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Global COVID-19 Vaccination in Infants and Children: Effectiveness, Safety, and Challenges
Watsamon Jantarabenjakul1,2,3, Napaporn Chantasrisawad1,2,3, Rapisa Nantanee1
1Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok 10330, Thailand.
Insights
COVID-19 vaccines are safe and effective for children over six months, reducing severe illness. Real-world effectiveness against infection is lower due to variants, and vaccine uptake remains a challenge.
Area of Science:
- Pediatric Infectious Diseases
- Vaccinology
- Public Health
Background:
- COVID-19 vaccines (mRNA and inactivated) are approved for infants and children over six months, demonstrating efficacy in preventing severe disease, hospitalization, multisystem inflammatory syndrome in children (MIS-C), and death.
- Real-world vaccine effectiveness against infection is diminished by emerging SARS-CoV-2 variants, particularly Omicron strains, compared to initial clinical trial findings.
- Despite established vaccine availability for pediatric populations, global vaccine uptake remains suboptimal, exacerbated by parental vaccine hesitancy.
Approach:
- This review synthesizes data from clinical trials and real-world studies on COVID-19 vaccine safety and efficacy in children aged 6 months to under 12 years.
- It examines current 2023-2024 COVID-19 vaccine recommendations for this age group.
- The review discusses vaccine implementation progress, real-world effectiveness, and identifies knowledge gaps and future research directions.
Key Points:
- COVID-19 vaccines significantly reduce severe outcomes in children, including hospitalization and MIS-C.
- Emerging variants like Omicron impact vaccine effectiveness against infection, necessitating ongoing surveillance and potential strategy adjustments.
- Addressing parental hesitancy and improving vaccine accessibility are crucial for enhancing pediatric COVID-19 vaccine uptake.
Conclusions:
- COVID-19 vaccines offer substantial protection against severe disease in infants and children.
- Continued research is vital to understand and mitigate the impact of viral evolution on vaccine effectiveness.
- Strategies to boost vaccine confidence and uptake in pediatric populations are essential for public health.
Abstract:
COVID-19 Vaccines, which include mRNA and inactivated vaccines, have been proven effective and safe for infants and children aged more than six months in reducing the severity of the disease, hospitalization, multisystem inflammatory syndrome in children, and death. Nonetheless, the real-world effectiveness of these vaccines in preventing infection is generally lower than in clinical trials due to the emergence of variants of concern, especially the Omicron strains. Despite the availability of vaccines for children, their uptake remains low globally, particularly among parents who are hesitant to vaccinate their children. This review article aims to provide a comprehensive overview of COVID-19 vaccine safety and efficacy from clinical trials and the current COVID-19 vaccine recommendations for infants and children aged 6 months to < 12 years for 2023-2024, discuss the progress made in vaccine implementation and real-world effectiveness, and address the knowledge gap and future directions.
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