Evaluation of vaccination status of children with special health care needs in Suzhou, China, 2020-2022: A retrospective survey study
Children with special health care needs (CSHCNs) are at an increased risk of vaccine-preventable infections (VPDs), but they also face the dilemma of vaccine hesitancy. We obtained information on pediatric visits from the Referral and Assessment Information System for Vaccination (RAISV) and informa...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-08-01
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| Series: | Human Vaccines & Immunotherapeutics |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/21645515.2023.2254965 |
| _version_ | 1797673039290171392 |
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| author | Lin Luan Zhuoyu Zhang Juan Xu Xiaoxing Kong Jiangtao Yu Ran Hu Na Liu Tianyu Wang Jun Zhang Jianming Wang |
| author_facet | Lin Luan Zhuoyu Zhang Juan Xu Xiaoxing Kong Jiangtao Yu Ran Hu Na Liu Tianyu Wang Jun Zhang Jianming Wang |
| author_sort | Lin Luan |
| collection | DOAJ |
| description | Children with special health care needs (CSHCNs) are at an increased risk of vaccine-preventable infections (VPDs), but they also face the dilemma of vaccine hesitancy. We obtained information on pediatric visits from the Referral and Assessment Information System for Vaccination (RAISV) and information on vaccination from the Jiangsu Province Immunization Information System (JSIIS). We followed the occurrence of Adverse Events Following Immunization (AEFIs) and VPDs by actively calling and querying the China Information System for Disease Control and Prevention (CISDCP). The Poisson test was used to compare the incidence of AEFIs between groups. A total of 5,037 children who visited a vaccination assessment clinic were followed-up in this study. The majority were children with developmental anomalies (28.5%), certain conditions originating in the perinatal period (12.1%), and nervous system disorders (9.0%). Most CSHCNs (66.9%) were advised to have all vaccines according to routine practice, 29.0% were advised to have partial vaccination, and 4.1% were advised to delay all vaccines and wait for future assessment. A total of 201 (4.0%) CSHCNs were not vaccinated, although they were assessed to be eligible for vaccination. By querying the immunization planning module in CISDCP, we observed 55 AEFI cases, which amounted to an incidence rate of 1.2 per 1,000, and the occurrence of abnormal reactions was not significantly different compared with the general population. The vaccination program following the designed workflow for CSHCNs was safe and could be recommended in other areas. |
| first_indexed | 2024-03-11T21:38:40Z |
| format | Article |
| id | doaj.art-5f48d4d1c0194be19248cbaa17330e9c |
| institution | Directory Open Access Journal |
| issn | 2164-5515 2164-554X |
| language | English |
| last_indexed | 2024-03-11T21:38:40Z |
| publishDate | 2023-08-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj.art-5f48d4d1c0194be19248cbaa17330e9c2023-09-26T13:25:52ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2023-08-0119210.1080/21645515.2023.22549652254965Evaluation of vaccination status of children with special health care needs in Suzhou, China, 2020-2022: A retrospective survey studyLin Luan0Zhuoyu Zhang1Juan Xu2Xiaoxing Kong3Jiangtao Yu4Ran Hu5Na Liu6Tianyu Wang7Jun Zhang8Jianming Wang9Nanjing Medical UniversityNanjing Medical UniversitySuzhou Center for Disease Control and PreventionChildren’s Hospital of Soochow UniversityNanjing Medical UniversityJiangsu Provincial Center for Disease Control and PreventionChinese Centre for Disease Control and PreventionNanjing Medical UniversityNanjing Medical UniversityNanjing Medical UniversityChildren with special health care needs (CSHCNs) are at an increased risk of vaccine-preventable infections (VPDs), but they also face the dilemma of vaccine hesitancy. We obtained information on pediatric visits from the Referral and Assessment Information System for Vaccination (RAISV) and information on vaccination from the Jiangsu Province Immunization Information System (JSIIS). We followed the occurrence of Adverse Events Following Immunization (AEFIs) and VPDs by actively calling and querying the China Information System for Disease Control and Prevention (CISDCP). The Poisson test was used to compare the incidence of AEFIs between groups. A total of 5,037 children who visited a vaccination assessment clinic were followed-up in this study. The majority were children with developmental anomalies (28.5%), certain conditions originating in the perinatal period (12.1%), and nervous system disorders (9.0%). Most CSHCNs (66.9%) were advised to have all vaccines according to routine practice, 29.0% were advised to have partial vaccination, and 4.1% were advised to delay all vaccines and wait for future assessment. A total of 201 (4.0%) CSHCNs were not vaccinated, although they were assessed to be eligible for vaccination. By querying the immunization planning module in CISDCP, we observed 55 AEFI cases, which amounted to an incidence rate of 1.2 per 1,000, and the occurrence of abnormal reactions was not significantly different compared with the general population. The vaccination program following the designed workflow for CSHCNs was safe and could be recommended in other areas.http://dx.doi.org/10.1080/21645515.2023.2254965adverse events following immunizationvaccinationsafetyspecial health care needsvaccine-preventable diseasesassessment clinic |
| spellingShingle | Lin Luan Zhuoyu Zhang Juan Xu Xiaoxing Kong Jiangtao Yu Ran Hu Na Liu Tianyu Wang Jun Zhang Jianming Wang Evaluation of vaccination status of children with special health care needs in Suzhou, China, 2020-2022: A retrospective survey study Human Vaccines & Immunotherapeutics adverse events following immunization vaccination safety special health care needs vaccine-preventable diseases assessment clinic |
| title | Evaluation of vaccination status of children with special health care needs in Suzhou, China, 2020-2022: A retrospective survey study |
| title_full | Evaluation of vaccination status of children with special health care needs in Suzhou, China, 2020-2022: A retrospective survey study |
| title_fullStr | Evaluation of vaccination status of children with special health care needs in Suzhou, China, 2020-2022: A retrospective survey study |
| title_full_unstemmed | Evaluation of vaccination status of children with special health care needs in Suzhou, China, 2020-2022: A retrospective survey study |
| title_short | Evaluation of vaccination status of children with special health care needs in Suzhou, China, 2020-2022: A retrospective survey study |
| title_sort | evaluation of vaccination status of children with special health care needs in suzhou china 2020 2022 a retrospective survey study |
| topic | adverse events following immunization vaccination safety special health care needs vaccine-preventable diseases assessment clinic |
| url | http://dx.doi.org/10.1080/21645515.2023.2254965 |
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