
The wails pierced the walls of the walk-in clinic tucked among rundown homes in the heart of Venezuela’s capital. Artemis Parra got one vaccine in each arm, for polio and measles. The shots were free at the government site, and they filled gaps in the 1-year-old’s vaccination record. But they weren't enough to meet national requirements for children her age. Artemis needs two more, at a cost of $400 — a bill her unemployed mother and government-worker father can’t afford.
Public health officials have long warned that Venezuela, with an unraveling health-care system and roughly a decade of political unrest, has alarmingly low vaccination rates. The country is banned from purchasing vaccines through a regional system that offers affordable prices until it pays off an $11 million debt — largely the result of a power struggle between the government and the U.S.-backed opposition.