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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.
Abstract:
We compared measles, mumps, rubella (MMR), and influenza vaccination rates of children presenting to a Pediatric Emergency Department (PED) in New York City with rates from national assessments. MMR and influenza vaccination rates in this PED population were generally comparable to community rates, but lower than Healthy People 2020 targets.
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