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Assays for the Specific Growth Rate and Cell-binding Ability of Rotavirus
Published on: January 28, 2019
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Missed Opportunities for Rotavirus Vaccination
Bethany K Sederdahl1,2, Walter A Orenstein1,3,4, Jumi Yi1
1Departments of Pediatrics.
Pediatrics
|April 27, 2019
Summary
Rotavirus vaccines are underused, with only 71% of children fully vaccinated. Addressing missed vaccination opportunities could increase coverage to 81%, crucial for public health goals.
Area of Science:
- Pediatric infectious diseases
- Vaccinology
- Public health surveillance
Background:
- Rotavirus is a significant cause of gastroenteritis in children under 5 in the US.
- Rotavirus vaccines are underutilized compared to other routine childhood immunizations.
- This study examines rotavirus vaccine coverage and identifies missed vaccination opportunities.
Purpose of the Study:
- To describe rotavirus vaccine coverage rates in US children.
- To identify missed opportunities for rotavirus vaccination.
- To assess the potential impact of addressing missed opportunities on overall vaccine coverage.
Main Methods:
- Utilized data from the 2014 National Immunization Survey (NIS) of US children aged 19-35 months.
- Defined full rotavirus vaccination based on the number of doses received (pentavalent or monovalent).
- Identified missed opportunities based on Advisory Committee on Immunization Practices (ACIP) and World Health Organization (WHO) guidelines, comparing with other routine vaccines.
Main Results:
- In 2014, 71% of surveyed children were fully vaccinated against rotavirus.
- Lower socioeconomic status was linked to higher rates of being unvaccinated.
- Among unvaccinated children, a high percentage had missed opportunities for vaccination (72% ACIP, 83% WHO).
- Higher socioeconomic status was associated with an increased likelihood of missed opportunities.
Conclusions:
- Addressing missed opportunities for rotavirus vaccination is critical.
- Improving vaccination practices can increase rotavirus vaccine coverage to 81%.
- Achieving higher coverage is essential to meet the Healthy People 2020 target of 80%.
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