Recent trends in vaccine coverage and confidence: A cause for concern

Human Vaccines & Immunotherapeutics, Год журнала: 2023, Номер 19(2)

Опубликована: Авг. 1, 2023

Declining trends in vaccine confidence come at a time when routine immunization coverage for children has slumped to decades-long low. With some of the largest losses experienced among young adults, this is concerning trend with potential long-term implications. This article reflects on recent research examining levels and over across globe, drivers influencing confidence, role COVID-19 pandemic shaping today. Timely examination causes consequences waning critical evaluation response measures will prove vital mitigating additional uptake while contributing building resilience face future health crises.

Язык: Английский

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What accounts for the variation in COVID-19 vaccine hesitancy in Eastern, Southern and Western Europe?

Vaccine, Год журнала: 2023, Номер 41(20), С. 3178 - 3188

Опубликована: Апрель 4, 2023

In the wake of mass COVID-19 vaccination campaigns in 2021, significant differences vaccine skepticism emerged across Europe, with Eastern European countries particular facing very high levels hesitancy and refusal. This study investigates determinants refusal, a focus on these Eastern, Southern Western Europe. The statistical analyses are based individual-level survey data comprising quota-based representative samples from 27 May 2021. finds that demographic variables have complex associations relationships age education non-linear. Trust different sources health-related information has as well, people who trust Internet, social networks 'people around' being much more likely to express skepticism. Beliefs safety effectiveness vaccines large predictive power. Importantly, this shows demographic, belief-related other factors refusal context-specific. Yet, explanations Europe need why vaccine-relevant beliefs differ regions, because effects appear be similar. It is higher prevalence such distrust national governments medical processionals relevant for explaining observed region.

Язык: Английский

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Parental intention, attitudes, beliefs, trust and deliberation towards childhood vaccination in the Netherlands in 2022: Indications of change compared to 2013

Vaccine, Год журнала: 2024, Номер 42(4), С. 801 - 811

Опубликована: Янв. 12, 2024

Vaccine uptake within the Dutch National Immunisation Programme (NIP) has slightly declined since COVID-19 pandemic. We studied psychosocial factors of vaccine uptake, namely parental intention, attitudes, beliefs, trust and deliberation (i.e., self-evidence), before (2013) two years into pandemic (2022).

Язык: Английский

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Spillover effects of the COVID-19 pandemic on attitudes to influenza and childhood vaccines

BMC Public Health, Год журнала: 2023, Номер 23(1)

Опубликована: Апрель 25, 2023

Abstract The current study sought to determine whether public perceptions of other vaccines and diseases than COVID-19 have been impacted by the pandemic. We longitudinally examined there had a change from before pandemic during in: (a) influenza vaccination behaviour intentions; (b) perceived benefit childhood vaccines; (c) safety (d) severity measles influenza; (e) trust in healthcare professionals two samples Finnish adults ( N = 205 Study 1 197 2). findings showed that pandemic, more people received or wanted receive vaccine. respondents also believed was dangerous vaccinations were safer beneficial. On hand, for only increased. Finally, one studies, confidence medical they before. Together, these imply spillover on how view illnesses.

Язык: Английский

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Pre-travel vaccine information needs, attitudes, drivers of uptake and the role for decision aids in travel medicine

Journal of Travel Medicine, Год журнала: 2023, Номер 30(4)

Опубликована: Апрель 19, 2023

Many travellers do not receive vaccines pre-travel. Tools such as vaccine decision aids could support informed decision-making. We aimed to characterise Australians' pre-travel attitudes, behaviours and information needs examine the role for in travel medicine.

Язык: Английский

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The Impact of the Coronavirus Pandemic on Vaccination Coverage in Latin America and the Caribbean

Vaccines, Год журнала: 2024, Номер 12(5), С. 458 - 458

Опубликована: Апрель 25, 2024

Background: Routine vaccination coverage in Latin America and the Caribbean declined prior to during coronavirus pandemic. We assessed pandemic’s impact on national levels analyzed whether financial inequality indicators, immunization policies, pandemic policies were associated with changes regional levels. Methodology: compared first- third-dose of diphtheria–pertussis–tetanus-containing vaccine (DTPcv) predicted coverages using time series forecast modeling for 39 LAC countries territories. Data from PAHO/WHO/UNICEF Joint Reporting Form. A secondary analysis factors hypothesized affect was also performed. Results: In total, 31 territories (79%) had greater-than-predicted declines DTPcv1 DTPcv3 pandemic, 9 12 these, respectively, falling outside 95% confidence interval. Within-country income (i.e., Gini coefficient) significant coverage, cross-country coverages. Observed absolute relative gaps between extreme country quintiles Q1 vs. Q5) accentuated 2021, as 2019 observed 2021 values. a trend school closures that approached statistical significance (p = 0.06). Conclusion: The exposed inequities significantly impacted many countries. New strategies are needed reattain high

Язык: Английский

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Understanding barriers to influenza vaccination among parents is important to improve vaccine uptake among children

Human Vaccines & Immunotherapeutics, Год журнала: 2025, Номер 21(1)

Опубликована: Янв. 23, 2025

The COVID-19 pandemic has significantly altered public perceptions of vaccines, particularly among parents. In high-income countries like the United Kingdom (UK) and Australia, factors such as misinformation, expedited approval process vaccines unique local challenges have contributed to vaccine hesitancy, resulting in uneven uptake across various vaccination programs. Despite efforts school-based influenza programs UK free rates continue decline. This is especially concerning given concurrent circulation during winter months, which places additional strain on healthcare systems. Drawing existing evidence, this commentary examines key influencing childhood provides preliminary policy recommendations address these challenges. Three actionable are outlined, including strategies counter improve accessibility, strengthen trust These insights aim guide development effective interventions increase uptake.

Язык: Английский

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Mapping Vaccination Mindsets among UK Residents of Black Ethnicities with HIV: Lessons from COVID-19

AIDS and Behavior, Год журнала: 2025, Номер unknown

Опубликована: Март 10, 2025

Abstract Vaccine hesitancy is a leading threat to public health, but little known about the beliefs and mindsets that drive vaccine hesitancy, especially among people of Black ethnicities. This study aimed understand related their relationship with SARS-CoV-2 uptake in UK residents ethnicities living HIV. Adults self-reported HIV were recruited at 12 clinics England. Participants completed questionnaires clinic, including an adapted version Beliefs Medicines Questionnaire (BMQ) assess Necessity Concerns vaccine. vaccination status was ascertained through self-report shared care records. A total 863 participants enrolled between June 2021 October 2022, most whom (92%) had received least one dose SARS CoV-2 After adjusting for age region birth, higher perceived need (OR = 2.39, 95% CI 1.51–3.81), fewer concerns 0.16, 0.08–0.30), weaker endorsement COVID-19 Conspiracy 0.31, 0.19–0.50) associated uptake. Being born outside sub-Saharan Africa reduced odds being vaccinated. shows importance specific driving Further studies should explore role these influencing other vaccinations, work key stakeholders how address improve populations.

Язык: Английский

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“Black People Listen to Black People”: Strategies to Improve COVID-19 Vaccine Confidence Among Black People Living in Canada

COVID, Год журнала: 2025, Номер 5(4), С. 45 - 45

Опубликована: Март 24, 2025

Background: Compared to other groups of Canadians, Black people have been significantly more affected by COVID-19 and appear be hesitant receive the vaccine. This article identifies approaches or strategies increase vaccine confidence uptake among in Canada. Methods: Thirty-six diverse ethnicities, aged 18 years above, living six provinces across Canada were interviewed. An inductive thematic approach was employed analyze interview data. Results: Building trust at center identified spoke meaningful practical ways sociocultural realities can used inform implement most effective health interventions. Identified include public education, building through Black-led community engagement, addressing barriers convenience focusing on literacy communication. Together, these consider nuance message, diversity messenger(s), communication channels call for a move away from generic promotion messages tailored communications grounded expertise experiences all levels healthcare service provision. Conclusions: Health must acknowledge difference, tailor target audiences, foster lasting collaborations informed members community. Government agencies providers should relationships established during pandemic, document lessons learned, remove systemic healthcare, create an emergency preparedness guide engagement

Язык: Английский

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ОСОБЕННОСТИ КЛИНИЧЕСКОГО ТЕЧЕНИЯ КОРИ У БЕРЕМЕННЫХ: РЕТРОСПЕКТИВНОЕ ИССЛЕДОВАНИЯ В АКТЮБИНСКОЙ ОБЛАСТИ

Vestnik, Год журнала: 2025, Номер 1(72), С. 43 - 57

Опубликована: Март 25, 2025

Введение. Корь у беременных представляет значительную угрозу для здоровья матери и плода. Снижение коллективного иммунитета отказ от вакцинации приводят к вспышкам заболевания даже в развитых странах, а физиологические изменения иммунной системе увеличивают риск осложнений, таких как выкидыши, преждевременные роды врожденные аномалии. Цель исследования. Описать клинические особенности течения кори период эпидемического подъема. Материалы методы В исследовании проанализированы медицинские карты 63 пациенток, госпитализированных Областную клиническую инфекционную больницу во время подъема заболеваемости корью Актюбинской области. Анализ включал данные о жалобах, клинических проявлениях, лабораторных инструментальных исследованиях с расчетом процентных соотношений по каждому показателю. Результаты. Распределение возрасту показало: 46% – 20 до 30 лет, старше лет 8% младше лет. Все пациентки были привиты против детстве, однако повторной взрослом возрасте отсутствовали. Тяжёлые формы 30%, средние 67%, лёгкие 3%. Большинство пациенток (76,2%) находились стационаре 6–8 дней, остальные менее 5 или более 8 дней. Классические симптомы кори: высокая температура (38,5–40°C) на 3–5 ярко выраженный катаральный кашлем, ринитом, конъюнктивитом, пятна Бельского-Филатова-Коплика (100%) типичное распространение сыпи. Бронхит выявлен 12,7% (из них обструктивным типом 37,5%), пневмония 11,1% (с одышкой риском дыхательной недостаточности), диарея 4,8%, выкидыш 1 случае, энцефалит не зарегистрирован. Отмечены лейкопения (23,8%), относительный лимфоцитоз (74,6%), нейтрофилез (79,4%), повышенная СОЭ (84,1%), анемия (92,1%) тромбоцитопения (14,3%). При тяжёлом течении выраженные печеночных ферментов. Выводы. протекает тяжело, 30% случаев характеризующихся выраженной интоксикацией высокой лихорадкой. Наблюдались признаки выраженного воспалительного процесса лейкопения, цитолиз гепатоцитов. Кіріспе. Жүкті әйелдердегі қызылша ана мен ұрықтың денсаулығына айтарлықтай қауіп төндіреді. Ұжымдық иммунитеттің төмендеуі және вакцинациялаудан бас тарту тіпті дамыған елдерде де аурудың өршуіне әкеледі, ал иммундық жүйедегі физиологиялық өзгерістер төлдеу, мерзімінен бұрын босану туа біткен ауытқулар сияқты асқыну қаупін арттырады. Зерттеу мақсаты. Эпидемиялық көтерілу кезеңінде жүкті әйелдердің ағымының клиникалық ерекшеліктерін сипаттау. материалдары әдістері. Зерттеуде Ақтөбе облысында қызылшамен сырқаттанушылықтың артуы кезінде Облыстық жұқпалы аурулар ауруханасына жатқызылған пациенттің медициналық картасы талданды. Талдау әрбір көрсеткіш бойынша пайыздық арақатынасты есептей отырып, шағымдар, көріністер, зертханалық аспаптық зерттеулер туралы деректерді қамтыды. Нәтижелер. Жасы бөлу: - 20-дан жасқа дейін, жастан жоғары төмен. Барлық науқастар балалық шақта қызылшаға қарсы егілген, бірақ ересек жаста қайта егу деректер жоқ. Ауыр түрлері орташа өкпесі Пациенттердің көпшілігі стационарда 6-8 күн, қалғандары немесе күннен аз болды. Қызылшаның классикалық белгілері: 3-5 күнге (38,5-40 ° C), жөтелмен, ринитпен, конъюнктивитпен, Бельский-Филатов-Коплик дақтарымен анық білінетін катаралдық кезең бөртпенің типтік таралуы. (оның ішінде обструктивті типпен (демігу тыныс алу жетіспеушілігі қаупімен), түсік тастау жағдайда анықталған, тіркелген Лейкопения салыстырмалы (14,3%) белгіленді. ағымда айқын өзгерістер. Қорытынды. қызылшасы ауыр, -ды интоксикациямен қызбамен сипатталады. Айқын қабыну процесінің белгілері гепатоциттердің цитолизі байқалды . Introduction. Measles in pregnant women poses a significant threat to maternal and fetal health. Decreased collective immunity failure vaccinate lead outbreaks even developed countries, physiological changes the immune system increase risk of complications such as miscarriage, preterm birth congenital anomalies. Objective study. To describe clinical features course measles during epidemic rise. Materials methods Medical records patients hospitalized at Regional Clinical Infectious Diseases Hospital upsurge Aktobe Oblast were analyzed The analysis included data on complaints, manifestations, laboratory instrumental investigations with calculation percentages for each indicator. Results. Age distribution showed: years old, older than old younger old. All immunized against childhood, but there no re-immunization adulthood. Severe forms moderate mild Most (76.2%) days, while rest less or more days. classic symptoms high fever (38.5-40°C) pronounced catarrhal period cough, rhinitis, conjunctivitis, Belsky-Filatov-Koplik spots typical rash. Bronchitis was detected 12.7% (including obstructive type 37.5%), pneumonia 11.1% (with dyspnea respiratory failure), diarrhea 4.8%, miscarriage case, encephalitis not registered. Leukopenia (23.8%), relative lymphocytosis (74.6%), neutrophilosis (79.4%), elevated SLE (84.1%), anemia (92.1%) thrombocytopenia (14.3%) noted. In severe marked liver enzymes. Conclusions. runs severely, cases characterized by intoxication fever. Signs inflammatory process leukopenia, cytolysis hepatocytes observed.

Язык: Русский

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