Uticaj Covida 19 na obuhvat imunizacijом dece obaveznim vakcinama u Republici Srbiji

  • Milena Zlatanović Akademija vaspitačko-medicinskih strukovnih studija Kruševac, odsek Ćuprija
  • Bojana Krstić Opšta bolnica, Ćuprija
  • Milena Despotović Fakultet medicinskih nauka, Univerziteta u Kragujevcu
  • Miloš Krstić Opšta bolnica, Ćuprija
  • Marija Milovanović Opšta bolnica, Ćuprija
DOI: https://doi.org/10.5937/pomc19-42886

Sažetak


Uvod: Zarazne bolesti su oduvek bile izazov za medicinu i zdravstvene radnike. Pored ogromnog napretka medicine one i sada predstavljaju veliki problem javnog zdravlja. Pandemija izazvana Covid 19 to i pokazuje. Usled same pandemije, preopterećenosti zdravstvenog sistema, straha od infekcije, relokacije zdravstvenih resusursa, kako bi se odgovorilo na pandemiju i drugih mera za kontolisanje i suzbijanje infekcije došlo je do remećenja rutinske usluge imunizacije dece širom sveta.

Cilj rada je da ispitamo uticaj Covida 19  na učestalost imunizacije dece obaveznim vakcinama.

Metod rada: Retrospektivnom analizom podataka iz godišnjih izveštaja SZO i Instituta za javno zdravlje Republike Srbije “Dr Milan Jovanović Batut” dati su uporedni podaci o obuhvatu obaveznom vakcinacijom protiv zaraznih bolesti  u Republici Srbiji.

Rezultati istraživanja: Rezultati petogodišnje analize u Republici Srbiji ukazuju da je obuhvat preko 95% ispunjen samo kod  imunizacije protiv tuberkuloze, dok je protiv difterije, tetanusa i velikog kašlja obuhvat od 95% bio do 2019. godine, da bi se kasnije beležio pad. U 2021. godini se vidi procentualni pad kod svih vakcina osim vakcine protiv tuberkuloze, a najmanji obuhvat je kod  MMR vakcine (74,8%). U Srbiji je 2020. u odnosu na 2019. procenat vakcinisanih MMR vakcinom opao za 9,9%, odnosno za 3,3% 2021. u odnosu na 2020. Godinu, a podaci za centralnu Srbiju pokazuju pad od 11,6% u vremenskom periodu od 2019. do 2021. godine.

Zaključak: Trend pada u obuhvatu imunizacijom obaveznih vakcina u Srbiji prati globalni trend, izuzev MMR vakcine kod koje se u Srbiji beleži značajno veći pad.

Ključne reči: Covid 19, Pandemija, Obavezna vakcinacija, Obuhvat vakcinacijom

Reference


  1. Ali I. Impact of COVID-19 on vaccination programs: adverse or positive? Hum Vaccin Immunother. 2020;16(11):2594–2600. doi:10.1080/21645515.2020.1787065.

  2. Rajnik M, Cascella M, Cuomo A, Dulebohn SC, Di Napoli R. Features, evaluation, and treatment of coronavirus (COVID-19). Uniformed Services University Of The Health Sciences; 2021.

  3. World Health Organization, Coronavirus (Covid-19) Dashboard. https://covid19.who.int/

  4. Seyed Alinaghi S, Karimi A, Mojdeganlou H, Alilou S, Mirghaderi SP, Noori T, Shamsabadi A, Dadras O, Vahedi F, Mohammadi P, Shojaei A. Impact of COVID‐19 pandemic on routine vaccination coverage of children and adolescents: A systematic review. Health science reports. 2022.

  5. MacDonald NE, Comeau JL, Dubé È, Bucci LM. COVID-19 and missed routine immunizations: designing for effective catch-up in Canada. Can J Public Health. 2020;111(4):469-472. doi: 10.17269/s41997-020-00385-4.

  6. MacDonald NE; SAGE Working Group on Vaccine Hesitancy. Vaccine   hesitancy:   Definition,   scope   and   determinants. Vaccine.2015;14;33(34):4161-41644. doi: 10.1016/j.vaccine.2015.04.036.  Epub  2015  Apr  17.  PMID: 25896383                   

  7. M. Makević Đurić, M. Đurić.  Uticaj COVID-19 pandemije na pravovremenu vakcinaciju odojčadi. Prev Ped. 2022; 8(1-2): 82 - 86.

  8. Al-Ayyadhi NHA, Al-Awadhi SSN, Al-Mathkouri RFA, Al-Tayar EBA. Impact of COVID-19 Pandemic on Routine Immunization in State of Kuwait: Short-Term Disruption With Rebound in Vaccination Utilization. AJPM Focus. 2022;1(2):100031. doi:10.1016/j.focus.2022.100031   

  9. Pravilnik o imunizaciji i načinu zaštite lekovima, ("Sl. glasnik RS", br. 88/2017, 11/2018, 14/2018, 45/2018, 48/2018, 58/2018, 104/2018, 6/2021, 52/2021 i 66/2022). https://www.paragraf.rs/propisi/pravilnik_o_imunizaciji_i_nacinu_zastite_lekovima.html

  10. Vakcinacija dece u doba pandemije Covida-19, Unicef.  https:// www. unicef. org/ serbia/ media/ 20211/file/Vakcinacija%20dece%20u%20doba%20pandemija%20kovida-19.pdf

  11. Izvеštајi о sprоvеdеnој imunizаciјi nа tеritоriјi Rеpubliке Srbiје u 2017., 2018., 2019., 2020. i 2021. gоdini. Оdеljеnjе zа prеvеnciјu i коntrоlu zаrаznih bоlеsti, Institut za javno zdravlje Srbije „Dr Milan Jovanović Batut”, https://www.batut.org.rs/index.php?category id=140  

  12. World Health Organization, Imuniozation data 2017.-2021. https://immunizationdata.wh o.int/listing.html?topic=&location

  13. Bramer CA, Kimmins LM, Swanson R, Kuo J, Vranesich P, Jacques-Carroll LA, Shen AK. Decline in child vaccination coverage during the COVID-19 pandemic - Michigan Care Improvement Registry, May 2016-May 2020. Am J Transplant. 2020 Jul;20(7):1930-1931. doi: 10.1111/ajt.16112.

  14. Chandir S, Siddiqi DA, Mehmood M, Setayesh H, Siddique M, Mirza A, Soundardjee R, Dharma VK, Shah MT, Abdullah S, Akhter MA, Ali Khan A, Khan AJ. Impact of COVID-19 pandemic response on uptake of routine immunizations in Sindh, Pakistan: An analysis of provincial electronic immunization registry data. Vaccine. 2020 Oct 21;38(45):7146-7155. doi: 10.1016/j.vaccine.2020.08.019.

  15. McDonald HI, Tessier E, White JM, Woodruff M, Knowles C, Bates C, Parry J, Walker JL, Scott JA, Smeeth L, Yarwood J, Ramsay M, Edelstein M. Early impact of the coronavirus disease (COVID-19) pandemic and physical distancing measures on routine childhood vaccinations in England, January to April 2020. Euro Surveill. 2020 May;25(19):2000848. doi: 10.2807/1560-7917.ES.2020.25.19.2000848.

  16. Al-Kuwari MG, Abdulmalik MA, Al-Mudahka HR, Bakri AH, Al-Baker WA, Abushaikha SS, Kandy MC, Gibb J. The impact of COVID-19 pandemic on the preventive services in Qatar. J Public Health Res. 2021 Jan 26;10(1):1910. doi: 10.4081/jphr.2021.1910.

  17. Shet A, Carr K, Danovaro-Holliday MC, Sodha SV, Prosperi C, Wunderlich J, Wonodi C, Reynolds HW, Mirza I, Gacic-Dobo M, O'Brien KL, Lindstrand A. Impact of the SARS-CoV-2 pandemic on routine immunisation services: evidence of disruption and recovery from 170 countries and territories. Lancet Glob Health. 2022 Feb;10(2):e186-e194. doi: 10.1016/S2214-109X(21)00512-X.

  18. Immunization Agenda 2030: A Global Strategy To Leave No One Behind. World Health Organization, 2020. https://www.who.int/publications/m/item/immunization-agenda-203 -a-global-strategy-to-leave-no-one-behind

  19. Implementing the Immunization Agenda 2030, A Framework for Action through Coordinated Planning, Monitoring & Evaluation, Ownership & Accountability, and Communications & Advocacy. World Health Organization, 2021. https://www.who. int/ publications/m/item/implementing-the-immunization-agenda-2030  


 


 

Objavljeno
2023/04/02
Broj časopisa
Vol. 19 Br. 2 (2022): PONS MEDICINSKI CASOPIS
Rubrika
Stručni članak