Widening childhood vaccination inequality in England raises concerns

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Widening childhood vaccination inequality in England raises concerns
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Inequalities in childhood vaccination are widening in England, with uptake rates of five key vaccines consistently lower in young children living in areas of higher deprivation from 2019 to 2023, finds a study published by The BMJ today.

BMJ GroupDec 11 2024 Inequalities in childhood vaccination are widening in England, with uptake rates of five key vaccines consistently lower in young children living in areas of higher deprivation from 2019 to 2023, finds a study published by The BMJ today.

Records show that uptake rates of childhood vaccinations in England have been steadily declining over the past decade but few studies have looked at trends in inequalities. The vaccines were first and second doses of the measles, mumps, and rubella vaccine , rotavirus vaccine, pneumococcal conjugate vaccine booster, and six-in-one vaccine covering diphtheria, tetanus, pertussis , polio, Haemophilus influenzae type b, and hepatitis B).

For example, for the six-in-one vaccine, the absolute difference in vaccination uptake between the least and most deprived groups in the starting quarter was 3.3% and increased to 7.4% by the final quarter of data collection. The number of children susceptible to measles at age 5 by the end of the study period increased 15-fold, from 1,364 to 20,958, in the least deprived group and 20-fold, from 1,296 to 25,345, in the most deprived group. For rotavirus, a 14-fold increase, from 2,292 to 32,981, was seen in the least deprived group and a 16-fold increase, from 2,815 to 45,201, in the most deprived group.

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