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Tracking the impact of the COVID-19 pandemic on routine infant vaccinations in the Dominican Republic
As the COVID-19 pandemic progresses, millions of infants are unprotected against immune-preventable diseases due to interruptions in vaccination services. The direct effects of the pandemic, as well as the non-pharmacological interventions for its containment, mitigation and suppression adopted by m...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Taylor & Francis
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8920135/ https://www.ncbi.nlm.nih.gov/pubmed/34644243 http://dx.doi.org/10.1080/21645515.2021.1972708 |
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author | Colomé-Hidalgo, Manuel Campos, Juan Donado Gil de Miguel, Ángel |
author_facet | Colomé-Hidalgo, Manuel Campos, Juan Donado Gil de Miguel, Ángel |
author_sort | Colomé-Hidalgo, Manuel |
collection | PubMed |
description | As the COVID-19 pandemic progresses, millions of infants are unprotected against immune-preventable diseases due to interruptions in vaccination services. The direct effects of the pandemic, as well as the non-pharmacological interventions for its containment, mitigation and suppression adopted by many countries, have affected their vaccination programs. We conducted an ecological study analyzing the performance of the vaccination program in the Dominican Republic before (2019) and during the COVID-19 pandemic (2020). We compared annual public coverage data, analyzed trends and changes in coverage, dropout rate, and number of partially and unvaccinated infants by geographic area and COVID-19 incidence rate. Compared to baseline, coverage for all vaccines decreased by 10.4 (SD, 3.6) percent; among these, coverage for the third dose of the pentavalent vaccine decreased from 90.1% in 2019 to 81.1% in 2020. The number of partially vaccinated (n = 34,185) and unvaccinated (n = 5,593) infants increased 66% and 376%, respectively. The slight increase in the annual dropout rate (1.1%) was directly proportional to the number of COVID-19 cases per month. We found a significant association between the annual absolute change of Penta3 and the subnational Human Development Index. The pandemic significantly weakened the performance of the routine vaccination program. Interventions are needed to recover and maintain lost vaccination coverage, reducing the risk of outbreaks of preventable diseases, especially in those provinces with less human development. |
format | Online Article Text |
id | pubmed-8920135 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Taylor & Francis |
record_format | MEDLINE/PubMed |
spelling | pubmed-89201352022-03-15 Tracking the impact of the COVID-19 pandemic on routine infant vaccinations in the Dominican Republic Colomé-Hidalgo, Manuel Campos, Juan Donado Gil de Miguel, Ángel Hum Vaccin Immunother Coronavirus – Research Paper As the COVID-19 pandemic progresses, millions of infants are unprotected against immune-preventable diseases due to interruptions in vaccination services. The direct effects of the pandemic, as well as the non-pharmacological interventions for its containment, mitigation and suppression adopted by many countries, have affected their vaccination programs. We conducted an ecological study analyzing the performance of the vaccination program in the Dominican Republic before (2019) and during the COVID-19 pandemic (2020). We compared annual public coverage data, analyzed trends and changes in coverage, dropout rate, and number of partially and unvaccinated infants by geographic area and COVID-19 incidence rate. Compared to baseline, coverage for all vaccines decreased by 10.4 (SD, 3.6) percent; among these, coverage for the third dose of the pentavalent vaccine decreased from 90.1% in 2019 to 81.1% in 2020. The number of partially vaccinated (n = 34,185) and unvaccinated (n = 5,593) infants increased 66% and 376%, respectively. The slight increase in the annual dropout rate (1.1%) was directly proportional to the number of COVID-19 cases per month. We found a significant association between the annual absolute change of Penta3 and the subnational Human Development Index. The pandemic significantly weakened the performance of the routine vaccination program. Interventions are needed to recover and maintain lost vaccination coverage, reducing the risk of outbreaks of preventable diseases, especially in those provinces with less human development. Taylor & Francis 2021-10-13 /pmc/articles/PMC8920135/ /pubmed/34644243 http://dx.doi.org/10.1080/21645515.2021.1972708 Text en © 2021 The Author(s). Published with license by Taylor & Francis Group, LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way. |
spellingShingle | Coronavirus – Research Paper Colomé-Hidalgo, Manuel Campos, Juan Donado Gil de Miguel, Ángel Tracking the impact of the COVID-19 pandemic on routine infant vaccinations in the Dominican Republic |
title | Tracking the impact of the COVID-19 pandemic on routine infant vaccinations in the Dominican Republic |
title_full | Tracking the impact of the COVID-19 pandemic on routine infant vaccinations in the Dominican Republic |
title_fullStr | Tracking the impact of the COVID-19 pandemic on routine infant vaccinations in the Dominican Republic |
title_full_unstemmed | Tracking the impact of the COVID-19 pandemic on routine infant vaccinations in the Dominican Republic |
title_short | Tracking the impact of the COVID-19 pandemic on routine infant vaccinations in the Dominican Republic |
title_sort | tracking the impact of the covid-19 pandemic on routine infant vaccinations in the dominican republic |
topic | Coronavirus – Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8920135/ https://www.ncbi.nlm.nih.gov/pubmed/34644243 http://dx.doi.org/10.1080/21645515.2021.1972708 |
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