TY - JOUR
T1 - Effects of the COVID-19 pandemic on routine pediatric vaccination in Brazil
AU - Santos, Victor Santana
AU - Vieira, Sarah Cristina Fontes
AU - Barreto, Ikaro Daniel de Carvalho
AU - de Gois-Santos, Vanessa Tavares
AU - Celestino, Ariel Oliveira
AU - Domingues, Carla
AU - Cuevas, Luis
AU - Gurgel, Ricardo Queiroz
PY - 2021/12/1
Y1 - 2021/12/1
N2 - BACKGROUNDCOVID-19 pandemic has disrupted health services, including vaccination demand. We describe the impact of the COVID-19 pandemic on routine pediatric vaccination in Brazil.METHODSWe conducted a retrospective analysis of all vaccine doses provided to children aged 0-6 years from January 2019 to December 2020. We obtained data stratified by age group (0 to 2 years and >2 to 6 years) and Brazilian region. Difference-in-difference (DiD) analyses were performed to compare vaccine uptake in the pre-pandemic (January-February), stay-at-home (March-June), and reopening (July-December) periods.RESULTSThe number of vaccine doses administered declined in the stay-at-home period. For children aged 0 to 2 years, the highest reductions were recorded in the North (-25.3%), Northeast (-16.8%) and Central-West (-10.2%) regions. For children aged >2 to 6 years, the highest decline was observed in the North (DiD = -27.2%) and South (DiD = -14.0%) regions. The number of vaccine doses administered in the reopening period has slightly increased in all regions.CONCLUSIONSVaccination decreased during the COVID-19 pandemic. Although the number of doses recovered in part during the reopening phase, additional strategies, such as increased public awareness and vaccination booster campaigns are required.
AB - BACKGROUNDCOVID-19 pandemic has disrupted health services, including vaccination demand. We describe the impact of the COVID-19 pandemic on routine pediatric vaccination in Brazil.METHODSWe conducted a retrospective analysis of all vaccine doses provided to children aged 0-6 years from January 2019 to December 2020. We obtained data stratified by age group (0 to 2 years and >2 to 6 years) and Brazilian region. Difference-in-difference (DiD) analyses were performed to compare vaccine uptake in the pre-pandemic (January-February), stay-at-home (March-June), and reopening (July-December) periods.RESULTSThe number of vaccine doses administered declined in the stay-at-home period. For children aged 0 to 2 years, the highest reductions were recorded in the North (-25.3%), Northeast (-16.8%) and Central-West (-10.2%) regions. For children aged >2 to 6 years, the highest decline was observed in the North (DiD = -27.2%) and South (DiD = -14.0%) regions. The number of vaccine doses administered in the reopening period has slightly increased in all regions.CONCLUSIONSVaccination decreased during the COVID-19 pandemic. Although the number of doses recovered in part during the reopening phase, additional strategies, such as increased public awareness and vaccination booster campaigns are required.
KW - Brazil
KW - covid-19
KW - immunization services
KW - vaccination programs
KW - Vaccine-preventable diseases
U2 - 10.1080/14760584.2021.1990045
DO - 10.1080/14760584.2021.1990045
M3 - Article
SN - 1476-0584
VL - 20
SP - 1661
EP - 1666
JO - Expert Review of Vaccines
JF - Expert Review of Vaccines
IS - 12
ER -
