Dear editor, we would like to correspond on the publication “Fake News and vaccine hesitancy in the COVID-19 pandemic in Brazil¹1 Galhardi CP, Freire NP, Fagundes MCM, Minayo MCS, Cunha ICKO. Fake News and vaccine hesitancy in the COVID-19 pandemic in Brazil. Cien Saude Colet 2022; 27(5):1849-1858.. Galhardi et al.¹1 Galhardi CP, Freire NP, Fagundes MCM, Minayo MCS, Cunha ICKO. Fake News and vaccine hesitancy in the COVID-19 pandemic in Brazil. Cien Saude Colet 2022; 27(5):1849-1858. discovered widespread dissemination of false vaccine information linked to Brazilian political division four months after the first COVID-19 case was reported in the country¹1 Galhardi CP, Freire NP, Fagundes MCM, Minayo MCS, Cunha ICKO. Fake News and vaccine hesitancy in the COVID-19 pandemic in Brazil. Cien Saude Colet 2022; 27(5):1849-1858.. According to Galhardi et al.¹1 Galhardi CP, Freire NP, Fagundes MCM, Minayo MCS, Cunha ICKO. Fake News and vaccine hesitancy in the COVID-19 pandemic in Brazil. Cien Saude Colet 2022; 27(5):1849-1858., this phenomenon proved critical in preventing sectors of the Brazilian populace from participating in social distancing and vaccination initiatives¹1 Galhardi CP, Freire NP, Fagundes MCM, Minayo MCS, Cunha ICKO. Fake News and vaccine hesitancy in the COVID-19 pandemic in Brazil. Cien Saude Colet 2022; 27(5):1849-1858.. We agree that during the COVID-19 mass vaccination obligation, a health education campaign is required. On the other hand, fear of the COVID-19 vaccine is a serious issue with numerous causes. Reluctance patterns can vary over time, as a recent Hong Kong article²2 Xiao J, Cheung JK, Wu P, Ni MY, Cowling BJ, Liao Q. Temporal changes in factors associated with COVID-19 vaccine hesitancy and uptake among adults in Hong Kong: Serial cross-sectional surveys. Lancet Reg Health West Pac 2022; 23:100441. shows. Outbreaks, vaccine efficacy, and safety results have all been linked to fear³3 Mungmunpuntipantip R, Wiwanitkit V. Response to: COVID-19 Vaccination, Willingness, Hesitancy, and Inflammatory Bowel Diseases. Inflamm Bowel Dis 2022; 28(4):e45.. As a result, the findings must be interpreted based on the changing local contexts. A further continuous long-term monitoring study should be conducted to determine acceptability.

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