Related Experiment Video
Updated: May 22, 2026

A Luciferase-fluorescent Reporter Influenza Virus for Live Imaging and Quantification of Viral Infection
Published on: August 14, 2019
Low rates of influenza immunization in young children under Ontario's universal influenza immunization program
Michael A Campitelli1, Miho Inoue, Andrew J Calzavara
1Institute for Clinical Evaluative Sciences, Toronto, Ontario M4N 3M5 Canada.
Insights
Influenza vaccine coverage for young children in Ontario remained low between 2002-2009, despite a universal immunization program. Key predictors for vaccination included maternal immunization and pediatrician care, while social disadvantage was linked to non-vaccination.
Area of Science:
- Pediatric Public Health
- Vaccinology
- Health Services Research
Background:
- Universal influenza immunization programs aim to increase vaccine uptake in pediatric populations.
- Assessing vaccine coverage and its predictors is crucial for public health strategy development.
Purpose of the Study:
- To evaluate physician-administered influenza vaccine coverage in children aged 6 to 23 months in Ontario from 2002 to 2009.
- To identify factors associated with influenza vaccination status in this age group.
Main Methods:
- Retrospective cohort study using linked hospital and physician billing records in Ontario.
- Infants born between April 2002 and March 2008 were tracked for immunization status.
- Generalized linear mixed models were used to analyze predictors of vaccination.
Main Results:
- Influenza immunization coverage was low, starting at 1% and fluctuating between 4-9% during the study period.
- Children with chronic conditions, low birth weight, maternal influenza immunization, and pediatrician care were more likely to be vaccinated.
- Social disadvantage was associated with lower vaccination rates.
Conclusions:
- Despite a universal program, influenza vaccine coverage in young children in Ontario is suboptimal.
- Interventions should focus on engaging both healthcare providers and families to improve vaccination rates.
Objectives:
To determine physician-administered influenza vaccine coverage for children aged 6 to 23 months in a jurisdiction with a universal influenza immunization program during 2002-2009 and to describe predictors of vaccination.
Methods:
By using hospital records, we identified all infants born alive in Ontario hospitals from April 2002 through March 2008. Immunization status was ascertained by linkage to physician billing data. Children were categorized as fully, partially, or not immunized depending on the number and timing of vaccines administered. Generalized linear mixed models determined the association between immunization status and infant, physician, and maternal characteristics.
Results:
Influenza immunization was low for the first influenza season of the study period (1% fully immunized during the 2002-2003 season), increased for the following 3 seasons (7% to 9%), but then declined (4% to 6% fully immunized during the 2006-2007 to 2008-2009 seasons). Children with chronic conditions or low birth weight were more likely to be immunized. Maternal influenza immunization (adjusted odds ratio 4.31; 95% confidence interval 4.21-4.40), having a pediatrician as the primary care practitioner (adjusted odds ratio 1.85; 95% confidence interval 1.68-2.04), high visit rates, and better continuity of care were all significantly associated with full immunization, whereas measures of social disadvantage were associated with nonimmunization. Low birth weight infants discharged from neonatal care in the winter were more likely to be immunized.
Conclusions:
Influenza vaccine coverage among children aged 6 to 23 months in Ontario is low, despite a universal vaccination program and high primary care visit rates. Interventions to improve coverage should target both physicians and families.
Related Concept Videos
Vaccinations
Influenza
Inhibitors of Viral Protein Synthesis
Infectious Diseases and Their Occurrence
Pharmacokinetics in Pediatric Patients: Drug Excretion
Immunodeficiency Diseases
There are three main causes of immunodeficiency disorders...

