Influenza Immunization Rates in Children and Teenagers in Polish Cities: Conclusions from the 2009/2010 Season

  • Ernest Kuchar
  • Aneta Nitsch-Osuch
  • Katarzyna Zycinska
  • Katarzyna Miskiewicz
  • Leszek Szenborn
  • Kazimierz Wardyn
Conference paper
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 755)

Abstract

The aim of this study was to determine influenza vaccine coverage among children aged 0–18 years in inner city practices in Poland in the 2009/2010 season and factors that might have influenced low vaccination coverage. A retrospective review of 11,735 vaccination charts of children aged 0–18 from seven randomly selected general practices in the capital city of Warsaw and one large practice in the city of Wroclaw was performed. We calculated the numbers of children who were vaccinated in the 2009/2010 season and analyzed the age distribution of vaccinated children. We also reviewed the vaccination history in patients who were vaccinated against influenza including: previous influenza vaccinations, modification (widening) of standard immunization scheme, and a proportion of children who completed the recommended two-dose schedule of vaccination. In the calculations, 95% confidence intervals were used. Out of the total of 11,735 children surveyed, 362 (3.1%, CI: 2.8–3.4%) were vaccinated against influenza in the 2009/2010 season. For 115 of these 362 (31.8%, CI: 27.0–36.6%) children it was their first vaccination against influenza. The mean age of a vaccinated child was 6.0 ± 4.3 years. Children aged 2–5 were most commonly vaccinated (153/362, 42.3%, CI: 37.2–47.4%), while infants (aged 6–12 months) were vaccinated rarely (15/362, 4.4%, CI: 2.2–6.2%). In the group of children younger than 8 years (86/362 children) who were vaccinated for the first time in their life only 29/86 (33.7%, CI: 23.7–43.7%) completed the recommended two-dose schedule. In conclusion, the importance of vaccinating children against influenza is hugely understated in Poland. General physicians should actively recommend annual influenza immunization of children. Recommendations of National Immunization Program concerning influenza vaccine should be clearer, simpler, and easier to implement.

Keywords

Influenza Immunization Prevention Public health Vaccination 

References

  1. Allison, M. A., Reyes, M., Young, P., Calame, L., Sheng, X., Weng, H. Y., & Byington, C. L. (2010). Parental attitudes about influenza immunization and school-based immunization for school-aged children. Pediatric Infectious Disease Journal, 29(8), 751–755.PubMedCrossRefGoogle Scholar
  2. Bhat, N., Wright, J. G., Broder, K. R., Murray, E. L., Greenberg, M. E., Glover, M. J., Likos, A. M., Posey, D. L., Klimov, A., Lindstrom, S. E., Balish, A., Medina, M. J., Wallis, T. R., Guarner, J., Paddock, C. D., Shieh, W. J., Zaki, S. R., Sejvar, J. J., Shay, D. K., Harper, S. A., Cox, N. J., Fukuda, K., & Uyeki, T. M. (2005). Influenza-associated deaths among children in the United States, 2003–2004. The New England Journal of Medicine, 353(24), 2559–2567.PubMedCrossRefGoogle Scholar
  3. Brydak, L. B. (2011). Infections caused by respiratory viruses and the possibility of controlling them. Polski Merkuriusz lekarski, 30(179), 355–358 (Article in Polish).PubMedGoogle Scholar
  4. Chi, R. C., Reiber, G. E., Lipsky, B. A., Boyko, E. J., & Neuzil, K. M. (2010). Influenza vaccination rates of children in households with high-risk adults. Public Health Reports, 125(2), 192–198.PubMedGoogle Scholar
  5. Cohen, S. A., Chui, K. K., & Naumova, E. N. (2011). Influenza vaccination in young children reduces influenza-associated hospitalizations in older adults, 2002–2006. Journal of American Geriatrics Society, 59(2), 327–332.CrossRefGoogle Scholar
  6. Esposito, S., Marchisio, P., Droghetti, R., Lambertini, L., Faelli, N., Bosis, S., Tosi, S., Begliatti, E., & Principi, N. (2006). Influenza vaccination coverage among children with high-risk medical conditions. Vaccine, 24(24), 5251–5255.PubMedCrossRefGoogle Scholar
  7. Fiore, A., Shay, D., Broder, K., Iskander, J., Uyeki, T., Mootrey, G., & Bresee, J. (2008). Prevention and Control of Influenza. Recommendations of the Advisory Committee on Immunization Practices (ACIP). Morbidity and Mortality Weekly Report, 57((Early release)), 1–60.Google Scholar
  8. Harper, S., Fukuda, K., Uyeki, T., Cox, N., & Bridges, C. (2004). Prevention and control of influenza. Recommendations of the Advisory Committee on Immunization Practices (ACIP). Morbidity and Mortality Weekly Report, 53(RR06), 1–40.Google Scholar
  9. Heikkinen, T., Silvennoinen, H., Peltola, V., Ziegler, T., Vainionpaa, R., Vuorinen, T., Kainulainen, L., Puhakka, T., Jartti, T., Toikka, P., Lehtinen, P., Routi, T., & Juven, T. (2004). Burden of influenza in children in the community. Journal of Infectious Diseases, 190(8), 1369–1373.PubMedCrossRefGoogle Scholar
  10. Heikkinen, T., Booy, R., Campins, M., Finn, A., Olcén, P., Peltola, H., Rodrigo, C., Schmitt, H. J., Schumacher, F., Teo, S., & Weil-Olivier, C. (2006). Should healthy children be vaccinated against influenza? A consensus report of the summits of Independent European Vaccination Experts. European Journal of Pediatrics, 165(4), 223–228.PubMedCrossRefGoogle Scholar
  11. Horwitz, E. S., Haber, M., Chang, A., Shope, T., Teo, S., Ginsberg, M., Waecker, N., & Cox, N. J. (2000). Effectiveness of influenza vaccination of day care children in reducing influenza-related morbidity among household contacts. JAMA, 284, 1677–1682.Google Scholar
  12. Izurieta, H. S., Thompson, W. W., Kramarz, P., Shay, D. K., Davis, R. L., DeStefano, F., Black, S., Shinefield, H., & Fukuda, K. (2000). Influenza and the rates of hospitalization for respiratory disease among infants and young children. The New England Journal of Medicine, 342(4), 232–239.PubMedCrossRefGoogle Scholar
  13. Jiménez-García, R., Hernández-Barrera, V., Carrasco-Garrido, P., López de Andrés, A., Pérez, N., & de Miguel, A. G. (2008). Influenza vaccination coverages among children, adults, health care workers and immigrants in Spain: related factors and trends, 2003–2006. Journal of Infection, 57(6), 472–480.PubMedCrossRefGoogle Scholar
  14. Kroneman, M. W., & van Essen, G. A. (2007). Stagnating influenza vaccine coverage rates among high-risk groups in Poland and Sweden in 2003/4 and 2004/5. Eurosurveillance, 12(4), 137–141.Google Scholar
  15. Mangtani, P., Cumberland, P., Hodgson, C. R., Roberts, J. A., Cutts, F. T., & Hall, A. J. (2004). A cohort study of the effectiveness of influenza vaccine in older people performed using the United Kingdom general practice research database. Journal of Infectious Diseases, 190(1), 1–10.PubMedCrossRefGoogle Scholar
  16. Neuzil, K. M., Mellen, B. G., Wright, P. F., Mitchel, E. F., Jr., & Griffin, M. R. (2000). The effect of influenza on hospitalizations, outpatient visits, and courses of antibiotics in children. The New England Journal of Medicine, 342(4), 225–231.PubMedCrossRefGoogle Scholar
  17. Neuzil, K. M., Zhu, Y., Griffin, M. R., Edwards, K. M., Thompson, J. M., Tollefson, S. J., & Wright, P. F. (2002). Burden of interpandemic influenza in children younger than 5 years: A 25-year prospective study. Journal of Infectious Diseases, 185(2), 147–152.PubMedCrossRefGoogle Scholar
  18. Nichol, K. L., Nordin, J. D., Nelson, D. B., Mullooly, J. P., & Hak, E. (2007). Effectiveness of influenza vaccine in the community-dwelling elderly. The New England Journal of Medicine, 357(14), 1373–1381.PubMedCrossRefGoogle Scholar
  19. Nitsch-Osuch, A., Kuchar, E., Zycinska, K., Topczewska-Cabanek, A., Gyrczuk, E., & Wardyn, K. (2010). Influenza vaccine coverage among children under the age of 5 years in Poland during 2004–2008. European Journal of Medical Research, 15(Suppl 2), 102–104.PubMedGoogle Scholar
  20. Pabst, L. J., Weinbaum, C., & Chaves, S. (2010). Seasonal influenza vaccination coverage among children aged 6 months-18 years – Eight immunization system Sentinel sites, United States, 2009–10 influenza season. Morbidity and Mortality Weekly Report, 59(39), 1266–1273.Google Scholar
  21. Poehling, K. A., Edwards, K. M., Weinberg, G. A., Szilagyi, P., Staat, M. A., Iwane, M. K., Bridges, C. B., Grijalva, C. G., Zhu, Y., Bernstein, D. I., Herrera, G., Erdman, D., Hall, C. B., Seither, R., & Griffin, M. R. (2006). New Vaccine Surveillance Network. The under recognized burden of influenza in young children. The New England Journal of Medicine, 355(1), 31–40.PubMedCrossRefGoogle Scholar
  22. Poehling, K. A., Fairbrother, G., Zhu, Y., Donauer, S., Ambrose, S., Edwards, K. M., Staat, M. A., Prill, M. M., Finelli, L., Allred, N. J., Bardenheier, B., & Szilagyi, P. G. (2010). New Vaccine Surveillance Network. Practice and child characteristics associated with influenza vaccine uptake in young children. Pediatrics, 126(4), 665–673.PubMedCrossRefGoogle Scholar
  23. Sievert, A. J., Bohan, G. N., Elsea, W. R., & Sikes, R. K. (1988). Adult immunization: Knowledge, attitudes, and practices–DeKalb and Fulton Counties, Georgia, 1988. Morbidity and Mortality Weekly Report, 37(43), 657–661.Google Scholar
  24. Smith, N., Bresee, J., Shay, D., Uyeki, T., Cox, N., & Strikas, R. (2006). Prevention and control of Influenza. Recommendations of the Advisory Committee on Immunization Practices (ACIP). Morbidity and Mortality Weekly Report, 55, 1–42.Google Scholar
  25. Thompson, W. W., Shay, D. K., Weintraub, E., Brammer, L., Cox, N., Anderson, L. J., & Fukuda, K. (2003). Mortality associated with influenza and respiratory syncytial virus in the United States. Journal of the American Medical Association, 289, 179–186.PubMedCrossRefGoogle Scholar
  26. Thompson, W. W., Shay, D. K., Weintraub, E., Brammer, L., Bridges, C. B., Cox, N. J., & Fukuda, K. (2004). Influenza-associated hospitalizations in the United States. Journal of the American Medical Association, 292(11), 1333–1340.PubMedCrossRefGoogle Scholar
  27. Usonis, V., Anca, I., André, F., Chlibek, R., Ivaskeviciene, I., Mangarov, A., Mészner, Z., Prymula, R., Simurka, P., Tamm, E., & Tesović, G. (2010). Central European Vaccination Advisory Group (CEVAG) guidance statement on recommendations for influenza vaccination in children. BMC Infectious Diseases, 10, 168.PubMedCrossRefGoogle Scholar
  28. Verani, J. R., Irigoyen, M., Chen, S., & Chimkin, F. (2007). Influenza vaccine coverage and missed opportunities among inner-city children aged 6 to 23 months: 2000–2005. Pediatrics, 119(3), e580–e586.PubMedCrossRefGoogle Scholar
  29. Zimmerman, R. K., Hoberman, A., Nowalk, M. P., Lin, C. J., Greenberg, D. P., Weinberg, S. T., Bemm C. W., & Block, B. (2004). Feasibility of influenza immunization for inner-city children aged 6 to 23 months. Am J Prev Med, 27, 397–403.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Ernest Kuchar
    • 1
  • Aneta Nitsch-Osuch
    • 2
  • Katarzyna Zycinska
    • 2
  • Katarzyna Miskiewicz
    • 1
  • Leszek Szenborn
    • 1
  • Kazimierz Wardyn
    • 2
  1. 1.Department of Pediatric Infectious DiseasesWroclaw Medical UniversityWroclawPoland
  2. 2.Department of Family MedicineWarsaw Medical UniversityWarsawPoland

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