Methods used for immunization coverage assessment in Canada, a Canadian Immunization Research Network (CIRN) study

Accurate and complete immunization data are necessary to assess vaccine coverage, safety and effectiveness. Across Canada, different methods and data sources are used to assess vaccine coverage, but these have not been systematically described. Our primary objective was to examine and describe the m...

Full description

Bibliographic Details
Main Authors: Sarah E. Wilson, Susan Quach, Shannon E. MacDonald, Monika Naus, Shelley L. Deeks, Natasha S. Crowcroft, Salaheddin M. Mahmud, Dat Tran, Jeff Kwong, Karen Tu, Nicolas L. Gilbert, Caitlin Johnson, Shalini Desai
Format: Article
Language:English
Published: Taylor & Francis Group 2017-08-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2017.1319022
_version_ 1797677577084600320
author Sarah E. Wilson
Susan Quach
Shannon E. MacDonald
Monika Naus
Shelley L. Deeks
Natasha S. Crowcroft
Salaheddin M. Mahmud
Dat Tran
Jeff Kwong
Karen Tu
Nicolas L. Gilbert
Caitlin Johnson
Shalini Desai
author_facet Sarah E. Wilson
Susan Quach
Shannon E. MacDonald
Monika Naus
Shelley L. Deeks
Natasha S. Crowcroft
Salaheddin M. Mahmud
Dat Tran
Jeff Kwong
Karen Tu
Nicolas L. Gilbert
Caitlin Johnson
Shalini Desai
author_sort Sarah E. Wilson
collection DOAJ
description Accurate and complete immunization data are necessary to assess vaccine coverage, safety and effectiveness. Across Canada, different methods and data sources are used to assess vaccine coverage, but these have not been systematically described. Our primary objective was to examine and describe the methods used to determine immunization coverage in Canada. The secondary objective was to compare routine infant and childhood coverage estimates derived from the Canadian 2013 Childhood National Immunization Coverage Survey (cNICS) with estimates collected from provinces and territories (P/Ts). We collected information from key informants regarding their provincial, territorial or federal methods for assessing immunization coverage. We also collected P/T coverage estimates for select antigens and birth cohorts to determine absolute differences between these and estimates from cNICS. Twenty-six individuals across 16 public health organizations participated between April and August 2015. Coverage surveys are conducted regularly for toddlers in Quebec and in one health authority in British Columbia. Across P/Ts, different methodologies for measuring coverage are used (e.g., valid doses, grace periods). Most P/Ts, except Ontario, measure up-to-date (UTD) coverage and 4 P/Ts also assess on-time coverage. The degree of concordance between P/T and cNICS coverage estimates varied by jurisdiction, antigen and age group. In addition to differences in the data sources and processes used for coverage assessment, there are also differences between Canadian P/Ts in the methods used for calculating immunization coverage. Comparisons between P/T and cNICS estimates leave remaining questions about the proportion of children fully vaccinated in Canada.
first_indexed 2024-03-11T22:47:17Z
format Article
id doaj.art-d877b3d322fb4f428d7e22ae628bdf3e
institution Directory Open Access Journal
issn 2164-5515
2164-554X
language English
last_indexed 2024-03-11T22:47:17Z
publishDate 2017-08-01
publisher Taylor & Francis Group
record_format Article
series Human Vaccines & Immunotherapeutics
spelling doaj.art-d877b3d322fb4f428d7e22ae628bdf3e2023-09-22T08:17:50ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2017-08-011381928193610.1080/21645515.2017.13190221319022Methods used for immunization coverage assessment in Canada, a Canadian Immunization Research Network (CIRN) studySarah E. Wilson0Susan Quach1Shannon E. MacDonald2Monika Naus3Shelley L. Deeks4Natasha S. Crowcroft5Salaheddin M. Mahmud6Dat Tran7Jeff Kwong8Karen Tu9Nicolas L. Gilbert10Caitlin Johnson11Shalini Desai12Public Health OntarioPublic Health OntarioUniversity of AlbertaBC Centre for Disease ControlPublic Health OntarioPublic Health OntarioUniversity of ManitobaThe Hospital for Sick Children, University of TorontoPublic Health OntarioInstitute for Clinical Evaluative ServicesPublic Health Agency of CanadaPublic Health OntarioPublic Health Agency of CanadaAccurate and complete immunization data are necessary to assess vaccine coverage, safety and effectiveness. Across Canada, different methods and data sources are used to assess vaccine coverage, but these have not been systematically described. Our primary objective was to examine and describe the methods used to determine immunization coverage in Canada. The secondary objective was to compare routine infant and childhood coverage estimates derived from the Canadian 2013 Childhood National Immunization Coverage Survey (cNICS) with estimates collected from provinces and territories (P/Ts). We collected information from key informants regarding their provincial, territorial or federal methods for assessing immunization coverage. We also collected P/T coverage estimates for select antigens and birth cohorts to determine absolute differences between these and estimates from cNICS. Twenty-six individuals across 16 public health organizations participated between April and August 2015. Coverage surveys are conducted regularly for toddlers in Quebec and in one health authority in British Columbia. Across P/Ts, different methodologies for measuring coverage are used (e.g., valid doses, grace periods). Most P/Ts, except Ontario, measure up-to-date (UTD) coverage and 4 P/Ts also assess on-time coverage. The degree of concordance between P/T and cNICS coverage estimates varied by jurisdiction, antigen and age group. In addition to differences in the data sources and processes used for coverage assessment, there are also differences between Canadian P/Ts in the methods used for calculating immunization coverage. Comparisons between P/T and cNICS estimates leave remaining questions about the proportion of children fully vaccinated in Canada.http://dx.doi.org/10.1080/21645515.2017.1319022canadaimmunization coverageimmunization registriesimmunization registersvaccine-preventable diseases
spellingShingle Sarah E. Wilson
Susan Quach
Shannon E. MacDonald
Monika Naus
Shelley L. Deeks
Natasha S. Crowcroft
Salaheddin M. Mahmud
Dat Tran
Jeff Kwong
Karen Tu
Nicolas L. Gilbert
Caitlin Johnson
Shalini Desai
Methods used for immunization coverage assessment in Canada, a Canadian Immunization Research Network (CIRN) study
Human Vaccines & Immunotherapeutics
canada
immunization coverage
immunization registries
immunization registers
vaccine-preventable diseases
title Methods used for immunization coverage assessment in Canada, a Canadian Immunization Research Network (CIRN) study
title_full Methods used for immunization coverage assessment in Canada, a Canadian Immunization Research Network (CIRN) study
title_fullStr Methods used for immunization coverage assessment in Canada, a Canadian Immunization Research Network (CIRN) study
title_full_unstemmed Methods used for immunization coverage assessment in Canada, a Canadian Immunization Research Network (CIRN) study
title_short Methods used for immunization coverage assessment in Canada, a Canadian Immunization Research Network (CIRN) study
title_sort methods used for immunization coverage assessment in canada a canadian immunization research network cirn study
topic canada
immunization coverage
immunization registries
immunization registers
vaccine-preventable diseases
url http://dx.doi.org/10.1080/21645515.2017.1319022
work_keys_str_mv AT sarahewilson methodsusedforimmunizationcoverageassessmentincanadaacanadianimmunizationresearchnetworkcirnstudy
AT susanquach methodsusedforimmunizationcoverageassessmentincanadaacanadianimmunizationresearchnetworkcirnstudy
AT shannonemacdonald methodsusedforimmunizationcoverageassessmentincanadaacanadianimmunizationresearchnetworkcirnstudy
AT monikanaus methodsusedforimmunizationcoverageassessmentincanadaacanadianimmunizationresearchnetworkcirnstudy
AT shelleyldeeks methodsusedforimmunizationcoverageassessmentincanadaacanadianimmunizationresearchnetworkcirnstudy
AT natashascrowcroft methodsusedforimmunizationcoverageassessmentincanadaacanadianimmunizationresearchnetworkcirnstudy
AT salaheddinmmahmud methodsusedforimmunizationcoverageassessmentincanadaacanadianimmunizationresearchnetworkcirnstudy
AT dattran methodsusedforimmunizationcoverageassessmentincanadaacanadianimmunizationresearchnetworkcirnstudy
AT jeffkwong methodsusedforimmunizationcoverageassessmentincanadaacanadianimmunizationresearchnetworkcirnstudy
AT karentu methodsusedforimmunizationcoverageassessmentincanadaacanadianimmunizationresearchnetworkcirnstudy
AT nicolaslgilbert methodsusedforimmunizationcoverageassessmentincanadaacanadianimmunizationresearchnetworkcirnstudy
AT caitlinjohnson methodsusedforimmunizationcoverageassessmentincanadaacanadianimmunizationresearchnetworkcirnstudy
AT shalinidesai methodsusedforimmunizationcoverageassessmentincanadaacanadianimmunizationresearchnetworkcirnstudy