key: cord-0891989-4k0jih00 authors: Heidari, Mohammad; Jafari, Hamid title: Challenges of COVID-19 Vaccination in Iran: In the Fourth Wave of Pandemic Spread date: 2021-07-21 journal: Prehosp Disaster Med DOI: 10.1017/s1049023x21000777 sha: e2a5a322672e5fb67511b6b16982cf1012349c37 doc_id: 891989 cord_uid: 4k0jih00 nan Since then, Iran has made most of its efforts to purchase the Sputnik V COVID-19 vaccine, as well as signing agreements with countries such as China, India, and Cuba, focusing on domestic production of the vaccine. The next challenging issue is trust; due to the lack of trust in the country, most medical staff have less confidence in the Sputnik V COVID-19 vaccine and are concerned that the information on the effectiveness of the vaccine is not well available, and so are not interested in injecting such vaccines. On the other hand, receiving reports of blood clot formation after the injection of the Oxford-AstraZeneca vaccine has made many people reluctant to receive this vaccine. 8 COVID-19 vaccination faces several challenges in developing countries such as Iran, in such a way that cultural, political, social, and economic issues affect the vaccination process. Given that the health of countries is interdependent, it is better to design an international mechanism independent of economic, political, and social issues to be able to continue the process of vaccination in the world more effectively. World Health Organization. Coronavirus Disease (COVID-19): Situation Report COVID-19 resurgence in Iran IR of Iran national mobilization against COVID-19 epidemic Cultural challenges: the most important challenge of COVID-19 control policies in Iran Corona vaccination in Iran; promises and facts. Deutsche Welle Persian A snapshot of different types of under research vaccines against COVID-19: a review How the US sanctions are affecting the health research system in Iran Country of Origin, COVID-19 Vaccine, and the Future of Travel: A Preliminary Study in Iran. Anais Brasileiros de Estudos TurĂ­sticos-ABET Prehospital and Disaster Medicine Figure 1. Total Coronavirus Cases in Iran