Impact of refusal to vaccine in the neonatal period on the implementation of the vaccination calendar in the first year of life

Abstract

Introduction: The level of vaccination coverage with obligatory preparations in Poland reaches 98%. This is facilitated by the introduction of the Individual Vaccination Calendar (IVC) compliant with medical contraindications to vaccination. Aim: The aim of the study was to assess whether the refusal of vaccinations after birth has an impact on the proper implementation of the vaccination calendar in the first year of life. Methods: The study involved healthy, term newborns who were born in the Department of Neonatology in 2011-2015. There were 156 patients enrolled to the study. Among them, 133 were in the control group-vaccinated after birth, and 23 constituted the study group-not vaccinated after birth. Results: Not all healthy newborns are vaccinated after birth, statistical significance was obtained between the study and control group (p < 0,00001). Only 48% of patients not vaccinated after birth received TB-vaccine during the first year (p < 0,00053). Parents of 26% of infants in the study and of 2% of infants in the control group declared using the IVC (p < 0,001). Conclusions: (1) Proper implementation of the vaccination schedule in the first year of life results from the initiation of vaccinations after birth. (2) Unreasonable introduction of the IVC promotes incorrect timing of mandatory vaccinations.

Web application: efficient immunization by vaccination for children and adults

“…Where the team agrees on what is going to be done and how it is going to be done [11]. The implementation is where the Sprint begins to develop, which will last between 1 to 4 weeks, and there will be daily meetings of 10 to 15 minutes where feedback is given on what has been done so far and what will continue to be done [4]. Also, Sprint review, is a meeting where the review of the project increment is made, where the client will evaluate what was done during the Sprint and indicate if there are any changes [12].…”

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“…In the 21st century, the content of professional training, such as medical and nursing education, is constantly undergoing innovation and change; therefore, improving the knowledge and decision-making abilities of students is a crucial goal in vocational education [ 1 ]. For example, caring for the health of newborns is even more challenging in the face of various infectious diseases, such as during the COVID-19 pandemic [ 2 , 3 ]. In particular, there are several challenges to neonatal vaccination in Taiwan.…”

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“…On the other hand, already before the pandemic there were 41% of children who did not receive the vaccine in their first year of life [3], and with the arrival of COVID-19, parents did not know how to act in this situation; This is due to the lack of good guidance from health personnel and 46% of parents indicated that they did not receive adequate information on what measures to take in the event of a pandemic, in order to continue immunizing their minors without risk of contagion. [2].…”