Vaccine Coverage Across the Life Course in Michigan During the Covid-19 Pandemic

January‒September 2020

Datos Bibliográficos

ID11034845
AutoresAngela K Shen (0000-0003-3761-0016, Angela K. Shen is a visiting scientist with the Children’s Hospital of Philadelphia, Philadelphia, PA. Cristi A. Bramer, Lynsey M. Kimmins, Robert Swanson, and Pat Vranesich are with the Michigan Department of Health and Human Services, Division of Immunization, Lansing. Walt Orenstein is with Emory University School of Medicine, Atlanta, GA. Note. The views here do not represent the official views of the Michigan Department of Health and Human Services.), Cristi A Bramer (Angela K. Shen is a visiting scientist with the Children’s Hospital of Philadelphia, Philadelphia, PA. Cristi A. Bramer, Lynsey M. Kimmins, Robert Swanson, and Pat Vranesich are with the Michigan Department of Health and Human Services, Division of Immunization, Lansing. Walt Orenstein is with Emory University School of Medicine, Atlanta, GA. Note. The views here do not represent the official views of the Michigan Department of Health and Human Services.), Lynsey M Kimmins (Angela K. Shen is a visiting scientist with the Children’s Hospital of Philadelphia, Philadelphia, PA. Cristi A. Bramer, Lynsey M. Kimmins, Robert Swanson, and Pat Vranesich are with the Michigan Department of Health and Human Services, Division of Immunization, Lansing. Walt Orenstein is with Emory University School of Medicine, Atlanta, GA. Note. The views here do not represent the official views of the Michigan Department of Health and Human Services.), Robert Swanson (Angela K. Shen is a visiting scientist with the Children’s Hospital of Philadelphia, Philadelphia, PA. Cristi A. Bramer, Lynsey M. Kimmins, Robert Swanson, and Pat Vranesich are with the Michigan Department of Health and Human Services, Division of Immunization, Lansing. Walt Orenstein is with Emory University School of Medicine, Atlanta, GA. Note. The views here do not represent the official views of the Michigan Department of Health and Human Services.), Patricia Vranesich (Angela K. Shen is a visiting scientist with the Children’s Hospital of Philadelphia, Philadelphia, PA. Cristi A. Bramer, Lynsey M. Kimmins, Robert Swanson, and Pat Vranesich are with the Michigan Department of Health and Human Services, Division of Immunization, Lansing. Walt Orenstein is with Emory University School of Medicine, Atlanta, GA. Note. The views here do not represent the official views of the Michigan Department of Health and Human Services.), Walter Orenstein (Angela K. Shen is a visiting scientist with the Children’s Hospital of Philadelphia, Philadelphia, PA. Cristi A. Bramer, Lynsey M. Kimmins, Robert Swanson, and Pat Vranesich are with the Michigan Department of Health and Human Services, Division of Immunization, Lansing. Walt Orenstein is with Emory University School of Medicine, Atlanta, GA. Note. The views here do not represent the official views of the Michigan Department of Health and Human Services.), Walter A Orenstein (0000-0003-3932-8209, Michigan Department of Health and Human Services)
Año2021
Volumen111
Número11
Páginas2027-2035
Fecha de publicación2021-11-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2021.306474
PMID34618598
OpenAlexW3201877356
IdiomaEN
Referencias citadas9

Objectives. To assess the impact of the COVID-19 pandemic on immunization services across the life course. Methods. In this retrospective study, we used Michigan immunization registry data from 2018 through September 2020 to assess the number of vaccine doses administered, number of sites providing immunization services to the Vaccines for Children population, provider location types that administer adult vaccines, and vaccination coverage for children. Results. Of 12 004 384 individual vaccine doses assessed, 48.6%, 15.6%, and 35.8% were administered to children (aged 0–8 years), adolescents (aged 9–18 years), and adults (aged 19‒105 years), respectively. Doses administered overall decreased beginning in February 2020, with peak declines observed in April 2020 (63.3%). Overall decreases in adult doses were observed in all settings except obstetrics and gynecology provider offices and pharmacies. Local health departments reported a 66.4% decrease in doses reported. For children, the total number of sites administering pediatric vaccines decreased while childhood vaccination coverage decreased 4.4% overall and 5.8% in Medicaid-enrolled children. Conclusions. The critical challenge is to return to prepandemic levels of vaccine doses administered as well as to catch up individuals for vaccinations missed. (Am J Public Health. 2021;111(11):2027–2035. https://doi.org/10.2105/AJPH.2021.306474 )

Coronavirus disease 2019 (COVID-19) · Disease · Environmental health · Family medicine · Health care · Immunization · Infectious disease (medical specialty) · Medicaid · Pandemic · Population · Public health · Vaccination · COVID-19 and healthcare impacts · COVID-19 Impact on Reproduction · Immunology · Internal Medicine · Medicine · Pharmacy · Vaccine Coverage and Hesitancy · Pediatrics