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Influenza Vaccination Coverage in Children With Neurologic Disorders and Their Siblings, July 2006 to June 2014

Fiona P Havers1, Alicia M Fry1, Georgina Peacock2

  • 1From the Influenza Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention.

The Pediatric Infectious Disease Journal
|February 10, 2018
PubMed

Insights

Children with neurologic disorders face high flu risks. While influenza vaccination coverage increased, it remained suboptimal, highlighting a need for improved public health strategies for this vulnerable pediatric population.

Area of Science:

  • Pediatric Neurology
  • Infectious Disease Epidemiology
  • Public Health

Background:

  • Children with neurologic disorders (ND) are recognized as a high-risk group for severe influenza and its complications.
  • Influenza vaccination is a critical preventive measure for high-risk pediatric populations.

Purpose of the Study:

  • To analyze influenza vaccination coverage trends among children with neurologic disorders and their siblings.
  • To assess the adequacy of vaccination coverage in this specific pediatric cohort.

Main Methods:

  • A retrospective cohort study was conducted using a commercial insurance claims database.
  • Data from 184,460 children aged 1-17 years with neurologic disorders and 204,966 siblings were analyzed from July 2006 to June 2014.

Main Results:

  • Influenza vaccination coverage among children with neurologic disorders increased from 22.4% in 2006-2007 to 42.3% in 2013-2014.
  • Despite the increase, vaccination coverage remained suboptimal throughout the study period.
  • A lower proportion of siblings of children with neurologic disorders received influenza vaccination compared to their affected counterparts.

Conclusions:

  • Influenza vaccination rates for children with neurologic disorders show an upward trend but have not reached optimal levels.
  • Targeted interventions are necessary to improve influenza vaccine uptake in children with neurologic disorders and their families.
  • Further research is needed to understand barriers to vaccination and to implement effective strategies for this vulnerable population.

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