Infectious diseases are one of the leading causes of death among children under the age of 5 with 60% of those deaths preventable with prophylaxis. Vaccinations prove to be the most succesfull and effective public health tool of infectious dieases preventions. Poland first implemented a program of mandatory childhood vaccinations in 1960. The program is updated each year and provides parents with a clear schedule to follow. The program includes vaccinations against 12 diseases (tuberculosis, hepatitis B, rotaviral disease, diphtheria, pertussis, tetanus, Haemophilus influenzae, Streptococcus pneumoniae, poliomyelitis, measles, mumps and rubella) mandatory for all children and funded by the government. It also includes recommended vaccinations which costs are covered by a patient. Immunization rates are monitored nationwide and reported to the Chief Sanitary Inspector. With recent outbreaks of infectious diseases among young children the obligation lies on the government to provide childhood immunizations, and largely on the physicians to provide reliable education about infectious diseases in children and safety of vaccinations to the parents.

Coronavirus (COVID-19) pandemic caused sicknesses ranging from mild to deadly, which disrupted lives and healthcare systems across the globe. Despite the availability of vaccines that are effective in significantly reducing the risks of death and severe dis-ease, misperceptions of COVID-19 vaccine safety, efficacy, risks, and mistrust in insti-tutions responsible for vaccination campaigns have been reported as factors contrib-uting to vaccine hesitancy, making vaccination rate not satisfactory, which resulted in some countries implementing mandatory covid-19 vaccination to increase vaccine up-take. This scoping review aimed at mapping global countries that have adopted the mandatory covid-19 vaccination and the reaction of citizens. PRISMA Extension for Scoping Reviews was used. Google Scholar was used to identify papers published in English from December 2019 to February 2022, irrespective of their methodology. One hundred forty studies were identified. After screening for duplication, access, and rel-evance, 24 were eligible for review. About eleven countries implemented mandatory vaccination, mostly among health workers. Citizens’ reactions towards the policy var-ied, with some in support of the policy but with a preference for the healthcare workers, and some in support but with the condition that it will only apply to travel, schools, and shopping areas, while others rejected the policy. Studies that may be relevant but were excluded due to eligibility criteria may be a limiting factor to this study. Several ethical considerations should be explicitly addressed when evaluating whether man-datory COVID-19 vaccination is an ethically justifiable policy option as recommended by the WHO policy brief.

Introduction. Covid-19 faced the world with serious health and socioeconomic issues. At the very beginning of the pandemics, the vaccine was considered by health authorities and the medical community the only way to curb the spread of the virus. One of the measures that have been proposed to increase vaccinations was the mandatory policy. The purpose of this study was to compare determinants of voluntary and mandatory vaccination among students of Albanian University. Methodology: This cross-sectional study by means of an online survey, was conducted among students enrolled in the private University “Albanian University”, Tirana, Albania during the last week of winter semester 7-14 Feb 2022. Results: 878 students participated in this study, among them 612 (69.7%) were females, 266 (30%) were males. 506 (57%) of the participants were enrolled in Medical Sciences (MS), 372(42.3%) were Non-Medical Science (Non-MS) group. 773 (88%) was vaccinated against Covid-19, 105 (11.8%) were not vaccinated. 466 (53%) reported voluntary vaccination, 412 (46.9%) reported mandatory vaccination. Among students that vaccinated voluntary 266 (57%) were from MS group, 200(42.9%) from Non-MS group. 237(57.5%) of students in mandatory vaccination group were from MS group, 175 (42.4%) from Non-MS. Conlusion. Vaccine safety and efficacy were hindering factors of vaccination. Also, based on the results of this study, the students felt encouraged to vaccinate by the academic staff. This clearly demonstrates that the staff does not lack the skills to enhance stu-dents' knowledge about the risk of infectious diseases and the importance of vaccination. Therefore, to influence as much as possible students’ attitude toward vaccination, comprehensive educational programs including modification of existing curricula should be considered.

A large body of research has examined people’s attitudes toward mandatory vaccination to cope with the COVID-19 pandemic. However, studies have yet to explore how Chinese people view the COVID-19 vaccine mandates, let alone placing such views in the country’s highly politicized context. On the other hand, facing the high pressure of loosening its zero-COVID policies amidst the worldwide practices of co-existing with the COVID-19 virus, the country has to improve its vaccination coverage quickly. In this situation, it is more than necessary to systematically investigate the Chinese public’s attitude to mandatory vaccination against the virus and the underlying determinants. The current study utilizes data from a national survey adopting quota sampling to analyze the Chinese public’s medical and non-medical considerations when judging compulsory COVID-19 vaccination. The study reveals that thanks to China’s successful lockdown policies, personal risk, and benefit perceptions did not dominate their views regarding vaccination mandates. Instead, conspiracy beliefs regarding the pandemic outbreaks, conspiratorial thinking, and nationalism more strongly predicted their willingness to accept mandatory vaccination. Given the potentially massive impacts of the COVID-19 infection, if China opens its door and loosens its strict quarantine restrictions, the Chinese public needs to be educated with more medically valuable and relevant information to improve their vaccination protection against COVID-19.

Mechanism of traffic congestion generation is more than complicated, due to complex geometric road design and complicated driving behavior at urban expressway in China. We employ Cell transmission model (CTM) to simulate traffic flow spatiotemporal evolution process along the expressway, and reveal the characteristics of traffic congestion occurrence and propagation. Here we apply the variable-length-cell CTM to adapt the complicated road geometry and configuration, and propose the merge section CTM considering drivers' mandatory lane-changing and other unreasonable behavior at on-ramp merge section, and propose the diverge section CTM considering queue length end extending expressway mainline to generate dynamic bottleneck at diverge section. In the new improved CTM model, we introduce merge ratio and diverge ratio to describe the effect of driver behavior at merge and diverge section. We conduct simulation on the real urban expressway in China, results show that merge section and diverge section are the original location of expressway traffic congestion generation, on/off-ramp traffic flow has great effect on expressway mainline operation. When on-ramp traffic volume increases by 40%, merge section delay increases by 35%. And when off-ramp capacity increases by 100 veh/hr, diverge section delay decreases about by 10%, which proves the strong interaction between expressway and adjacent road networks . Our results provide the underlying insights of traffic congestion mechanism in urban expressway in China, which can be used to better understand and manage this issue.

The theory says that the first things to exist in the universe and the current moment were driven by an imperative need; that is, the intensities of the physical concept specify influence the existence of elements and facts based on the countless observations in physical spaces in relation to elements and facts. The existence of mandatory elements in space is motivated by the characteristics of the spaces that offer conditions for such an obligation. The theory states that the universe did not arise by chance; that is, the universe emerged through determination influenced by its surroundings. The objective of the study is to help explain the elements and facts of the universe from its origins to the present.