Impact of Thimerosal-Related Changes in Hepatitis B Vaccine Birth-Dose Recommendations on Childhood Vaccination Coverage
CONTEXT In July 1999, the longstanding preference to begin hepatitis B vaccination of all US infants at birth was temporarily suspended because of concerns about exposure to mercury contained in the vaccine preservative thimerosal. The suspension was lifted in September 1999 when preservative-free h...
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creator | Luman, Elizabeth T Fiore, Anthony E Strine, Tara W Barker, Lawrence E |
description | CONTEXT In July 1999, the longstanding preference to begin hepatitis B vaccination
of all US infants at birth was temporarily suspended because of concerns about
exposure to mercury contained in the vaccine preservative thimerosal. The
suspension was lifted in September 1999 when preservative-free hepatitis B
vaccine became available. OBJECTIVE To determine the effects of changes in recommendations regarding administration
of a hepatitis B birth dose on vaccination coverage. DESIGN, SETTING, AND PARTICIPANTS Cohort analysis of vaccination status of 41 589 US children born
before, during, and after the recommendation to suspend the birth dose. MAIN OUTCOME MEASURES Association between birth cohort and age at receipt of hepatitis B vaccine
dose 1, and receipt by 19 months of age of all recommended vaccines. RESULTS The proportion of US infants who received dose 1 of hepatitis B vaccine
at birth declined from 47% among those born 7 to 12 months before the suspension
to 11% among those born during the suspension. Birth-dose coverage remained
significantly lower in the year after the suspension was lifted (23% in the
first 6 months and 33% in months 7-12). Coverage with 3 doses of hepatitis
B vaccine by 19 months of age declined from 88% among those born 7 to 12 months
before the suspension to 81% among those born during the suspension and 85%
among those born in the 6 months after the suspension, but returned to baseline
levels for those born 7 to 12 months after the suspension was lifted. These
reductions represent 750 000 fewer newborns vaccinated during 2000 compared
with 1998, and an excess 182 000 children undervaccinated for hepatitis
B at 19 months of age compared with 1998 coverage levels. Coverage with other
recommended vaccinations did not decline over this time. CONCLUSIONS Reductions in hepatitis B vaccine birth-dose coverage persisted after
recommendations were made to resume previous newborn vaccination practices.
Although the recommendation to complete the series by 19 months of age was
never changed, infants born between July and December 1999 were less likely
to have completed the series by 19 months, compared with infants born during
the previous year. The lack of impact on other vaccinations suggests that
public confidence in immunization remained strong. |
doi_str_mv | 10.1001/jama.291.19.2351 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_71939135</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ama_id>198758</ama_id><sourcerecordid>17736407</sourcerecordid><originalsourceid>FETCH-LOGICAL-a402t-b7d80bbf908722ffa5f549bbd23edd7da11f3831f612da3ab0e2196f7f0f6f333</originalsourceid><addsrcrecordid>eNqF0UFv1TAMAOAIgdjb4A4XFCHBrY84aZrkuD0GmzQJaRpcK7dx9vLUNo-mD8G_J2IPgbjgiw_-bMk2Yy9ArEEIeLfDEdfSwRrcWioNj9gKtLKV0s4-ZishnK1MbesTdprzTpQAZZ6yE9CghRRmxb5fj3vsF54Cv9vGkeaUcahuacCFPN9scbqnzOPEr2iPS1xi5hf8C_Z9nIhfxHnZVu9TJn5LfRpHmnxBaco8TaU5Dn6bkj_6XxW-Sd9oxnt6xp4EHDI9P-Yz9vnD5d3mqrr59PF6c35TYS3kUnXGW9F1wQlrpAwBddC16zovFXlvPAIEZRWEBqRHhZ0gCa4JJojQBKXUGXv7MHc_p68Hyks7xtzTMOBE6ZBbA045UPq_EIxRTS1Mga__gbt0mKeyRCsBlKqNtAW9OqJDN5Jv93Mccf7R_r58AW-OAHOPQ5hx6mP-y1nrnGuKe_ngyqv_VJ012qqf-XCbWQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>211334728</pqid></control><display><type>article</type><title>Impact of Thimerosal-Related Changes in Hepatitis B Vaccine Birth-Dose Recommendations on Childhood Vaccination Coverage</title><source>MEDLINE</source><source>American Medical Association Journals</source><creator>Luman, Elizabeth T ; Fiore, Anthony E ; Strine, Tara W ; Barker, Lawrence E</creator><creatorcontrib>Luman, Elizabeth T ; Fiore, Anthony E ; Strine, Tara W ; Barker, Lawrence E</creatorcontrib><description>CONTEXT In July 1999, the longstanding preference to begin hepatitis B vaccination
of all US infants at birth was temporarily suspended because of concerns about
exposure to mercury contained in the vaccine preservative thimerosal. The
suspension was lifted in September 1999 when preservative-free hepatitis B
vaccine became available. OBJECTIVE To determine the effects of changes in recommendations regarding administration
of a hepatitis B birth dose on vaccination coverage. DESIGN, SETTING, AND PARTICIPANTS Cohort analysis of vaccination status of 41 589 US children born
before, during, and after the recommendation to suspend the birth dose. MAIN OUTCOME MEASURES Association between birth cohort and age at receipt of hepatitis B vaccine
dose 1, and receipt by 19 months of age of all recommended vaccines. RESULTS The proportion of US infants who received dose 1 of hepatitis B vaccine
at birth declined from 47% among those born 7 to 12 months before the suspension
to 11% among those born during the suspension. Birth-dose coverage remained
significantly lower in the year after the suspension was lifted (23% in the
first 6 months and 33% in months 7-12). Coverage with 3 doses of hepatitis
B vaccine by 19 months of age declined from 88% among those born 7 to 12 months
before the suspension to 81% among those born during the suspension and 85%
among those born in the 6 months after the suspension, but returned to baseline
levels for those born 7 to 12 months after the suspension was lifted. These
reductions represent 750 000 fewer newborns vaccinated during 2000 compared
with 1998, and an excess 182 000 children undervaccinated for hepatitis
B at 19 months of age compared with 1998 coverage levels. Coverage with other
recommended vaccinations did not decline over this time. CONCLUSIONS Reductions in hepatitis B vaccine birth-dose coverage persisted after
recommendations were made to resume previous newborn vaccination practices.
Although the recommendation to complete the series by 19 months of age was
never changed, infants born between July and December 1999 were less likely
to have completed the series by 19 months, compared with infants born during
the previous year. The lack of impact on other vaccinations suggests that
public confidence in immunization remained strong.</description><identifier>ISSN: 0098-7484</identifier><identifier>EISSN: 1538-3598</identifier><identifier>DOI: 10.1001/jama.291.19.2351</identifier><identifier>PMID: 15150207</identifier><identifier>CODEN: JAMAAP</identifier><language>eng</language><publisher>Chicago, IL: American Medical Association</publisher><subject>Babies ; Biological and medical sciences ; Cohort Studies ; Drug dosages ; Health Surveys ; Hepatitis ; Hepatitis B Vaccines - administration & dosage ; Hepatitis B virus ; Human viral diseases ; Humans ; Immunization ; Immunization Schedule ; Infant ; Infant, Newborn ; Infectious diseases ; Medical sciences ; Miscellaneous ; Practice Guidelines as Topic ; Preservatives ; Preservatives, Pharmaceutical ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Social impact ; Thimerosal ; United States ; Vaccination - standards ; Vaccination - utilization ; Vaccines ; Viral diseases ; Viral hepatitis</subject><ispartof>JAMA : the journal of the American Medical Association, 2004-05, Vol.291 (19), p.2351-2358</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright American Medical Association May 19, 2004</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a402t-b7d80bbf908722ffa5f549bbd23edd7da11f3831f612da3ab0e2196f7f0f6f333</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jama/articlepdf/10.1001/jama.291.19.2351$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.291.19.2351$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,314,780,784,3340,27924,27925,76489,76492</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15889996$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15150207$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luman, Elizabeth T</creatorcontrib><creatorcontrib>Fiore, Anthony E</creatorcontrib><creatorcontrib>Strine, Tara W</creatorcontrib><creatorcontrib>Barker, Lawrence E</creatorcontrib><title>Impact of Thimerosal-Related Changes in Hepatitis B Vaccine Birth-Dose Recommendations on Childhood Vaccination Coverage</title><title>JAMA : the journal of the American Medical Association</title><addtitle>JAMA</addtitle><description>CONTEXT In July 1999, the longstanding preference to begin hepatitis B vaccination
of all US infants at birth was temporarily suspended because of concerns about
exposure to mercury contained in the vaccine preservative thimerosal. The
suspension was lifted in September 1999 when preservative-free hepatitis B
vaccine became available. OBJECTIVE To determine the effects of changes in recommendations regarding administration
of a hepatitis B birth dose on vaccination coverage. DESIGN, SETTING, AND PARTICIPANTS Cohort analysis of vaccination status of 41 589 US children born
before, during, and after the recommendation to suspend the birth dose. MAIN OUTCOME MEASURES Association between birth cohort and age at receipt of hepatitis B vaccine
dose 1, and receipt by 19 months of age of all recommended vaccines. RESULTS The proportion of US infants who received dose 1 of hepatitis B vaccine
at birth declined from 47% among those born 7 to 12 months before the suspension
to 11% among those born during the suspension. Birth-dose coverage remained
significantly lower in the year after the suspension was lifted (23% in the
first 6 months and 33% in months 7-12). Coverage with 3 doses of hepatitis
B vaccine by 19 months of age declined from 88% among those born 7 to 12 months
before the suspension to 81% among those born during the suspension and 85%
among those born in the 6 months after the suspension, but returned to baseline
levels for those born 7 to 12 months after the suspension was lifted. These
reductions represent 750 000 fewer newborns vaccinated during 2000 compared
with 1998, and an excess 182 000 children undervaccinated for hepatitis
B at 19 months of age compared with 1998 coverage levels. Coverage with other
recommended vaccinations did not decline over this time. CONCLUSIONS Reductions in hepatitis B vaccine birth-dose coverage persisted after
recommendations were made to resume previous newborn vaccination practices.
Although the recommendation to complete the series by 19 months of age was
never changed, infants born between July and December 1999 were less likely
to have completed the series by 19 months, compared with infants born during
the previous year. The lack of impact on other vaccinations suggests that
public confidence in immunization remained strong.</description><subject>Babies</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Drug dosages</subject><subject>Health Surveys</subject><subject>Hepatitis</subject><subject>Hepatitis B Vaccines - administration & dosage</subject><subject>Hepatitis B virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Immunization</subject><subject>Immunization Schedule</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Practice Guidelines as Topic</subject><subject>Preservatives</subject><subject>Preservatives, Pharmaceutical</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Social impact</subject><subject>Thimerosal</subject><subject>United States</subject><subject>Vaccination - standards</subject><subject>Vaccination - utilization</subject><subject>Vaccines</subject><subject>Viral diseases</subject><subject>Viral hepatitis</subject><issn>0098-7484</issn><issn>1538-3598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0UFv1TAMAOAIgdjb4A4XFCHBrY84aZrkuD0GmzQJaRpcK7dx9vLUNo-mD8G_J2IPgbjgiw_-bMk2Yy9ArEEIeLfDEdfSwRrcWioNj9gKtLKV0s4-ZishnK1MbesTdprzTpQAZZ6yE9CghRRmxb5fj3vsF54Cv9vGkeaUcahuacCFPN9scbqnzOPEr2iPS1xi5hf8C_Z9nIhfxHnZVu9TJn5LfRpHmnxBaco8TaU5Dn6bkj_6XxW-Sd9oxnt6xp4EHDI9P-Yz9vnD5d3mqrr59PF6c35TYS3kUnXGW9F1wQlrpAwBddC16zovFXlvPAIEZRWEBqRHhZ0gCa4JJojQBKXUGXv7MHc_p68Hyks7xtzTMOBE6ZBbA045UPq_EIxRTS1Mga__gbt0mKeyRCsBlKqNtAW9OqJDN5Jv93Mccf7R_r58AW-OAHOPQ5hx6mP-y1nrnGuKe_ngyqv_VJ012qqf-XCbWQ</recordid><startdate>20040519</startdate><enddate>20040519</enddate><creator>Luman, Elizabeth T</creator><creator>Fiore, Anthony E</creator><creator>Strine, Tara W</creator><creator>Barker, Lawrence E</creator><general>American Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QL</scope><scope>7QP</scope><scope>7TK</scope><scope>7TS</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>20040519</creationdate><title>Impact of Thimerosal-Related Changes in Hepatitis B Vaccine Birth-Dose Recommendations on Childhood Vaccination Coverage</title><author>Luman, Elizabeth T ; Fiore, Anthony E ; Strine, Tara W ; Barker, Lawrence E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a402t-b7d80bbf908722ffa5f549bbd23edd7da11f3831f612da3ab0e2196f7f0f6f333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Babies</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Drug dosages</topic><topic>Health Surveys</topic><topic>Hepatitis</topic><topic>Hepatitis B Vaccines - administration & dosage</topic><topic>Hepatitis B virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Immunization</topic><topic>Immunization Schedule</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Practice Guidelines as Topic</topic><topic>Preservatives</topic><topic>Preservatives, Pharmaceutical</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Social impact</topic><topic>Thimerosal</topic><topic>United States</topic><topic>Vaccination - standards</topic><topic>Vaccination - utilization</topic><topic>Vaccines</topic><topic>Viral diseases</topic><topic>Viral hepatitis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luman, Elizabeth T</creatorcontrib><creatorcontrib>Fiore, Anthony E</creatorcontrib><creatorcontrib>Strine, Tara W</creatorcontrib><creatorcontrib>Barker, Lawrence E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>JAMA : the journal of the American Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luman, Elizabeth T</au><au>Fiore, Anthony E</au><au>Strine, Tara W</au><au>Barker, Lawrence E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of Thimerosal-Related Changes in Hepatitis B Vaccine Birth-Dose Recommendations on Childhood Vaccination Coverage</atitle><jtitle>JAMA : the journal of the American Medical Association</jtitle><addtitle>JAMA</addtitle><date>2004-05-19</date><risdate>2004</risdate><volume>291</volume><issue>19</issue><spage>2351</spage><epage>2358</epage><pages>2351-2358</pages><issn>0098-7484</issn><eissn>1538-3598</eissn><coden>JAMAAP</coden><abstract>CONTEXT In July 1999, the longstanding preference to begin hepatitis B vaccination
of all US infants at birth was temporarily suspended because of concerns about
exposure to mercury contained in the vaccine preservative thimerosal. The
suspension was lifted in September 1999 when preservative-free hepatitis B
vaccine became available. OBJECTIVE To determine the effects of changes in recommendations regarding administration
of a hepatitis B birth dose on vaccination coverage. DESIGN, SETTING, AND PARTICIPANTS Cohort analysis of vaccination status of 41 589 US children born
before, during, and after the recommendation to suspend the birth dose. MAIN OUTCOME MEASURES Association between birth cohort and age at receipt of hepatitis B vaccine
dose 1, and receipt by 19 months of age of all recommended vaccines. RESULTS The proportion of US infants who received dose 1 of hepatitis B vaccine
at birth declined from 47% among those born 7 to 12 months before the suspension
to 11% among those born during the suspension. Birth-dose coverage remained
significantly lower in the year after the suspension was lifted (23% in the
first 6 months and 33% in months 7-12). Coverage with 3 doses of hepatitis
B vaccine by 19 months of age declined from 88% among those born 7 to 12 months
before the suspension to 81% among those born during the suspension and 85%
among those born in the 6 months after the suspension, but returned to baseline
levels for those born 7 to 12 months after the suspension was lifted. These
reductions represent 750 000 fewer newborns vaccinated during 2000 compared
with 1998, and an excess 182 000 children undervaccinated for hepatitis
B at 19 months of age compared with 1998 coverage levels. Coverage with other
recommended vaccinations did not decline over this time. CONCLUSIONS Reductions in hepatitis B vaccine birth-dose coverage persisted after
recommendations were made to resume previous newborn vaccination practices.
Although the recommendation to complete the series by 19 months of age was
never changed, infants born between July and December 1999 were less likely
to have completed the series by 19 months, compared with infants born during
the previous year. The lack of impact on other vaccinations suggests that
public confidence in immunization remained strong.</abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>15150207</pmid><doi>10.1001/jama.291.19.2351</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; American Medical Association Journals |
subjects | Babies Biological and medical sciences Cohort Studies Drug dosages Health Surveys Hepatitis Hepatitis B Vaccines - administration & dosage Hepatitis B virus Human viral diseases Humans Immunization Immunization Schedule Infant Infant, Newborn Infectious diseases Medical sciences Miscellaneous Practice Guidelines as Topic Preservatives Preservatives, Pharmaceutical Public health. Hygiene Public health. Hygiene-occupational medicine Social impact Thimerosal United States Vaccination - standards Vaccination - utilization Vaccines Viral diseases Viral hepatitis |
title | Impact of Thimerosal-Related Changes in Hepatitis B Vaccine Birth-Dose Recommendations on Childhood Vaccination Coverage |
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