Sistema de Salut de Catalunya
[Martínez-Marcos M] Preventive Medicine Service, Sub-directorate General for Health Promotion, Secretariat of Public Health, Department of Health, Generalitat de Catalunya, Barcelona, Spain. School of Medicine, Universitat Internacional de Catalunya, Barcelona, Spain. [Zabaleta-Del-Olmo E] Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain. Gerència Territorial de Barcelona, Institut Català de la Salut, Barcelona, Spain. Nursing Department, Faculty of Nursing, Universitat de Girona, Girona, Spain. [Gómez-Durán EL] Vice-Deanship of Teaching Staff, Faculty of Medicine, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Spain. [Reñé-Reñé A] Central Vaccine Registry Management Team, Institut Català de la Salut, Girona, Spain. [Cabezas-Peña C] Secretariat of Public Health, Department of Health, Generalitat de Catalunya, Barcelona, Spain
IDIAP Jordi Gol
2023-10-16T10:29:21Z
2023-10-16T10:29:21Z
2023-05
COVID-19; Health lockdown; Vaccination coverage
COVID-19; Confinamiento sanitario; Cobertura de vacunación
COVID 19; Confinament sanitari; Cobertura de vacunació
Objective: The aim of this study was to determine the impact of the lockdown measures adopted during the COVID-19 pandemic on routine childhood vaccination coverage rates in Catalonia (Spain) and to estimate its recovery once the progressive return to 'normalcy' had begun. Study design: We conducted a public health register-based study. Methods: Routine childhood vaccination coverage rates were analysed in three periods: a first pre-lockdown period (from January 2019 to February 2020), a second lockdown period with full restrictions (from March 2020 to June 2020), and, finally, a third post-lockdown period with partial restrictions (from July 2020 to December 2021). Results: During the lockdown period, most of the coverage rates remained stable, concerning the pre-lockdown period; however, when comparing the vaccination coverage rates in the post-lockdown period to the pre-lockdown period, we observed decreases in all types of vaccines and doses analysed, except for coverage with the PCV13 vaccine in 2-year-olds, which experienced an increase. The most relevant reductions were observed in measles-mumps-rubella and diphtheria-tetanus-acellular pertussis vaccination coverage rates. Conclusions: Since the beginning of the COVID-19 pandemic, there has been an overall decline in routine childhood vaccine coverage rates, and the pre-pandemic rates have not yet been recovered. Immediate and long-term support strategies must be maintained and strengthened to restore and sustain routine childhood vaccination.
Article
Published version
English
COVID-19 (Malaltia); Vacunació dels infants - Catalunya; Confinament; DISEASES::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections; PUBLIC HEALTH::Disasters::Disaster Management::Prevention and Mitigation::Communicable Disease Control::Quarantine; PUBLIC HEALTH::Health Care (Public Health)::Disease Prevention::Primary Prevention::Immunization::Mass Vaccination::Vaccination Coverage; NAMED GROUPS::Persons::Age Groups::Child; Catalonia; ENFERMEDADES::virosis::infecciones por virus ARN::infecciones por Nidovirales::infecciones por Coronaviridae::infecciones por Coronavirus; SALUD PÚBLICA::desastres::manejo de desastres::prevención y mitigación::control de enfermedades transmisibles::cuarentena; SALUD PÚBLICA::atención a la salud (salud pública)::prevención de enfermedades::prevención primaria::inmunización::vacunación masiva::cobertura de vacunación; DENOMINACIONES DE GRUPOS::personas::Grupos de Edad::niño; Cataluña
Elsevier
Public Health;218
https://doi.org/10.1016/j.puhe.2023.02.017
Attribution-NonCommercial-NoDerivs 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
