Aug 2026· Vaccines· Vol 14· 0 citations· 31 references
Medicine
TL;DR
The immunization status of children with chronic illnesses is determined, and a high rate of complete vaccination according to the routine vaccination schedule was observed, but non-routine vaccinations were administered at low rates.
Abstract
Background/Objective: Vaccination is one of the most effective and cost-effective preventive health measures for preventing infectious diseases. The literature reports that children with chronic illnesses have lower vaccination rates than healthy children and are at higher risk for preventable diseases. This study aimed to determine the immunization status of children with chronic illnesses, assess vaccination rates, and help raise awareness on this issue. Material/Method: Children aged 1 month to 18 years who presented to or were admitted to the Pediatric Clinic of Mersin City Education and Research Hospital between 1 March and 30 June 2024, and who were followed up for their chronic illness, and whose parents gave their consent, were included in the study. Sociodemographic data and information about routine and vaccines outside the national immunization schedule (Rotavirus, meningococcal, HPV, Influenza) were obtained from the parents. The status of vaccination of disease-specific recommended vaccines was also recorded. Results: A total of 256 children were included in the study (mean age 8.7 ± 4.69 years; 42.2% girls). A high rate of complete vaccination according to the routine vaccination schedule was observed. However, non-routine vaccinations were administered at low rates: rotavirus 9%, meningococcal 4.7%, and influenza 12.2%. The HPV vaccine was administered to only one patient in the study group. Recommended vaccines for the disease were administered to only 16.4% of eligible children. Conclusions: Children with chronic illnesses are at high risk for infection and complications. Increasing vaccine awareness among both healthcare professionals and parents will contribute to higher immunization rates. Comprehensive studies are needed to identify factors influencing vaccination in this population.
Adherence to the vaccination schedule among children younger than one year was insufficient, highlighting the need to strengthen educational interventions for parents, improve access to vaccination services, and implement strategies that promote timely childhood immunization in primary healthcare settings.
Mejia Chiquinquira, Pina Alberto· Journal of Family Medicine a...· 0 citations
This study demonstrates that under the guidance of a specialized vaccination clinic, over 90% of CSHCN can be safely vaccinated, thereby safeguarding their right to protection against vaccine-preventable diseases.
Yu Song, Jingjing Sun, Yu Ling et al.· Human Vaccines & Immunothera...· 0 citations
Background: Immunization is thought to be a very successful and economical therapeutic strategy since it dramatically lowers death and disability from vaccine-preventable illnesses. The survey was carried out at Rangpur medical college hospital (RMCH), Rangpur Division, Bangladesh, with the aim of evaluating the vaccination makeup of kids and moms. Methods: During January and June 2025, systematic interviews and immunisation document checking served to gather information about 200 participants, comprising 120 mothers and 80 children. For the statistical assessment, both deductive and informative techniques were applied using SPSS version 25. Findings: According to the Expanded Programme on Immunisation (EPI) timeline, 65% of the children assessed (n = 80) did totally immunised, 25% did partly immunized, and 10% did none. 55% of mothers received tetanus toxoid (TT) boosters, 78% obtained TT2, and 90% obtained TT1. Mothers in the 20–30 age range showed the highest percentage of vaccination knowledge (65%), followed by those over 30 (55%) and under 20 (40%). Ignorance (42%), vaccine unavailability (28%), fear of complications (18%), and hospital proximity (12%) were the largest obstacles to complete immunization. Furthermore, compared to children from distant regions (45%), children from urban or semi-urban areas had higher full vaccination rates (72%) (p = 0.012). Conclusion: The results underscore the critical role of tailored community-based interventions and policy measures that address structural inequities, maternal empowerment, and healthcare accessibility. To increase equitable levels of vaccination throughout Bangladesh, the results emphasize the necessity of enhancing maternal welfare skills, ensuring that vaccines remain available, and integrating immunizations into routine healthcare for women and newborns. Novelty/Originality of this article: The study additionally explored the interplay of socioeconomic status, maternal education, and health system factors, providing a holistic understanding of immunization behavior and the underlying social determinants influencing vaccine uptake.
M. Hasan, Ummay Kulsum· Journal of Sustainability, S...· 0 citations
Background: Despite the availability of an effective vaccine, measles is a significant cause of vaccine-preventable childhood morbidity and mortality in developing countries. The most common and life-threatening complication of measles is pneumonia and the vast majority of measles deaths are due to pneumonia, especially in poorly immunized children. Clarifying children's vaccination status may be useful to identify susceptible groups and increase preventive measures for measles related pneumonia. Objective: To determine frequency of unvaccinated children presenting with measles related pneumonia. Methodology: This study was a cross-sectional study carried out at Department of Pediatrics, Fauji Foundation Hospital, Rawalpindi from March 2026 to June 2026. Children aged 1–5 years with DMP were enrolled by non-probability consecutive sampling technique resulting in 255 children. The following data were collected on a structured proforma: demographic data, nutritional status, place of residence, parental education, socioeconomic status, and vaccination history. All data were analyzed on SPSS version 22.0. Data for the categorical variables were summarized as frequencies and percentages, and for the quantitative variables as means and standard deviations. The Chi-square test was used to assess the associations and a p value of ≤0.05 was considered statistically significant. Results: The mean age of 255 children with measles-related pneumonia was 3.2±1.1 years. There were 146 (57.3%) males and 109 (42.7%) females. Among the children, 153 (60.0%) were at least one dose of vaccine and 102 (40.0%) were unvaccinated against measles. Children in low socioeconomic families, malnourished children, children from rural areas and children whose mothers had lower education levels were significantly more likely to be unvaccinated (p<0.05). Conclusions: The proportion of children with pneumonia who presented with measles was high and many were not vaccinated. Improving the quality of routine immunization services and vaccine coverage, especially in hard-to-reach groups, must be achieved to stop avoidable childhood deaths and to lower severe measles complications.
Anwar Ullah, Syed Zulfiqar Haider, Faiza Jamil et al.· Aposta: Revista de Ciencias...· 0 citations