Effect of a National Vaccine Shortage on Vaccine Coverage for American Indian/Alaska Native Children

Bibliographic Data

ID11020097
AuthorsAmy V Groom (Amy V. Groom is with the Program Operations Branch, Immunization Services Division, National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Ga, and is field assigned to the Division of Epidemiology and Disease Prevention, Office of Public Health Support, Indian Health Service, Albuquerque, NM. James E. Cheek is with the Division of Epidemiology and Disease Prevention, Office of Public Health Support, Indian Health Service. Ralph T. Bryan is with the Office of Minority Health...), James E Cheek (Amy V. Groom is with the Program Operations Branch, Immunization Services Division, National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Ga, and is field assigned to the Division of Epidemiology and Disease Prevention, Office of Public Health Support, Indian Health Service, Albuquerque, NM. James E. Cheek is with the Division of Epidemiology and Disease Prevention, Office of Public Health Support, Indian Health Service. Ralph T. Bryan is with the Office of Minority Health...), Ralph T Bryan (Amy V. Groom is with the Program Operations Branch, Immunization Services Division, National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Ga, and is field assigned to the Division of Epidemiology and Disease Prevention, Office of Public Health Support, Indian Health Service, Albuquerque, NM. James E. Cheek is with the Division of Epidemiology and Disease Prevention, Office of Public Health Support, Indian Health Service. Ralph T. Bryan is with the Office of Minority Health...)
Year2006
Volume96
Issue4
Pages697-701
Publication date2006-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2004.053413
PMID16507733
PMCIDPMC1470547
OpenAlexW1964207581
LanguageEN
Citations received3
References cited2

Objectives. We determined the effect of national vaccine shortages on coverage with 4 doses of diphtheria and tetanus toxoids and acellular pertussis (DTaP) vaccine for American Indian/Alaska Native (AIAN) children. Methods. Data on DTaP coverage for children aged 19 to 27 months were abstracted from Indian Health Service (IHS) immunization reports. Coverage with the fourth DTaP dose (DTaP4) was compared for different periods to determine coverage levels before, during, and after the shortage. Data were stratified geographically to determine regional variation. Results. AIAN children experienced a significant decline (14.8%) in DTaP4 coverage during the shortage. Considerable variation was seen among IHS regions (declines ranged from 4.5% to 26.5%). Conclusions. AIAN children included in IHS immunization reports experienced a greater decline in DTaP4 coverage during the shortage than the decline reported nationally for children receiving vaccine at public clinics (14.8% vs 6%). Variations in the decline in coverage highlight possible inequities in vaccine supply and distribution and in implementation of vaccine shortage recommendations. We must identify ways to ensure more equitable vaccine distribution and consistent implementation of vaccine recommendations to protect all children from vaccine-preventable diseases

Diphtheria · Economic shortage · Environmental health · Immunization · Public health · Tetanus · Vaccination · Bacterial Infections and Vaccines · Demography · Immune responses and vaccinations · Immunology · Medicine · Vaccine Coverage and Hesitancy

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