Social determinants of the health are those aspects that do work for spread of the disease in general. They will work as barreris to the immunization programme and will work for the spread of the disease in general. For example barriers like educational differences, race/Ethnicity problems, Socio-economic status differences, Problems in access to the health care services and vaccination outreach problems are some of the several problems that do work as determinants of the health in general. In the case of influenza, the social determinants are working out to restrict the spread of the knowledge of disease, limitng the knowledge about the cure and prevention techniques of the disease. Also other concerns like limitations in access to the vaccination and other supporting equitable social policies are working to limit the spread of the vaccination disease and subsequent outreach of the disease prevention in the country. Limited access to vaccination, disadvantages contained in neighborhood are the key determinants that are working for limiting the prevention of the disease in the country. Further the absence of the sick leave policies in the workplace spreading the disease in the workplace where the victim is working. Also when the schools are closed(Chao et al.,2010), there is limited scope for the infected to get assistance in getting treatment. These are some of the several social determinants working for the spread of the disease in United States of America.
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