False news about Covid-19 affects child immunization in ES cities

Since the introduction of the vaccine against Covid-19, the number of cases and deaths caused by the disease has dropped significantly, allowing the virus to return to normal, although the virus is still spreading. However, Espírito Santo continues to address the challenge of vaccinating children over the age of 5, mainly due to the wave of misinformation and the spread of misinformation about the impact of immunizations on the health of children.

Approved in January of this year, childhood immunizations against the coronavirus are the main precautionary measures against the disease. However, a survey conducted by the Espirito Santo Court of Auditors (TCE-ES) shows that, three months after the campaign, almost One-third of the city of Espirito Santo has not yet reached the 50% vaccination coverage against Covid-19.And the goal is to reach 90%.

The first city in the state of Victoria to start vaccinating children. Credit: Andre Sobral

Waves of misinformation about the effects of immunization on children’s health have been cited as the main reason for the vaccine’s low adherence to vaccines – a decision that affects not only children but also other people because they are not vaccinated. Which can affect even those who have already been vaccinated.

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According to the Brazilian Society of Immunology, contributing to this is that since they usually have a mild or asymptomatic infection, children are the least tested group for the coronavirus.

Pfizer vaccine for children
Pfizer vaccine for children. Credit: Pfizer

Domingos Tafner, counselor for the TCE-ES, and a court reporter for the vaccination process, identified false news coverage as the main reason for the low vaccine adherence in municipalities.

“Since the end of 2020, they have begun to share that people have died from the vaccine. It was later canceled, but there is a group of people who are reluctant to believe it is safe, especially for children. Parents were reluctant to vaccinate their children. “

For Toffner, the situation is worrying, as it has also influenced the search for other vaccines, which are considered mandatory and essential in childhood, such as measles and polio, or the vaccine against childhood paralysis, as already shown by A Gazeta. With the rate of children being vaccinated below the appropriate level, there is a risk of recurrence of potentially fatal diseases, which can be avoided.

“The vaccine has been one of the greatest advances of mankind in the last 100 years. Mortality rates have been very high in the past. People say: The vaccine against Covid-19 was quickly developed. But now the technology is much better than other vaccines, and people have adopted it in the past and no one has complained. “

The TCE-ES process reporter, which monitors vaccination against Kovid-19 in municipalities, notes that although the risk of illness for immunized children is the most serious problem, it is not the only one.

“There are enough doses for vaccinating children, but these doses in the post have an expiration date. And when those for whom they are intended do not get vaccinated, the dose may expire and it is detrimental not only to the manpower but also to the society, it is a waste of money. “

At this point, Sesa reported this Tuesday (3), that there is no expiration date near the doses of Covid-19, and stressed that “it carries frequent guidelines with municipalities to strengthen strategies aimed at reducing dose loss.” ” In addition to having a dose distribution process by the State Cold Network Center according to the needs of each municipality. “

Toffner explained that this process of vaccination monitoring against Covid-19. Started in 2021 and since then five reports have been made. Based on an analysis of childhood vaccination data that began this year, TCE-ES recommends that municipalities run a rigorous integration process to guide people about the importance of vaccination.

In addition to the rumors, the court pointed out another possible reason for the low adherence of children to vaccination against Kovid-19: the lack of integration between the health and education departments, which is easy to reach the parents of these children, to inform them. About the need for vaccines.

When asked about the low rate of screening for childhood vaccines, the State Department of Health (SESA), in coordination with the State Immunization Program (PEI), reported that it has encouraged immunization strategies in municipalities since the beginning of vaccination against Kovid-19. Espirito Santo.

“The PEI team considers that one of the reasons for low adherence to child immunizations is misinformation and misinformation that create fear, especially in relation to post-vaccination adverse events. It makes it clear Families have also refused to allow children to be vaccinated because they believe Kovid-19 will not cause complications at this age.

Sesa further highlighted that the municipal guidelines are encouraging schools to work with schools on a sustainable, health education work on the importance of immunization as well as effective immunization measures in schools.

In addition, the folder reports that it has entered into a dialogue with the Department of Health (Sedu) and Unimed to support the work. “The PEI team instructs municipalities to take advantage of all immunization opportunities for children and adolescents to be vaccinated against COVID-19. It also serves to encourage the expansion of vaccination points and schedules. “

Vaccination occurs unevenly in municipalities

In addition, immunizations are uneven in municipalities. As of April 26, Laranza da Terra alone had vaccinated more than 80% of children with at least the first dose.

The municipality of Guarapari, through the Department of Health (SEMSA), has reported that since the beginning of vaccination against Covid-19, it has been committed to achieving the goal of vaccinating every priority audience, ” The municipality has issued a decree on importance, including decree number 171/2022, which recommends vaccinations for school enrollment and re-enrollment. “

The Secretariat further stressed that “it is planning vaccination strategies, through free demand or by appointment, on different days of the week, even extended hours and in different places, investing in promotions as well as providing vaccines against covid infantile, but Parents need to understand that the vaccine is really necessary

The percentage of children vaccinated in other cities is also much lower than expected. In the best-populated municipality in Espirito Santo, only 41.81% of the 5- to 11-year-olds were vaccinated against the coronavirus.

The municipal health department said in a note that it opens an appointment for a new dose of coronavirus vaccine against the coronavirus every Monday and Thursday, at 18:00 on the best municipal website, and that there are vacancies for all the public and co-vaccination for children. The municipality vaccinates against covid-19 at points from Monday to Friday from 9am to 5pm and on Saturday from 10am to 5pm without any appointment. The Montserrat Mall in the Colina de Larangiras neighborhood is one of the places where services are provided.

In the best health units, vaccinations are prescribed and, without a scheduled reception, according to the strength of each group and the availability of immunizers.

“Unannounced and out-of-town activities, which take place in community centers, courts, schools, have attracted the attention of residents, as well as the organization in partnership with other secretariats. This Wednesday (20), from 8am to 5pm, health and social assistance will Its Social Assistance Reference Center (Cras) will have multiple services including vaccination for the whole family. Parents or guardians need to be searched for health services Municipality. “

Another city facing similar problems is Linhares, in the northern part of the state, where the percentage of children vaccinated with at least the first dose of vaccine has reached only 43.47%. Also included in the list of municipalities with low loyalty are: Sooretama (43.79%), Marilândia (44.2%), Afonso Cláudio (44.21%) and Vila Velha (44.59%).

The latter reported through its health department that as of April 26, it had already administered 27,112 doses of the vaccine to the general population aged 5 to 11, with the same dose administered to children in Greater Vitoria. Data from Vasina e Confia.

“The municipality offers a reasonable weekly dose for children. Every week, an appointment is available on the websites, in addition to the spontaneous demand offer, where no appointment is required, Monday to Friday and Saturday. Also, the city promotes weekly, nightly vaccinations. “

The folder further highlights that in April, Villa Velha received more than 15 school childhood vaccinations. However, he stressed that “vaccination should happen, d Parents and / or legal guardians must sign the declaration [autorizando a vacinação] Or be present at the time of vaccinationCarries the child’s vaccination card. “

The other municipalities mentioned were also contacted through the report, but did not respond until the end of this text, if there is a response, it will be updated.

In Brazil, the vaccine against COVID-19 is used in children and adolescents

  1. 01

    Pfizer-BioNTech – 5 to 11 years

    The use of the Pfizer-BioNTech vaccine in children between the ages of 5 and 11 was approved by the National Health Surveillance Agency (Anvisa) in December 2021. To be approved, a number of clinical studies have not been presented by the manufacturer alone. However, it was created and analyzed by other regulatory bodies, such as the FDA (United States) and the EMA (European Union). The consensus was that the vaccine was safe and effective and suitable for inclusion in the National Immunization Plan (PNI).

  2. 02

    Coronavac – 6 to 17 years

    In January 2022, Anvisa approved the emergency use of Coronavac for non-immuno-compromised children and adolescents between the ages of 6 and 17, created with an inactivated virus. Several studies have evaluated which suggest that the vaccine is safe and beneficial for this age group.

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