Vaccination of children against Covid started gradually in SP; The strategy is critical – 11/18/2022

The Covid-19 vaccination drive for children aged 6 months to three years has started slowly. The Pfizer child immunizer started to be utilized in the town of São Paulo this Thursday, the seventeenth, for comorbidities – with immunosuppressed and everlasting disabilities – or for indigenous folks, which is in accordance with the suggestions of the Ministry of Health, nonetheless, in 4 UBS the place the newspaper studies and Estado de S. Paulo have been current. – Around Villa Mariana, Cambusi, Santa Cecilia and Villa Maddalena – Few or no children have been vaccinated.

According to the stability of São Paulo City Hall, of the 34,840 doses acquired by the municipality, solely 699 have been utilized this Thursday, the seventeenth, in the 470 Basic Health Units (UBS) of the capital.

For workers of well being items and pediatric specialists, the explanation for the low vaccination charge is the target market of the marketing campaign, since, in this age group, many children haven’t but acquired a prognosis of continual illness or incapacity.

The determination to prioritize sure teams of children, adopted by the Ministry of Health, goes against the suggestions of the Technical Chamber of Pediatrics, which recommends buying adequate doses to vaccinate all children of this age.

“At the start of the epidemic and the logic of prioritizing immunization of folks with underlying illnesses for adults was comprehensible, since vaccine doses started to be produced, they got here in batches, and it was essential to comprise the quantity of deaths, however not. Today and never for children”, explains Monica Levy, pediatrician and director of the Brazilian Society of Immunization (SBIM).

According to the knowledgeable, the Ministry of Health didn’t think about the specificity of this age. “They took a desk of frequent comorbidities in adults and adolescents and tried to undertake it to advertise children. It did not work.”

Lack of communication

In primary well being items, many individuals didn’t know what illnesses and situations are thought-about comorbidities. Fathers and moms went in and out with their children to manage the National Immunization Plan (PNI) vaccine, however regretted that they nonetheless couldn’t vaccinate their children against Covid-19.

Although well being items are engaged on a “xepa queue” to vaccinate children aged 6 months to 2 years, 11 months and 29 days, who don’t have any underlying illnesses or are non-indigenous, many dad and mom will not be conscious of this.

“I’m ready for him to start out vaccinating. As quickly as they launch it, I’ll undoubtedly convey him to vaccinate, as a result of I do know the significance of vaccines,” mentioned Rosangela Silva, mom of 11-month-previous Bernardo, who till then “Line for Jepa “Didn’t find out about that.

For Monica Levy, dad and mom’ lack of info is the outcome of an absence of an efficient vaccine communication marketing campaign. “Parents have to be known as to vaccinate their children. If they do a marketing campaign prefer it was executed in the previous days, with Zé Gotinha, there will likely be no scarcity of folks keen to vaccinate”, he says.

This month, the Ministry of Health mentioned that functions for children who would not have comorbidities will likely be evaluated after the approval of the National Commission for Unified Health System (Conitec) Technologies Inc., nonetheless with out a date.

Miss dose

In addition to delays in vaccination, there is a threat of missed doses as a result of low demand for vaccination of children at well being centres. Each Pfizer Baby Ampoule incorporates ten doses and, after opening, is legitimate for 12 hours. Therefore, if all doses of the ampoule will not be utilized on the finish of the day, the vaccine is misplaced.

The expectation is that, underneath these situations, the “Coupa Row” will transfer quicker, nonetheless, Monica emphasised that this is not the best state of affairs. “It is absurd that we’re lacking doses of vaccine for logistical causes. It would make sense to part vaccination by age, however not in this comorbidity scheme,” he mentioned.

In addition, even with the measurement of the applying of the remaining dose, the chance of waste is excessive, in spite of everything, not all well being facilities are in a position to kind a robust “queue” and fogeys will not be at all times in a position to attend the mandatory place. the time

Parents of children from the “xepa queue” are contacted a couple of minutes earlier than the closing of the well being posts and have to be there rapidly in order that the kid might be vaccinated. Therefore, registration is allowed just for individuals residing close to the well being unit after presenting proof of residence.

Impact of Covid-19 on children

Maria Aparecida Souza’s son Pedro, 2, is among the many few children vaccinated this Thursday. He has encephalopathy and developmental issues. “I bought to know that the vaccination drive for children will begin at the moment and AACD inspired me to get vaccinated. I made a decision to go to UBS at the moment as a result of I understand how essential it is to stop this illness”, mentioned the mom.

According to Fiocruz, two children underneath the age of 5 die day by day in Brazil from Covid-19. In addition, they’re extra liable to respiratory illnesses in normal.

“We have instances of lengthy-time period covid and systemic pediatric inflammatory syndrome in these children, which has a excessive mortality charge, corresponding to different illnesses for which there are vaccines”, says Monica. “It is not a trivial illness for a kid”, he emphasised.

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