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Published on: December 1, 2017
Influenza vaccine coverage in paediatric population from central Israel
M Stein1, O Yossepowitch, E Somekh
1The Pediatric Infectious Diseases unit, Wolfson Medical Center, Holon, Israel.
Insights
Influenza vaccine coverage in Israeli children is critically low at 4.1%, even for high-risk groups. Pediatrician recommendations for the flu vaccine were also infrequent, indicating a need for improved public health strategies.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Influenza vaccination is crucial for pediatric populations to prevent severe illness.
- Understanding vaccination coverage rates and influencing factors is vital for public health initiatives.
- Pediatric emergency rooms (ER) serve as a critical point for assessing child health and vaccination status.
Purpose of the Study:
- To determine the influenza vaccine coverage among children presenting to a pediatric ER.
- To assess the role of primary pediatrician recommendations in pediatric influenza vaccination.
- To identify vaccination rates within high-risk pediatric groups and specific age demographics.
Main Methods:
- A cross-sectional study was conducted involving parents of children attending a pediatric ER during the 2003-2004 winter season.
- Data collection included children's influenza vaccination status, pediatrician recommendations, medical history, and epidemiological details via questionnaires.
- A total of 557 questionnaires were completed, providing a sample for analysis.
Main Results:
- Overall influenza vaccine coverage was low at 4.1% (23/557 children vaccinated).
- Coverage was slightly higher in high-risk groups (6.5%) and infants aged 6-24 months (2.7%).
- Primary pediatricians recommended the influenza vaccine in only 10.6% of cases, with lower rates for high-risk infants and children.
Conclusions:
- Influenza vaccine uptake among Israeli children is alarmingly low, including those in high-risk categories.
- The low vaccination rates suggest potential gaps in pediatrician awareness and recommendation practices regarding influenza vaccination.
- There is a clear need to enhance influenza vaccination strategies and improve pediatrician engagement in promoting vaccine uptake in children.
Objectives:
The aim of this study was to estimate the influenza vaccine coverage among children attending paediatric ER.
Methods:
The parents of patients attending paediatric ER during the winter of 2003-2004 were inquired about their children's influenza vaccination status, whether the vaccine was recommended by the primary paediatrician recommendation, the medical history, and about several epidemiological details.
Results:
Total of 557 questionnaires were completed. Mean age was 5.8 years. Only 23 of the 557 patients were vaccinated (4.1% coverage). Vaccine coverage in the 107 children from high risk groups was 6.5% and vaccination rate in the 144 infants aged 6-24 months was 2.7%. Influenza vaccine was recommended by the primary paediatricians in 59 cases (10.6%). Vaccine was recommended to 22.4% of patients from high risk groups, to 7.6% of infants aged 6-24 months of age and to 7.8% of the other children.
Conclusions:
Influenza vaccine coverage among Israeli children is low, including patients from high-risk groups, and awareness of the primary paediatricians seems to be unsatisfactory.
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