The Risk of Resurgence in Vaccine-Preventable Infections Due to Coronavirus Disease 2019-Related Gaps in Immunization
The Risk of Resurgence in Vaccine-Preventable Infections Due to Coronavirus Disease 2019-Related Gaps in Immunization
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DOI：
10.1093/cid/ciab127
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发表时间：
2021-11-15
影响因子：
11.8
通讯作者：
Danziger-Isakov, Lara
中科院分区：
文献类型：
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作者：
Feldman, Amy G.;O'Leary, Sean T.;Danziger-Isakov, Lara
在全国范围内，2019冠状病毒病（COVID-19）大流行期间，免疫接种服务大幅减少。在国际上，超过60个国家的疫苗计划已经中断或暂停。由于这些免疫下降，全球社会面临着疫苗可预防的感染重新抬头的风险，包括麻疹、百日咳和脊髓灰质炎--所有这些高度传染性的疾病都会导致儿童的严重发病率和死亡率。麻疹疫情已经在许多暂停疫苗接种计划的国家爆发。在美国，当社交距离停止、儿童重返校园时，疫情很可能发生。医疗保健提供者已迅速采取行动，制定多种风险缓解策略，以恢复疫苗接种。然而，儿童免疫接种率仍低于COVID-19前的水平。需要医疗保健提供者、社区领导人以及地方、州、地区和国家公共卫生部门之间的合作，以向家庭保证在COVID-19期间提供疫苗是安全的，并识别和赶上那些免疫接种不足的儿童。
Nationally, immunization delivery has decreased significantly during the coronavirus disease 2019 (COVID-19) pandemic. Internationally, >60 national vaccine programs have been disrupted or suspended. As a result of these immunization declines, the global community is at risk for a resurgence in vaccine-preventable infections including measles, pertussis, and polio-all highly contagious diseases that result in significant morbidity and mortality in children. Measles outbreaks have already occurred in many countries that suspended their vaccination programs. Outbreaks in the United States are likely to occur when social distancing stops and children return to school. Healthcare providers have acted quickly to institute multiple risk mitigation strategies to restore vaccine administration. However, childhood immunization rates remain below pre-COVID-19 levels. Partnerships between healthcare providers, community leaders, and local, state, regional, and national public health departments are needed to reassure families that vaccine delivery during COVID-19 is safe and to identify and catch up those children who are underimmunized.