Vaccination Rates for Measles, Mumps, Rubella, and Influenza Among Children Presenting to a Pediatric Emergency

Philip Zachariah1, Amanda Posner2, Melissa S Stockwell3

  • 1Department of Pediatrics, Columbia University Medical Center, and Morgan Stanley Children's Hospital of New York-Presbyterian, Columbia University Medical Center, New York.

Insights

Pediatric vaccination rates for measles, mumps, rubella (MMR), and influenza in a New York City emergency department were similar to community levels. However, these important childhood immunization rates did not meet national Healthy People 2020 goals.

Area of Science:

  • Pediatric Emergency Medicine
  • Vaccinology
  • Public Health

Background:

  • Childhood immunizations are crucial for disease prevention.
  • Pediatric Emergency Departments (PEDs) serve diverse patient populations.
  • Assessing vaccination coverage in PEDs is important for public health.

Purpose of the Study:

  • To compare measles, mumps, rubella (MMR), and influenza vaccination rates in a New York City PED with national data.
  • To identify potential gaps in pediatric vaccination coverage within an urban emergency setting.

Main Methods:

  • Retrospective analysis of vaccination records for children presenting to a PED.
  • Comparison of observed vaccination rates against national assessment data and Healthy People 2020 targets.

Main Results:

  • MMR and influenza vaccination rates in the studied PED population were comparable to general community rates.
  • Vaccination rates for MMR and influenza in this PED cohort were below the Healthy People 2020 objectives.

Conclusions:

  • While PED vaccination rates may reflect community trends, they may not meet national public health targets.
  • PEDs represent a potential venue for improving childhood immunization coverage.
  • Further strategies are needed to enhance vaccination uptake in pediatric emergency settings to meet national goals.