IMMUNOLOGICAL PREVENTION ORGANIZATION OF MANAGED RE-EMERGING INFECTIONS IN THE SARS-COV-2 PANDEMIC CONTEXT

Abstract

Timely vaccination is one of the most successful preventive areas of protecting the health of the world’s population, the most effective and cheapest way for the state to preserve the health of its citizens.

The aim of the study – to propose an algorithm for organizing routine immunization of children under quarantine conditions to increase the efficiency of routine immunization in primary care and reduce the likelihood of epidemiological outbreaks of re-emergent infections.

The SARS-CoV-2 pandemic has made its own adjustments to the implementation of customized national immunization programs.

The world is facing a public health crisis triggered by COVID-19, which could result in significant socio-economic losses. They will be caused by an increased likelihood of re-emerging infections and this can have a devastating effect on all aspects of human life and cause significant morbidity and mortality. WHO recommends continuing routine vaccinations in a pandemic, but with strict adherence to all anti-epidemic measures. In the context of medical reform there will be in Ukraine a realistic scenario, which involves a detailed analysis of the herd immunity of the site and the volume of immunization needs for the children of this unit. In the future, sorting the data obtained by the timing, the use of certain vaccines, the parents’ ability to visit the doctor on the appointed date. Separately, it is worth taking advantage of the opportunity to combine routine child care with vaccination, prioritize primary vaccination complexes and the use of combined vaccines in the formation of an individual immunization calendar for each child catching up with the Calendar. The catch-up program requires to determine who missed, what and to draw up individual immunization programs, taking into account the existing list of immunobiological drugs at the expense of the state budget or based on the capabilities or wishes of the parents.

Conclusions. Vaccinations continue to play an important role in protecting vulnerable people from potentially deadly vaccine-preventable diseases. While the pandemic has disrupted hard-earned progress over the past decade to improve vaccination rates, it must be pursued. It is necessary to catch up Calendar by creating individual schemes for routine immunization, making them as convenient as possible for parents in terms of time and material costs. Regular preventive vaccinations, as a public health measure, are the most effective means of preventing re-emerging infections. They are also cost effective in preventing massive morbidity and premature mortality. The massive morbidity that was prevented and the high mortality rate reduced through regular routine immunization outweighs the potential risks from COVID-19 associated with visiting vaccination clinics, especially for children with a specific vaccine history.