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  1. Article ; Online: Emergency Departments

    Rebecca Hart / Yana Feygin / Theresa Kluthe / Katherine Quinn / Suchitra Rao / Shannon H. Baumer-Mouradian

    Vaccines, Vol 11, Iss 1445, p

    An Underutilized Resource for Expanding COVID-19 Vaccine Coverage in Children

    2023  Volume 1445

    Abstract: COVID-19 vaccine (CV) acceptance rates remain suboptimal in children. Emergency departments (EDs) represent a unique opportunity to improve vaccination rates, particularly in underserved children. Little is known about the presence or reach of CV ... ...

    Abstract COVID-19 vaccine (CV) acceptance rates remain suboptimal in children. Emergency departments (EDs) represent a unique opportunity to improve vaccination rates, particularly in underserved children. Little is known about the presence or reach of CV programs in US EDs. We assessed, via a cross-sectional survey of pediatric ED physicians, the number of EDs offering CVs to children, the approximate numbers of vaccines administered annually, and the perceived facilitators/barriers to vaccination. The proportion of EDs offering CVs is reported. Chi-square tests compared facilitators and barriers among frequent vaccinators (≥50 CVs/year), infrequent vaccinators (<50 CVs/year), and non-vaccinators. Among 492 physicians from 166 EDs, 142 responded (representing 61 (37.3%) EDs). Most EDs were in large, urban, academic, freestanding children’s hospitals. Only 11 EDs (18.0%) offer ≥1 CV/year, and only two (18.2%) of these gave ≥50 CVs. Common facilitators of vaccination included the electronic health record facilitation of vaccination, a strong provider/staff buy-in, storage/accessibility, and having a leadership team or champion. Barriers included patient/caregiver refusal, forgetting to offer vaccines, and, less commonly, a lack of buy-in/support and the inaccessibility of vaccines. Many (28/47, 59.6%) EDs expressed interest in establishing a CV program.
    Keywords COVID-19 ; vaccination ; pediatric ; emergency department ; healthcare disparities ; Medicine ; R
    Language English
    Publishing date 2023-09-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article: Blood lead levels and risk factors for lead poisoning among children in a Mexican smelting community.

    Albalak, Rachel / McElroy, Rebecca Hart / Noonan, Gary / Buchanan, Sharunda / Jones, Robert L / Flanders, W Dana / Gotway-Crawford, Carol / Kim, Dennis / Dignam, Timothy / Daley, Walter R / Jarrett, Jeff / Eduardo, Eduard / McGeehin, Michael A

    Archives of environmental health

    2003  Volume 58, Issue 3, Page(s) 172–183

    Abstract: The authors evaluated mean blood lead levels (BLLs) and the prevalence of elevated BLLs in children 1-6 yr of age living in Torreón, Mexico, and assessed risk factors for lead exposure in these children. The study involved a simple random sample of ... ...

    Abstract The authors evaluated mean blood lead levels (BLLs) and the prevalence of elevated BLLs in children 1-6 yr of age living in Torreón, Mexico, and assessed risk factors for lead exposure in these children. The study involved a simple random sample of households in the area around a local smelter, as well as a 2-stage cluster sample of neighborhoods and households in the remainder of Torreón. The geometric mean BLL of children in this study (N = 367) was 6.0 microg/dl (95% confidence interval [CI] = 5.2, 6.8) (0.29 microM/l [95% CI = 0.25, 0.33]). Twenty percent of the children had BLLs > or = 10 microg/dl (0.48 microM/l), and 5% had BLLs > or = 20 microg/dl (0.97 microM/l). In multivariate analyses, distance from the smelter, amount of income, and education level of the primary caregiver predicted BLLs. In the environmental risk factor subsample (n = 124), dust and soil lead levels were associated with BLLs and distance from the smelter. BLLs in this study were moderately high, but the levels were lower than those in other smelting communities prior to remediation.
    MeSH term(s) Child ; Child, Preschool ; Dust ; Environmental Exposure ; Female ; Humans ; Industry ; Infant ; Lead/blood ; Lead Poisoning/epidemiology ; Lead Poisoning/etiology ; Male ; Metallurgy ; Mexico ; Prevalence ; Risk Factors ; Soil Pollutants/poisoning
    Chemical Substances Dust ; Soil Pollutants ; Lead (2P299V784P)
    Language English
    Publishing date 2003-03
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, P.H.S.
    ZDB-ID 211701-0
    ISSN 0003-9896
    ISSN 0003-9896
    Database MEDical Literature Analysis and Retrieval System OnLINE

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