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Volume 2022, Issue 2
  • EISSN: 2220-2749

Abstract

The COVID-19 pandemic affected life-saving childhood immunization globally and affected Vaccine- Preventable Diseases eradication and elimination efforts. During the initial phase of the pandemic, some countries temporarily stopped vaccination campaigns against measles, meningitis, polio, tetanus, typhoid, and yellow fever. This study was conducted to quantify the effect of COVID-19 on EPI vaccination.

A cross-sectional study was conducted in the district Swat of Khyber-Pakhtunkhwa from June to August 2022. The data was extracted from the EPI Management Information System for the four months of the pre-pandemic period and four months of the lockdown period. The pre-pandemic four- month data was taken as a baseline and was compared with the four-months lockdown period.

A 7-19% decrease was found during the lockdown period in various antigen coverage. Coverage of Penta-3 was most affected having a 19% decrease while measles coverage was less affected showing a 7% decrease during the lockdown period. BCG coverage was affected by 14%, PCV by 11 to 18%, Rota by 12 to 16%, and IPV by 18%.

The vaccination coverage improved in the later months of the lockdown, but the number of defaulters and zero-dose children increased. To fill this gap, a robust strategy for vaccination is recommended.

© 2022 The Author(s), licensee HBKU Press.
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2022-11-22
2024-11-08
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References

  1. Ahmed A., Nezami M., Alkattan A., Mohamed A., Alshazly O., Ibrahim S. et al. Elkazzaz, M. After one year of the COVID-19 pandemic and hundreds of suggested drugs, will cathepsin L inhibitors be the solution? Avi [Interent]. 2021 Nov 22 [cited 2022 Oct 5]; 2022:(1), 2. Available from: https://www.qscience.com/content/journals/10.5339/avi.2022.2. doi: 10.5339/avi.2022.2
     [Google Scholar]
  2. Dinleyici EC, Borrow R, Safadi MA, van Damme P, Munoz FM. Vaccines and routine immunization strategies during the COVID-19 pandemic. Hum Vaccines Immunother. [Interent]. 2021 Feb 1 [cited 2022 Aug 12]; 17:(2):400-7. Available from: https://www.tandfonline.com/doi/full/10.1080/21645515.2020.1804776. doi: 10.1080/21645515.2020.1804776
     [Google Scholar]
  3. CDC COVID-19 Response Team, Bialek S, Bowen V, et al. Geographic differences in COVID-19 cases, deaths, and incidence-United States, February 12-April 7, 2020. MMWR [Internet]. 2020 Apr 17 [cited 2022 Aug 12]; 69(15):465-471. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7755058/. doi: 10.15585/mmwr.mm6915e4
  4. Santoli JM, Lindley MC, DeSilva MB, et al. Effects of the COVID-19 pandemic on routine pediatric vaccine ordering and administration— United States, 2020. MMWR [Internet]. 2020 May 15 [cited 2022 Aug 12]; 69:(19);591–593. Available from: https://www.cdc.gov/ mmwr/volumes/69/wr/pdfs/mm6919e2-H.pdf. doi: 10.15585/mmwr.mm6919e2
     [Google Scholar]
  5. WHO. Million children under one at risk of diseases such as diphtheria, measles and polio as COVID-19 disrupts routine vaccination efforts, warn Gavi, WHO, UNICEF. 2020. [Internet] WHO news release; 2020 [updated 2020 May 22; cited 2022 Aug 15]. Available from: https://www.who.int/news/item/22-05-2020-at-least-80-million-children-under-one-at-risk-of-diseases-such-as-diphtheriameasles-and-polio-as-covid-19-disrupts-routine-vaccination-efforts-warn-gavi-who-and-unicef
  6. Dorward J, Khubone T, Gate K, Ngobese H, Sookrajh Y, Mkhize S, et al. The impact of the COVID-19 lockdown on HIV care in 65 South African primary care clinics: an interrupted time series analysis. Lancet HIV [Internet]. 2021 March [cited 2022 Aug 15];8(3):e158–e165. Available from: https://www.sciencedirect.com/science/article/pii/S2352301820303593. doi: 10.1016/S2352-3018(20)30359-3
     [Google Scholar]
  7. Kooli C., lock Son M., Beloufa I, . Business ethics in the era of Covid 19: How to protect jobs and employment rights through innovation. Avi [Internet]. 2022 Sep 22 [cited 2022 Oct 4]; 2022(2):7. Available from: https://www.qscience.com/content/journals/10.5339/avi.2022.7. doi: 10.5339/avi.2022.7
     [Google Scholar]
  8. Muhoza P, Danovaro-Holliday MC, Diallo MS, et al. Routine Vaccination Coverage-Worldwide, 2020. MMWR [Internet].. 2021 Oct 29 [cited 2022 Aug 18]; 2021;70 (43):1495–1500. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553029/. doi:10.15585/mmwr.mm7043a1
     [Google Scholar]
  9. WHO. How dose vaccines work? [Internet] WHO newsletter; 2020 Dec 8 [updated 2020 Dec 8; cited 2022 Aug 25], Available from: https://www.who.int/news-room/feature-stories/detail/how-do-vaccines-work?adgroupsurvey={adgroupsurvey}&gclid=CjwKCAjw5 P2aBhAlEiwAAdY7dAhh4YTdZz_AOgPQXTE2DuW4WrO-nHHKKLx0Qm-Ez-X9k6JZ7EuhBBoC48IQAvD_BwE
  10. World Health Organization. COVID-19 significantly impacts health services for noncommunicable diseases. [Internet]. 2020 [cited 2022 Aug 25]. https://www.who.int/newsroom/detail/01-06-2020-covid-19-significantly-impacts-health-services-fornoncommunicable-diseases.
     [Google Scholar]
  11. Hoffman J. Vaccine rates drop dangerously as parents avoid doctor’s visits. NYT [Internet]. 2020 Apr 24 [cited 2022 Mar 11]. Available from: https://www.nytimes.com/2020/04/23/health/ coronavirus-measles-vaccines.htmlexternalicon
     [Google Scholar]
  12. D. Gatherer. The 2014 Ebola virus disease outbreak in West Africa. J Gen Virol [Internet]. 2014 Aug 1 [cited 2022 Aug 15];95 (8):1619-1624. Available from: https://www.microbiologyresearch.org/content/journal/jgv/10.1099/vir.0.067199-0. doi: 10.1099/vir.0.067199-0.
     [Google Scholar]
  13. UNICEF. Life-saving vaccinations must not ‘fall victim’ to COVID-19 pandemic- UNICEF chief. In UN News [Internet]. 2020 [cited 2022 Aug 18]. Available from: https://news.un.org/en/story/2020/03/1060402
  14. Din, M., Asghar, M., & Ali, M. (2020). Delays in polio vaccination programs due to COVID-19 in Pakistan: a major threat to Pakistan’s long war against polio virus. Public health. 189, 1–2. [cited 2022 Aug 18]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC7552970/. doi: 10.1016/j.puhe.2020.09.004
  15. GPEI. “The first call”: Polio eradication staff support COVID-19 response. [Internet]. 2020 [cited 2022 Mar 9]. Available from: https:// reliefweb.int/report/pakistan/first-call-polioeradication-staff-support-covid-19-response
  16. Chandir S, Siddiqi DA, Mehmood M, Setayesh H, Siddique M, Mirza A, Soundardjee R, Dharma VK, Shah MT, Abdullah S, Akhter MA. Impact of COVID-19 pandemic response on uptake of routine immunizations in Sindh, Pakistan: an analysis of provincial electronic immunization registry data. Vaccine [Internet]. 2020 Oct 21 [cited 2022 Aug 25];38(45):7146-55. Available from: https://www.sciencedirect.com/science/article/pii/S0264410X20310501. doi: 10.1016/j.vaccine.2020.08.019
     [Google Scholar]
  17. Rahman SU, Haq FU, Imran M, Shah A, Bibi N, Khurshid R, et al. Impact of the COVID-19 lockdown on routine vaccination in Pakistan: a hospital-based study. Hum Vaccin Immunother [Internet]. 2021 Dec 2 [cited 2022 Aug 18];17(12):4934-40. Available from: https://www.tandfonline.com/doi/full/10.1080/21645515.2021.1979380. doi: 10.1080/21645515.2021.1979380
     [Google Scholar]
  18. Din IU, Mumtaz Z, Ataullahjan A. How the Taliban undermined community healthcare in Swat, Pakistan. BMJ [Internet]. 2012 Mar 21 [cited 2022 Aug 20];344:e2093. Available from: https://www.bmj.com/content/344/bmj.e2093. doi: 10.1136/bmj.e2093
     [Google Scholar]
  19. Pakistan Bureau of Statistics, District wise census results 2017 [Internet]. Pakistan: Ministry of Planning, Development & Special Initiatives; 2017 [cited 2022 Aug 20]. Available from: https://www.pbs.gov.pk/content/population-census
  20. Ota MO, Badur S, Romano-Mazzotti L, Friedland LR. Impact of COVID-19 pandemic on routine immunization. Ann Med [Internet]. 2021 Jan 1[cited 2022 Aug 18];53(1):2286-97. Available from: https://www.tandfonline.com/doi/full/10.1080/07853890.2021.2009128. doi: 10.1080/07853890.2021.2009128
     [Google Scholar]
  21. Billon-Denis E, Tournier JN. COVID-19 and vaccination: a global disruption. Med Sci (Paris) [Internet]. 2020 Nov 5 [cited 2022 Aug 25];36(11):1034-7. Available from: https://europepmc.org/article/med/33151866. doi: 10.1051/medsci/2020203
     [Google Scholar]
  22. Santoli JM, Lindley MC, DeSilva MB, et al. Effects of the COVID-19 pandemic on routine pediatric vaccine ordering and administration-United States, 2020. MMWR [Internet]. 2020. MMWR [Internet]. 2020 May 8 [cited 2022 Aug 25];69(19):591–3. Available from: https://www.cdc.gov/mmwr/ volumes/69/wr/mm6919e2.htm?s%E2%80%94cid=mm6919e2%E2%80%94w. doi: 10.15585/mmwr.mm6919e2
     [Google Scholar]
  23. Yu JH, Jeong HJ, Kim SJ, Lee JY, Choe YJ, Choi EH, et al. Sustained vaccination coverage during the coronavirus disease 2019 epidemic in the Republic of Korea. Vaccines [Internet]. 2020 Dec 22 [cited 2022 A25];9(1):2. Available from: https://www.mdpi.com/2076- 393X/9/1/2. doi: 10.3390/vaccines9010002
     [Google Scholar]
  24. Jain R, Chopra A, Falézan C, Patel M, Dupas P. COVID-19 related immunization disruptions in Rajasthan, India: A retrospective observational study. Vaccine [Internet]. 2021 Jul 13 [cited 2022 Aug 25];39(31):4343-50. Available from: https://www.sciencedirect.com/science/article/pii/S0264410X21007581. doi: 10.1016/j.vaccine.2021.06.022
     [Google Scholar]
  25. Zhong Y, Clapham HE, Aishworiya R, Chua YX, Mathews J, Ong M, et al. Childhood vaccinations: hidden impact of COVID-19 on children in Singapore. Vaccine [Internet]. 2021 Jan 29 [cited 2022 Aug 25];39(5):780-5. Available from: https://www.sciencedirect.com/science/article/pii/S0264410X20316340. doi: 10.1016/j.vaccine.2020.12.054
     [Google Scholar]
  26. Silveira MF, Tonial CT, Maranhão AG, Teixeira AM, Hallal PC, Menezes AM, et al. Missed childhood immunizations during the COVID-19 pandemic in Brazil: analyses of routine statistics and of a national household survey. Vaccine [Internet]. 2021 Jun 8 [cited 2022 Aug 25];39(25):3404-9. Available from: https://www.sciencedirect.com/science/article/pii/S0264410X21005053. doi: 10.1016/j.vaccine.2021.04.046
     [Google Scholar]
  27. Masresha BG, Luce Jr R, Shibeshi ME, Ntsama B, N’Diaye A, Chakauya J, et al. The performance of routine immunization in selected African countries during the first six months of the COVID-19 pandemic. Pan Afr Med J [Internet]. 2020 Sep 18 [cited 2022 Aug 25];37(Suppl 1): 12. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7733346/. doi: 10.11604/pamj.supp.2020.37.1.26107
     [Google Scholar]
/content/journals/10.5339/avi.2022.11
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Effects of the COVID-19 pandemic on the uptake of routine immunization vaccines in Swat District in Pakistan
Avicenna 2022, 11 (2022); https://doi.org/10.5339/avi.2022.11
/content/journals/10.5339/avi.2022.11
/content/journals/10.5339/avi.2022.11
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  • Article Type: Research Article
Keyword(s): COVID-19, pandemic, vaccination, Swat, EPI

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