It's a bit disturbing that there is that level of resistance. It suggests there is a need for more publicity, more training, more positive reinforcement. It's an ongoing battle.

He had seen the insides of jaggedly ripped-open dead people. He knew, for instance, what brains looked like spilling out of somebody's head. In the context of this, much of what went on in normal life seemed wholly and disturbingly ridiculous.

The context for these events is a primary health care system that has suffered from a decrease in resources and is struggling to manage the expectations placed on it.

The public perception of the importance of vaccination has also diminished.

What we have now is a looming crisis.

The preparation was good and certainly at this stage, there are encourage signs that the first national immunization day was a success. There was good media coverage and good public perception of the need for vaccination.