Articlediamond2022

The COVID-19 pandemic and vaccination abandonment in children: spatial heterogeneity maps

Rayssa Nogueira Rodrigues · Gabriela Lourença Martins do Nascimento · Luíz Henrique Arroyo · Ricardo Alexandre Arcêncio · Valéria Conceição de Oliveira · Eliete Albano de Azevedo Guimarães

14 citations0/0 files storedRevista Latino-Americana de Enfermagem

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Vaccine Coverage and Hesitancy COVID-19 epidemiological studies Child and Adolescent Health

Abstract

OBJECTIVE: to identify spatial clusters corresponding to abandonment of routine vaccines in children. METHOD: an ecological study, according to data from the 853 municipalities of a Brazilian state. The records analyzed were those of the multidose pentavalent, pneumococcal 10-valent, inactivated poliomyelitis and oral human rotavirus vaccines of 781,489 children aged less than one year old. The spatial scan statistics was used to identify spatial clusters and assess the relative risk based on the vaccination abandonment indicator. RESULTS: the spatial scan statistics detected the presence of statistically significant clusters for abandonment regarding the four vaccines in all the years analyzed. However, the highest number of clusters with high relative risk estimates was identified in 2020. The Vale do Aço and West, North and West, and Southwest regions stand out for the pentavalent, poliomyelitis and rotavirus vaccines, respectively. CONCLUSION: in an attempt to mitigate the devastating impact of the COVID-19 pandemic, the immunization program experienced setbacks. The presence of clusters points to the need to implement integrated strategies that may involve different sectors for an active search for children and prevent outbreaks of vaccine-preventable diseases in the near future.

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References

2020Effects of the COVID-19 Pandemic on Routine Pediatric Vaccine Ordering and Administration — United States, 2020 2020Routine childhood immunisation during the COVID-19 pandemic in Africa: a benefit–risk analysis of health benefits versus excess risk of SARS-CoV-2 infection 2018The influence of political ideology and trust on willingness to vaccinate 2020Early impact of the coronavirus disease (COVID-19) pandemic and physical distancing measures on routine childhood vaccinations in England, January to April 2020 202046 anos do Programa Nacional de Imunizações: uma história repleta de conquistas e desafios a serem superados 2021The Impact of the COVID-19 Pandemic on Immunization Campaigns and Programs: A Systematic Review 2021Impact of the COVID-19 Pandemic on Administration of Selected Routine Childhood and Adolescent Vaccinations — 10 U.S. Jurisdictions, March–September 2020 2021Missed childhood immunizations during the COVID-19 pandemic in Brazil: Analyses of routine statistics and of a national household survey

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