Impact of Immunizations on the Disease Burden of American Indian and Alaska Native Children

Rosalyn J. Singleton · Steve Holve · Amy V. Groom · Brian J. McMahon · Mathu Santosham · George Brenneman +1 more

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Indigenous Health, Education, and Rights Vaccine Coverage and Hesitancy Indigenous Health and Education

Abstract

American Indian and Alaska Native (AI/AN) people have suffered disproportionately from infectious diseases compared with the general US population. As recently as 25 years ago, rates of hepatitis A and B virus, Haemophilus influenzae type b, and Streptococcus pneumoniae infections were as much as 10 times higher among AI/AN children compared with the general US child population. In the past quarter century, routine use of childhood immunizations for hepatitis A and B viruses has eliminated disease disparities for these pathogens in AI/AN children, and significant decreases have been demonstrated for H influenzae type b, S pneumoniae, and pertussis. Nevertheless, certain infectious diseases continue to occur at higher rates in AI/AN children. The reason for continued disparities is most likely related to adverse living conditions such as household crowding, lack of indoor plumbing, poverty, and poor indoor air quality. Although tremendous strides have been made in eliminating disparities in infectious disease among AI/AN children, further gains will require addressing disparities in adverse living conditions.

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2010Surveillance for Violent Deaths - National Violent Death Reporting System, 16 States, 2007 2006A Nationwide Population-Based Study Identifying Health Disparities Between American Indians/Alaska Natives and the General Populations Living in Select Urban Counties 2003Infectious Disease Hospitalizations Among American Indian and Alaska Native Infants 2007Diarrhea-Associated Hospitalizations and Outpatient Visits Among American Indian and Alaska Native Children Younger Than Five Years of Age, 2000–2004

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2023Infectious diseases in Indigenous populations in North America: learning from the past to create a more equitable future 2012Medicaid reimbursement and the uptake of adolescent vaccines 2012Vaccination Coverage Among American Indian and Alaska Native Children, 2006–2010

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