scholarly journals Impact of the COVID-19 pandemic on the provision of routine childhood immunizations in Ontario, Canada

Vaccine ◽  
2021 ◽  
Author(s):  
Pierre-Philippe Piché-Renaud ◽  
Catherine Ji ◽  
Daniel S. Farrar ◽  
Jeremy N. Friedman ◽  
Michelle Science ◽  
...  
Keyword(s):  
Childhood Immunizations ◽  
Routine Childhood

Inadequate pain management during routine childhood immunizations: The nerve of it

2009 ◽  
Vol 31 ◽  
pp. S152-S167 ◽  
Author(s):  
Anna Taddio ◽  
Christine T. Chambers ◽  
Scott A. Halperin ◽  
Moshe Ipp ◽  
Donna Lockett ◽  
...  
Keyword(s):  
Pain Management ◽  
Childhood Immunizations ◽  
Routine Childhood

Analgesic effects of breast- and formula feeding during routine childhood immunizations up to 1 year of age

2020 ◽  
Author(s):  
Claudia Viggiano ◽  
Annachiara Occhinegro ◽  
Maria Anna Siano ◽  
Claudia Mandato ◽  
Michele Adinolfi ◽  
...  
Keyword(s):  
Formula Feeding ◽  
Analgesic Effects ◽  
Childhood Immunizations ◽  
Routine Childhood

Should Pediatric Practices Have Policies to Not Care for Children With Vaccine-Hesitant Parents?

2018 ◽  
pp. 70-75
Author(s):  
Kenneth Alexander ◽  
Tomas A. Lacy ◽  
Angela L. Myers ◽  
John D. Lantos
Keyword(s):  
Childhood Immunizations ◽  
Routine Childhood ◽  
Parent Relationship ◽  
Physician Patient ◽  
Proper Response

One of the most divisive issues in pediatrics today concerns the proper response by pediatricians to parents who refuse routine childhood immunizations for their children. Many pediatricians refuse to care for such families. Others continue to provide care and continue to try to convince parents that the benefits of immunizations far outweigh the risks. Two of the most powerful arguments in favor of dismissing such parents are as follows: (1) their refusal suggests such lack of trust in the physicians’ recommendations that it undermines the basis for a meaningful physician–patient–parent relationship; and (2) unimmunized children present an unacceptable risk to other children in the physicians’ waiting rooms. This article examines those arguments.

scholarly journals Impact of the COVID-19 pandemic on the provision of routine childhood immunizations in Ontario, Canada

2021 ◽  
Author(s):  
Pierre-Philippe Piché-Renaud ◽  
Catherine Ji ◽  
Daniel S. Farrar ◽  
Jeremy N. Friedman ◽  
Michelle Science ◽  
...  
Keyword(s):  
Negative Impact ◽  
Age Groups ◽  
Family Physicians ◽  
Cross Sectional Study ◽  
Early Career ◽  
Cross Sectional ◽  
Childhood Immunizations ◽  
Routine Childhood ◽  
Immunization Services ◽  
Temporary Closure

Background: The COVID-19 pandemic has a worldwide impact on all health services, including childhood immunizations. In Canada, there is limited data to quantify and characterize this issue. Methods: We conducted a descriptive, cross-sectional study by distributing online surveys to physicians across Ontario. The survey included three sections: provider characteristics, impact of COVID-19 on professional practice, and impact of COVID-19 on routine childhood immunization services. Multivariable logistic regression identified factors associated with modification of immunization services. Results: A total of 475 respondents answered the survey from May 27th to July 3rd 2020, including 189 family physicians and 286 pediatricians. The median proportion of in-person visits reported by physicians before the pandemic was 99% and dropped to 18% during the first wave of the pandemic in Ontario. In total, 175 (44.6%) of the 392 respondents who usually provide vaccination to children acknowledged a negative impact caused by the pandemic on their immunization services, ranging from temporary closure of their practice (n=18; 4.6%) to postponement of vaccines in certain age groups (n=103; 26.3%). Pediatricians were more likely to experience a negative impact on their immunization services compared to family physicians (adjusted odds ratio [aOR]=2.64, 95% CI: 1.48-4.68), as well as early career physicians compared to their more senior colleagues (aOR=2.69, 95% CI: 1.30-5.56), whereas physicians from suburban settings were less impacted than physicians from urban settings (aOR=0.62, 95% CI: 0.39-0.99). The most frequently identified barriers to immunizations during the pandemic were parental concerns around COVID-19 (n=305; 77.8%), lack of personal protective equipment (PPE; n=123; 31.3%) and healthcare workers' concerns of contracting COVID-19 (n=105; 26.8%). Conclusions: COVID-19 has caused substantial modifications to pediatric immunization services across Ontario. Strategies to mitigate barriers to immunizations during the pandemic need to be implemented in order to avoid immunity gaps that could lead to an increase in vaccine preventable diseases.

Primary Pediatric Care in the Emergency Department

PEDIATRICS ◽  
1994 ◽  
Vol 94 (3) ◽  
pp. 406-406
Author(s):  
Leslie L. Barton ◽  
Anna Binkiewicz ◽  
John Ey ◽  
Martha Eicher
Keyword(s):  
Emergency Department ◽  
Medical Care ◽  
Pediatric Care ◽  
Negative Behavior ◽  
Modus Operandi ◽  
Childhood Immunizations ◽  
Routine Childhood ◽  
Catch Up ◽  
A Site

We read with interest the article by Bell et al1 regarding using the emergency department (ED) as a site for routine childhood immunizations. Although we strongly advocate universal, complete immunization of children (to do otherwise would be to profess ignorance of recent major outbreaks of measles, mumps, rubella, and pertussis),2 we do not support the concept of using the ED as the major "modus operandi." We believe that administering catch-up immunizations in an ED setting would be expensive, inefficient, and would reinforce the negative behavior of seeking incomplete, episodic, rather than comprehensive, medical care.

Psychological interventions for reducing pain and distress during routine childhood immunizations: A systematic review

2009 ◽  
Vol 31 ◽  
pp. S77-S103 ◽  
Author(s):  
Christine T. Chambers ◽  
Anna Taddio ◽  
Lindsay S. Uman ◽  
C.Meghan McMurtry
Keyword(s):  
Systematic Review ◽  
Psychological Interventions ◽  
Childhood Immunizations ◽  
Routine Childhood
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