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新冠疫情对一家三级医疗中心儿童免疫接种的影响。

Impact of COVID-19 Pandemic on Childhood Immunization in a Tertiary Health-Care Center.

作者信息

Khan Afreen, Chakravarty Aparna, Mahapatra Jagannath

机构信息

Department of Pediatrics, Hamdard Institute of Medical Sciences and Research, HAHC Hospital, New Delhi, India.

出版信息

Indian J Community Med. 2021 Jul-Sep;46(3):520-523. doi: 10.4103/ijcm.IJCM_847_20. Epub 2021 Oct 13.

Abstract

BACKGROUND

After the emergence of COVID-19 pandemic, health facilities nationwide became the battleground for COVID-19. Many hospitals are designated as COVID-19 hospitals and various measures taken by the government to contain the spread of infection have disrupted the provision of routine health-care services including immunization. The aim of this study is to describe the impact of COVID-19 pandemic on immunization in a tertiary level health-care facility.

MATERIALS AND METHODOLOGY

Data of children vaccinated as per the Universal immunization program (UIP) schedule were retrieved from immunizations records for a 7 month (January to July) period for the years 2019 and 2020. The trends of vaccination during COVID-19 pandemic are studied and are compared with the date matched data of the previous year.

RESULTS

There was a significant drop in the vaccine counts after emergence of COVID-19 pandemic. Maximum drop (-87%) was seen during the month of April (76.52% ± 43.62% vs. 16.95% ± 42.55%; < 0.001) followed by May and June when it was -67% and -33%, respectively.

CONCLUSION

COVID-19 pandemic has created the gaps in immunization which requires immediate attention. Further failure in sustaining the vaccination services and weak catch-up plans can lead to the emergence of vaccine-preventable diseases which may result in increased childhood morbidity and mortality.

摘要

背景

新型冠状病毒肺炎疫情出现后,全国的医疗机构成为了抗击新冠疫情的战场。许多医院被指定为新冠肺炎定点医院,政府为控制感染传播采取的各种措施扰乱了包括免疫接种在内的常规医疗服务的提供。本研究的目的是描述新冠肺炎疫情对三级医疗机构免疫接种的影响。

材料与方法

从2019年和2020年7个月(1月至7月)的免疫记录中检索按照扩大免疫规划(UIP)计划接种疫苗的儿童数据。研究了新冠肺炎疫情期间的疫苗接种趋势,并与上一年日期匹配的数据进行比较。

结果

新冠肺炎疫情出现后疫苗接种数量显著下降。4月份下降幅度最大(-87%)(76.52%±43.62%对16.95%±42.55%;<0.001),其次是5月和6月,分别下降了-67%和-33%。

结论

新冠肺炎疫情造成了免疫接种缺口,需要立即予以关注。疫苗接种服务持续中断以及后续跟进计划不力可能导致疫苗可预防疾病的出现,这可能会增加儿童发病率和死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ee0/8575194/424a5efbd466/IJCM-46-520-g002.jpg

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