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Influenza vaccination rates in Ontario children: implications for universal childhood vaccination policy
Kathy Moran1, Sarah Maaten, Astrid Guttmann
1Durham Region Health Department and York Region Community and Health Services, Public Health Branch, Ontario, Canada. kathy.moran@york.ca
Insights
Ontario
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Influenza vaccination is crucial for children, especially infants.
- Ontario offers universal influenza vaccination.
- Provincial vaccination rates for children vary.
Purpose of the Study:
- To estimate influenza vaccination coverage in Ontario children (2006-2007).
- To compare infant (6-23 months) vaccination rates in Ontario with other Canadian provinces.
- To evaluate the effectiveness of universal vs. targeted vaccination programs.
Main Methods:
- Telephone survey of 3029 households with 4854 children (6 months-11 years).
- Data collected on influenza vaccination status for the 2006-2007 season.
- Comparison of Ontario's rates with published provincial data.
Main Results:
- Ontario's coverage for children aged 2-11 years was 28.3% (healthy) and 36.8% (chronic conditions).
- Infant (6-23 months) vaccination coverage in Ontario was 24.0%.
- Ontario's infant vaccination rate was lower than Nova Scotia, Quebec, Saskatchewan, and Alberta, but similar to Manitoba.
Conclusions:
- Universal influenza vaccination in Ontario achieved modest coverage in children aged 2-11 years.
- Targeted vaccination programs in other provinces were more successful for infants (6-23 months).
- Further strategies may be needed to improve infant influenza immunization rates in Ontario.
Abstract:
The aims of this study were to estimate influenza vaccination coverage for children during the 2006-2007 influenza season in Ontario, Canada, where universal vaccination is available, and to compare the rate among children aged 6-23 months with corresponding rates from other Canadian provinces that specifically target this high-risk group. We conducted a telephone survey of caregivers of children aged 6 months-11 years that included 4854 children from 3029 households. Ontario's vaccination rate (complete and partial coverage combined) for children aged 2-11 years was 28.3% (95% CI 26.3-30.5%) for healthy children and 36.8% (95% CI 31.4-42.5%) for those with chronic conditions. Immunization coverage of children aged 6-23 months was 24.0% (95% CI 20.6-27.7%) in Ontario, similar to Manitoba's rate of 24.1% but lower than rates in other provinces: Nova Scotia (35.5%), Quebec (41.8% for 1 year olds and 37.7% for 2 year olds during the 2005-2006 season), Saskatchewan (32.5%) and Alberta (52.2%). Universal vaccination in Ontario has achieved modest coverage in children aged 2-11 years, but has been less successful than targeted programs in vaccinating infants aged 6-23 months.
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