Impact of Immunizations on the Disease Burden of American Indian and Alaska Native Children
| Autor: | Brian J. McMahon, Rosalyn J. Singleton, M. Santosham, Amy V. Groom, George Brenneman, Steve Holve, Katherine L. O'Brien |
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| Rok vydání: | 2009 |
| Předmět: |
Pediatrics
medicine.medical_specialty Haemophilus Infections Population Disease Infections Measles Pneumococcal Infections Rotavirus Infections Cost of Illness Environmental health medicine Humans Child education Disease burden education.field_of_study business.industry Haemophilus influenzae type b Hepatitis A Diphtheria Hepatitis B medicine.disease Vaccination Socioeconomic Factors Inuit Infectious disease (medical specialty) Pediatrics Perinatology and Child Health Indians North American Immunization business |
| Zdroj: | Archives of Pediatrics & Adolescent Medicine. 163:446 |
| ISSN: | 1072-4710 |
| DOI: | 10.1001/archpediatrics.2009.44 |
| Popis: | American Indian and Alaska Native (AI/AN) people have suffered disproportionately from infectious diseases compared with the general US population. As recently as 25 years ago, rates of hepatitis A and B virus, Haemophilus influenzae type b, and Streptococcus pneumoniae infections were as much as 10 times higher among AI/AN children compared with the general US child population. In the past quarter century, routine use of childhood immunizations for hepatitis A and B viruses has eliminated disease disparities for these pathogens in AI/AN children, and significant decreases have been demonstrated for H influenzae type b, S pneumoniae, and pertussis. Nevertheless, certain infectious diseases continue to occur at higher rates in AI/AN children. The reason for continued disparities is most likely related to adverse living conditions such as household crowding, lack of indoor plumbing, poverty, and poor indoor air quality. Although tremendous strides have been made in eliminating disparities in infectious disease among AI/AN children, further gains will require addressing disparities in adverse living conditions. |
| Databáze: | OpenAIRE |
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