Health Organization, averaging a 6.9 and 6.5, respectively. Our findings emphasize that vaccine hesitancy and trust challenges remain for public health practitioners, underscoring the need for targeted, culturally sensitive health communication strategies.

目前尚不清楚大流行和疫苗疲劳给公共卫生带来了多大的挑战。我们于 2023 年 10 月对 23 个国家的 23,000 名成年人进行了一项调查，评估了人们对 2019 年冠状病毒病 (COVID-19) 和常规免疫接种的看法，以及对大流行病信息来源和未来大流行病防范的信任。参与者表示，感染新冠病毒的意愿较低2023 年 -19 加强疫苗（71.6%），而 2022 年（87.9%）。共有 60.8% 的人表示，由于他们在大流行期间的经历，更愿意接种除 COVID-19 以外的疾病的疫苗，而 23.1% 的人则表示不太愿意。对 11 个选定的疫苗信息来源的信任度在 10 分制中平均低于 7 分，而自己的医生或护士和世界卫生组织的平均分分别为 6.9 和 6.5。我们的研究结果强调，公共卫生从业者仍然面临疫苗犹豫和信任挑战，强调需要有针对性的、文化敏感的健康传播策略。