Article ; Online: Impact of the COVID-19 pandemic on routine childhood immunisation in Colombia.
Archives of disease in childhood
2021 Volume 107, Issue 3, Page(s) e4
Abstract: Objective: To assess the impact of the COVID-19 pandemic on routine childhood vaccination coverage in Colombia by age group, rural/urban residence, state and vaccine type.: Design: Ecological study of official monthly vaccination records.: Setting!# ...
| Abstract | Objective: To assess the impact of the COVID-19 pandemic on routine childhood vaccination coverage in Colombia by age group, rural/urban residence, state and vaccine type. Design: Ecological study of official monthly vaccination records. Setting: Vaccination records from the Colombian Ministry of Health (March-October 2019 and 2020). Participants: Aggregated data for Colombian children (<12 months, n=676 153; 12-23 months, n=700 319; and 5 years, n=734 295) participating in the Expanded Program on Immunization. Main outcome measures: Proportion of eligible population receiving vaccination. Results: Vaccination coverage showed an overall decline of approximately 14.4% from 2019 to 2020 (2019 coverage=76.0, 2020 coverage=61.6%). The greatest reduction in proportion vaccinated was observed in children <12 months of age for pneumococcal vaccine (second dose) (2019 coverage=81.4%; 2020 coverage=62.2%; 2019-2020 absolute difference, 19.2%; 95% CI 14.8% to 23.7%). For children aged 12-23 months, the proportion vaccinated for yellow fever declined by 16.4% (12.4% to 20.9%) from 78.3% in 2019 to 61.8% in 2020. Among children 5 years of age, the biggest decrease occurred for the oral polio vaccine (second dose), with a difference of 11.4% (7.1% to 15.7%) between 2019 and 2020 (73.1% and 61.7% for 2019 and 2020). We observed a statistically significant effect on vaccine coverage in rural versus urban areas for children <12 months and 5 years of age. Conclusions: Reduced uptake of immunisations during the COVID-19 pandemic poses a serious risk of vaccine-preventable disease outbreaks. Colombia and other middle-income countries need to continue to monitor immunisation programme coverage and disease outbreaks at the national and subnational levels and undertake catch-up vaccination activities. |
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| MeSH term(s) | COVID-19/epidemiology ; Child, Preschool ; Colombia/epidemiology ; Health Services Accessibility ; Humans ; Immunization Programs ; Infant ; Pandemics ; Patient Acceptance of Health Care ; Rural Population ; SARS-CoV-2 ; Urban Population ; Vaccination Coverage ; Vaccine-Preventable Diseases/prevention & control | ||||||||||
| Language | English | ||||||||||
| Publishing date | 2021-07-20 | ||||||||||
| Publishing country | England | ||||||||||
| Document type | Journal Article | ||||||||||
| ZDB-ID | 524-1 | ||||||||||
| ISSN | 1468-2044 ; 0003-9888 ; 1359-2998 | ||||||||||
| ISSN (online) | 1468-2044 | ||||||||||
| ISSN | 0003-9888 ; 1359-2998 | ||||||||||
| DOI | 10.1136/archdischild-2021-321792 | ||||||||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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