Surely it's good to make the immunisations available? That way parents in the Pacific Islands can make the choice (though I guess they are less likely to have access to the information that might make Western parents choose not to vaccinate, so some might say that's not really a choice). Still, I think that childhood immunisations in these countries are a good thing overall... they can worry about the potential for raising the risk of chronic conditions when their child mortality rate from infectious disease is lower...