Pediatric Vaccination During the COVID-19 Pandemic

Ackerson, Bradley; Sy, Lina S.; Glenn, Sungching; Qian, Lei; Park, Claire H.; Riewerts, Robert J.; Jacobsen, Steven J.

doi:10.1542/peds.2020-047092

Cited by 87 publications

(84 citation statements)

References 18 publications

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“…Specific concerns remain regarding administration of measles containing vaccines (MCV1 and MCV2) in children in the US [ 55 ]. Data from California also report substantially fewer infant immunization visits and substantial disruptions in infant and older child immunization rates, with a particular impact on MCV administrations [ 56 ], while childhood MCV dosing declined by 54.7% in Alabama [ 53 ].…”

Section: Disruption To Routine Immunization Servicesmentioning

confidence: 99%

Impact of COVID-19 pandemic on routine immunization

Ota

Badur²,

Mazzotti

et al. 2021

Annals of Medicine

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The current COVID-19 global pandemic continues to impact healthcare services beyond those directly related to the management of SARS-CoV-2 transmission and disease. We reviewed the published literature to assess the pandemic impact on existing global immunization activities and how the impact may be addressed. Widespread global disruption in routine childhood immunization has impacted a majority of regions and countries, especially in the initial pandemic phases. While data indicate subsequent recovery in immunization rates, a substantial number of vulnerable people remain unvaccinated. The downstream impact may be even greater in resource-limited settings and economically poorer populations, and consequently there are growing concerns around the resurgence of vaccine-preventable diseases, particularly measles. Guidance on how to address immunization deficits are available and continue to evolve, emphasizing the importance of maintaining and restoring routine immunization and necessary mass vaccination campaigns during and after pandemics. In this, collaboration between a broad range of stakeholders (governments, industry, healthcare decision-makers and frontline healthcare professionals) and clear communication and engagement with the public can help achieve these goals. Key messages The COVID-19 pandemic has a substantial impact on essential immunization activities. Disruption to mass vaccination campaigns increase risk of VPD resurgence. Catch-up campaigns are necessary to limit existing shortfalls in vaccine uptake. Guidance to mitigate these effects continues to evolve.

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Section: Disruption To Routine Immunization Servicesmentioning

confidence: 99%

Impact of COVID-19 pandemic on routine immunization

Ota

Badur²,

Mazzotti

et al. 2021

Annals of Medicine

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show abstract

“…The change in vaccination coverage could influence the vaccine hesitancy levels even for longer after the pandemic. In the USA, measles vaccination rates in 2020 were lower than in 2019, especially under the age of 2; consequently, the vaccination rates became equal to the ones for children from 2 to 18, but even a 2-5% decline in vaccination will have an impact due to the schools re-opening [25][26][27].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Drivers of COVID-19 Vaccine Hesitancy among Czech University Students: National Cross-Sectional Study

et al. 2021

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Background: university students are believed to retain the highest levels of health literacy. They are perceived as the opinion leaders within their communities; therefore, their health-related beliefs and attitudes are deemed important for public health campaigns. This study aimed to investigate the COVID-19 vaccine hesitancy drivers among university students in the Czech Republic. Methods: a cross-sectional study using a self-administered questionnaire was carried out in the weeks before the unrestricted vaccine deployment to Czech adults. The questionnaire had 21 multiple-choice items stratified in 4 categories; demographic characteristics, COVID-19-related anamnesis and influenza vaccine experience, attitudes towards COVID-19 vaccination, and the possible drivers of COVID-19 vaccine hesitancy suggested by the WHO-SAGE. Results: out of the 1351 included students, 66.8% were females, 84.5% were Czech nationals, and 40.6% enrolled in healthcare programs. The overall COVID-19 vaccine acceptance level was 73.3%, 19.3% of participants were vaccine-resistant, and only 7.4% were vaccine-hesitant. Trust in the pharmaceutical industry, trust in healthcare providers, and perceived knowledge sufficiency predicted higher odds of vaccine acceptance. In contrast, media and social media, personal beliefs, immunity misconception, previous COVID-19 infection, and suspicions about novel vaccines and the local availability predicted higher odds of vaccine hesitancy. Conclusions: The findings of this study predict a fair probability to achieve community immunity (herd immunity) among the target population group. The primary prevention strategies in the Czech Republic need to be culturally sensitive and inclusive for foreign nationals. As one-quarter of the participating students are dependent on vaccine safety data, this study findings support the call for independent studies evaluating the side effects of COVID-19 vaccines.

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“…[17][18][19][20] As states relaxed stay-at-home orders and health systems expanded outpatient care, ambulatory visits in adults returned to pre-COVID-19 levels. 21 Pediatric well-child visits have not rebounded to the same extent, potentially affecting routine childhood vaccination. 22 Furthermore, the COVID-19 pandemic has disproportionately affected communities of color, highlighting disparities in access to care and health outcomes.…”

mentioning

confidence: 99%

Association of the COVID-19 Pandemic With Routine Childhood Vaccination Rates and Proportion Up to Date With Vaccinations Across 8 US Health Systems in the Vaccine Safety Datalink

et al. 2022

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IMPORTANCEThe COVID-19 pandemic has affected routine vaccine delivery in the US and globally. The magnitude of these disruptions and their association with childhood vaccination coverage are unclear.OBJECTIVES To compare trends in pediatric vaccination before and during the pandemic and to evaluate the proportion of children up to date (UTD) with vaccinations by age, race, and ethnicity. DESIGN, SETTING, AND PARTICIPANTSThis surveillance study used a prepandemicpostpandemic control design with data from 8 health systems in California, Oregon, Washington, Colorado, Minnesota, and Wisconsin in the Vaccine Safety Datalink. Children from age groups younger than 24 months and 4 to 6, 11 to 13, and 16 to 18 years were included if they had at least 1

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Pediatric Vaccination During the COVID-19 Pandemic

Cited by 87 publications

References 18 publications

Impact of COVID-19 pandemic on routine immunization

Impact of COVID-19 pandemic on routine immunization

Prevalence and Drivers of COVID-19 Vaccine Hesitancy among Czech University Students: National Cross-Sectional Study

Association of the COVID-19 Pandemic With Routine Childhood Vaccination Rates and Proportion Up to Date With Vaccinations Across 8 US Health Systems in the Vaccine Safety Datalink

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