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Published on: August 14, 2019
Childhood influenza-vaccination coverage--United States, 2002-03 influenza season
Insights
Influenza vaccination coverage for young children (6-23 months) was low during the first year of recommendation. Significant state and urban variations in childhood flu vaccine uptake were observed.
Area of Science:
- Pediatric Public Health
- Vaccinology
- Epidemiology
Background:
- Young children under 2 years old face a higher risk of hospitalization due to influenza.
- The Advisory Committee on Immunization Practices (ACIP) began recommending annual influenza vaccinations for children aged 6-23 months and their close contacts in 2002, strengthening this to a formal recommendation in 2004-05.
- Vaccination is also recommended for children aged 6 months to 18 years with high-risk medical conditions and their household contacts.
Purpose of the Study:
- To establish a baseline for childhood influenza vaccination coverage for the 2002-03 season.
- To assess the initial impact of the ACIP encouragement for vaccinating children aged 6-23 months.
- To identify variations in vaccination coverage among different geographic areas.
Main Methods:
- Analysis of childhood influenza vaccination coverage data for the 2002-03 season.
- Examination of vaccination rates among children aged 6-23 months.
- Comparison of coverage across different states and urban areas.
Main Results:
- Influenza vaccination coverage among children aged 6-23 months was low in the first year of the ACIP encouragement.
- Substantial variability in vaccination coverage was noted between different states.
- Significant differences in vaccination uptake were also observed among various urban areas.
Conclusions:
- The initial year of the ACIP encouragement for childhood influenza vaccination showed low uptake among the target age group.
- Geographic disparities in vaccination coverage highlight the need for targeted interventions.
- Further efforts are required to improve influenza vaccine accessibility and uptake in young children.
Abstract:
Children aged <2 years are at increased risk for influenza-related hospitalizations. Beginning in 2002, the Advisory Committee on Immunization Practices (ACIP) encouraged that, when feasible, all children aged 6-23 months, as well as household contacts and out-of-home caregivers for children aged <2 years, receive influenza vaccinations each influenza season. Beginning with the 2004-05 influenza season, ACIP strengthened the encouragement to a recommendation. Other children recommended to receive influenza vaccine continue to include those aged 6 months--18 years with certain high-risk medical conditions and those aged 6 months-18 years who are household contacts of persons at high risk for influenza complications. This report on childhood influenza-vaccination coverage for the 2002-03 influenza season provides a baseline for the continuing assessment of coverage among children aged 6-23 months. The findings demonstrate that, during the first year of the ACIP encouragement to vaccinate children aged 6-23 months against influenza, vaccination coverage was low, with substantial variability among states and urban areas.
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