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Published on: February 2, 2014
Immunization updates and challenges
Victoria F Keeton1, Angel K Chen
1Department of Family Healthcare Nursing, University of California, San Francisco, California, USA. victoria.keeton@nursing.ucsf.edu
Insights
Pediatric vaccination schedules are complex, leading to parental concerns about vaccine safety and efficacy. Clear communication and utilizing non-preventive visits can improve childhood immunization rates.
Area of Science:
- Pediatrics
- Immunology
- Public Health
Background:
- Childhood vaccination schedules in the U.S. have expanded, causing provider and parental concerns about vaccine safety and efficacy.
- Healthcare providers face challenges in implementing current vaccination recommendations effectively.
Purpose of the Study:
- To review the 2009 and 2010 immunization recommendations for children and adolescents.
- To discuss challenges and strategies for improving childhood vaccination rates.
Main Methods:
- Literature review of current immunization recommendations.
- Analysis of barriers to pediatric vaccination.
- Identification of strategies to enhance vaccine uptake.
Main Results:
- Influenza and novel influenza A vaccines are emphasized for children.
- Parental vaccine refusal is increasing due to safety and necessity concerns.
- Adolescent immunization faces barriers related to healthcare access.
Conclusions:
- Pediatric providers encounter challenges in boosting immunization coverage.
- Strategies include promoting influenza vaccines, counseling parents on risks/benefits, and using non-preventive visits for immunization.
Purpose Of Review:
Childhood vaccination recommendations in the United States have increased throughout the years. Many providers, patients, and families are overwhelmed and have concerns regarding the safety and efficacy of vaccines. Various barriers and challenges exist for healthcare providers to successfully implement the vaccination recommendations. This review will discuss the 2009 and newly released 2010 immunization recommendations, as well as challenges and strategies to improve vaccination in children and adolescents.
Recent Findings:
Seasonal influenza immunization continues to be promoted for all children, and recommendations for vaccination against novel influenza A have emerged as well. Concerns surrounding vaccine safety and necessity may cause increasing rates of vaccine refusal among some parents, but clear messages from providers and unbiased information about benefits and risks of immunization may counteract these doubts. Barriers to immunizing adolescents continue as access to healthcare in this age group changes.
Summary:
Pediatric providers currently face numerous challenges in improving rates of immunization among children and adolescents. Promoting coverage through the influenza vaccines, counseling parents with clear information about the risks and benefits of vaccines, and taking advantage of nonpreventive visits for immunization are some strategies suggested to address these challenges.
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