Delay in childhood vaccinations during the COVID-19 pandemic

Da In Diane Lee1,2, Shelley Vanderhout1,3, Mary Aglipay1,2

  • 1Department of Paediatrics, St. Michael's Hospital, 61 Queen Street East, 2nd Floor, Toronto, ON, M5C 2T2, Canada.

Insights

Routine childhood vaccinations significantly decreased during the COVID-19 pandemic in Ontario, Canada. This delay in essential immunizations raises concerns about potential increases in vaccine-preventable diseases.

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic led to widespread reductions in routine medical care.
  • Assessing the impact on essential childhood immunizations is crucial for public health surveillance.

Purpose of the Study:

  • To evaluate the frequency of on-time routine childhood vaccinations for children aged 0-2 years in Ontario, Canada.
  • To compare vaccination rates before and after the COVID-19 declaration of emergency on March 17, 2020.

Main Methods:

  • A longitudinal cohort study of 1277 children aged 0-2 years in Toronto, Canada.
  • Logistic mixed effects regression and Cox proportional hazards models were used to analyze vaccination timing.
  • Vaccination status was compared before and after the COVID-19 declaration of emergency.

Main Results:

  • The proportion of on-time vaccinations dropped from 81.8% before the pandemic to 62.1% after (p < 0.001).
  • The odds of delayed vaccination increased by 3.77 times (95% CI: 2.86-4.96).
  • Median vaccination delay increased from 5 days to 17 days.

Conclusions:

  • Routine childhood vaccination rates were significantly lower during the initial phase of the COVID-19 pandemic.
  • Prolonged delays in childhood immunizations may increase the risk of vaccine-preventable diseases.
Abstract

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