Reflections on the Advisory Committee on Immunization Practices During the COVID-19 Pandemic.

Autor: Poehling KA; Departments of Pediatric and Epidemiology and Prevention (KA Poehling), Center for Vaccines at the Extremes of Aging, Wake Forest University School of Medicine, Winston-Salem, NC. Electronic address: kpoehlin@wakehealth.edu., Lee GM; Department of Pediatrics (GM Lee), Stanford University School of Medicine, Calif.
Jazyk: angličtina
Zdroj: Academic pediatrics [Acad Pediatr] 2024 Sep-Oct; Vol. 24 (7), pp. 1038-1046. Date of Electronic Publication: 2024 Jul 06.
DOI: 10.1016/j.acap.2024.06.019
Abstrakt: Pediatricians and primary care providers serve an important role in building trust with families and communities. To support the critical role of front-line providers, this perspective seeks to reflect on the work of the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices to support COVID-19 pandemic response efforts. Although Advisory Committee on Immunization Practice (ACIP) recommends vaccines for all age groups, this perspective focuses on the pediatric lens and is tailored to Academic Pediatrics. ACIP adapted from in-person meetings 3 times yearly to virtual meetings on an emergency basis to ensure a thorough review and presentation of all the components of the evidence to recommendation framework, including explicit consideration of equity in the decision-making process. The need for diverse enrollment in clinical trials was highlighted as critical for supporting recommendations and enhancing trust. Near real-time vaccine safety surveillance was implemented at scale and emphasized the importance of collaboration between federal partners engaged in vaccine safety in the United States and extended to other countries with similar safety surveillance systems to enable early recognition and response to safety concerns. A key equity opportunity for future pandemics is to shorten the time between vaccines being available for adults and young children.
Competing Interests: Declaration of Competing Interest Drs Lee and Poehling both served as voting members of the Advisory Committee on Immunization Practices throughout the COVID-19 pandemic; this perspective reflects their opinions and experience and not that of the government or the official committee. Dr Poehling has no conflicts of interest to declare. She reports that the institution receives grant funding from Optum Social Responsibility for an intimate partner violence collaborative pilot and from the Kate B. Reynolds Charitable Trust for a community-led initiative to address disparities in maternal and infant health outcomes. She also receives Foundation funding to support newborn safe sleep. Dr Lee has no conflicts of interest to declare.
(Copyright © 2024 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE