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Published on: December 1, 2017
Compliance with immunization against H1N1 influenza virus among children with cancer
Dimitrios Doganis1, Maria Tsolia, Helen Dana
1Pediatric Oncology Department, P. & A. Kyriakou Children's Hospital, University of Athens, Athens, Greece. doganisd@gmail.com
Insights
High immunization rates were achieved for children with cancer against pandemic influenza A H1N1. Despite challenges, 87% of eligible pediatric oncology patients received the vaccine and none developed influenza.
Area of Science:
- Pediatric Oncology
- Infectious Disease Epidemiology
- Vaccinology
Background:
- Children with cancer are at increased risk of severe outcomes from influenza.
- Pandemic influenza A H1N1 posed a significant threat during the 2009 season.
- Vaccination is a critical preventive measure for immunocompromised populations.
Purpose of the Study:
- To evaluate the feasibility and effectiveness of H1N1 influenza immunization in pediatric oncology patients.
- To determine vaccine compliance rates in this vulnerable population.
- To assess vaccine tolerance and impact on influenza incidence.
Main Methods:
- Retrospective review of immunization records for pediatric oncology patients.
- Analysis of vaccine compliance rates among eligible patients.
- Monitoring of influenza incidence in vaccinated and unvaccinated patients.
Main Results:
- Out of 140 eligible pediatric oncology patients, 122 (87%) were immunized against pandemic influenza A H1N1.
- Vaccine compliance exceeded general population uptake despite negative publicity.
- No vaccinated children developed influenza, indicating vaccine efficacy in this cohort.
Conclusions:
- High immunization rates for pandemic influenza A H1N1 are achievable in pediatric oncology settings.
- Vaccination is well-tolerated and effective in preventing influenza among children with cancer.
- Pediatric oncology departments can successfully implement vaccination programs for their patients.
Abstract:
In this report, we describe the experience with immunization against pandemic influenza A H1N1 in children with cancer treated at a pediatric oncology department during the pandemic season (2009). According to the guidelines, vaccination of all children with cancer receiving chemotherapy as well as those who had completed treatment was scheduled. Among the 140 children who were eligible for immunization, 122 were immunized, achieving a compliance rate of 87% despite negative publicity and low vaccine uptake in the general population. The vaccine was tolerated and none of the vaccinated children developed influenza. It is concluded that high immunization rates can be achieved among pediatric oncology patients.
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