Effects of the COVID-19 Pandemic on Routine Pediatric Vaccine Ordering and Administration — United States, 2020

Santoli, Jeanne M.; Lindley, Megan C.; DeSilva, Malini B.; Kharbanda, Elyse O.; Daley, Matthew F.; Galloway, Lisa; Gee, Julianne; Glover, Mick; Herring, Ben; Kang, Yeon‐Ho; Lucas, Patricia J; Noblit, M Cameron; Tropper, Jeanne; Vogt, Tara M.; Weintraub, Eric

doi:10.15585/mmwr.mm6919e2

Cited by 602 publications

(613 citation statements)

References 1 publication

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“…However, we anticipate that ED visits for both nonemergent and symptom-based diagnoses might have similarly declined, given that others have reported that encounters for routine preventive care, such as pediatric vaccinations, have decreased during the COVID-19 pandemic. 9 This study is limited by its focus on a single health system in the greater Chicago area. Although we compiled data from seven EDs with diverse care settings, our findings may not be generalizable to other settings with different patient population characteristics and/or local government responses to the COVID-19 pandemic.…”

mentioning

confidence: 99%

Emergency Department Visits for Serious Diagnoses During the COVID‐19 Pandemic

Kim

Cruz

Conrardy

et al. 2020

Academic Emergency Medicine

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mentioning

confidence: 99%

Emergency Department Visits for Serious Diagnoses During the COVID‐19 Pandemic

Kim

Cruz

Conrardy

et al. 2020

Academic Emergency Medicine

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“…The speed and breadth with which COVID-19-related government restrictions on business operations, personal movements, and assembly rights should be lifted has sparked an intense public policy debate (Jarvie 2020, Vainshtein 2020. Proponents of lifting nonpharmaceutical interventions (NPIs) such as blanket shelter-in-place orders (SIPOs) 1 , nonessential business closings, bans on large gatherings, and school closings argue that the costs of these policies -including increased unemployment (Baek et al 2020, Couch, Fairlie andXu 2020), decreased human capital acquisition (Doyle 2020), diminished consumption of preventative and emergency care (Lazzerini et al 2020, Santioli et al 2020, and poorer psychological health (Galea, Merchant andLurie 2020, Hsing et al 2020) -may be substantial.…”

Section: Motivationmentioning

confidence: 99%

Are the Effects of Adoption and Termination of Shelter-in-Place Orders Symmetric? Evidence from a Natural Experiment

Dave¹,

Friedson²,

Matsuzawa³

et al. 2020

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Both the White House and state governors have explicitly linked thresholds of reduced COVID-19 case growth to the lifting of statewide shelter-in-place orders (SIPOs). This "hardwired" policy endogeneity creates empirical challenges in credibly isolating the causal effect of lifting a statewide SIPO on COVID-19-related health. To break this simultaneity problem, the current study exploits a unique natural experiment generated by a Wisconsin Supreme Court decision. On May 13, 2020, the Wisconsin Supreme Court abolished the state's "Safer at Home" order, ruling that the Wisconsin Department of Health Services unconstitutionally usurped legislative authority to review COVID-19 regulations. We capitalize on this sudden, dramatic, and largely unanticipated termination of a statewide SIPO to estimate its effect on social distancing and COVID-19 case growth. Using a synthetic control design, we find no evidence that the repeal of the state SIPO impacted social distancing, COVID-19 cases, or COVID-19-related mortality during the fortnight following enactment. Estimated effects were economically small and nowhere near statistically different from zero. We conclude that the impact of shelter-in-place orders is likely not symmetric across enactment and lifting of the orders.

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“…2 While preventative cancer screenings ground to a halt, rates of routine pediatric vaccination declined precipitously in the United States. 3 Abroad, the World Health Organization also suspended mass vaccination campaigns, leaving at least 80 million children less than a year old at risk of diphtheria, polio, and measles. 4 Other countries similarly limited access to health care; in India, for example, many dialysis centers simply stopped providing services.…”

Section: Indirect Effects Of the Medical Shutdownmentioning

confidence: 99%

Patients Left Behind: Ethical Challenges in Caring for Indirect Victims of the Covid‐19 Pandemic

Bruno¹,

Rose²

2020

Hastings Center Report

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In response to the Covid‐19 pandemic, health care systems worldwide canceled or delayed elective surgeries, outpatient procedures, and clinic appointments. Although such measures may have been necessary to preserve medical resources and to prevent potential exposures early in the pandemic, moving forward, the indirect effects of such an extensive medical shutdown must not outweigh the direct harms of Covid‐19. In this essay, we argue for the reopening of evidence‐based health care with assurance provided to patients about the safety and necessity of high‐value vaccinations, screenings, therapeutics, and procedures. To ensure that virtually all non‐Covid‐related services do not come to a halt again, health care systems and physician practices must preemptively increase their capacity, secure adequate personal protective equipment to safeguard health care personnel, and develop a measured approach to reclosing such routine health care, should it become necessary in the future.

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Effects of the COVID-19 Pandemic on Routine Pediatric Vaccine Ordering and Administration — United States, 2020

Cited by 602 publications

References 1 publication

Emergency Department Visits for Serious Diagnoses During the COVID‐19 Pandemic

Emergency Department Visits for Serious Diagnoses During the COVID‐19 Pandemic

Are the Effects of Adoption and Termination of Shelter-in-Place Orders Symmetric? Evidence from a Natural Experiment

Patients Left Behind: Ethical Challenges in Caring for Indirect Victims of the Covid‐19 Pandemic

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