vaccination guidelines during and after the covid 19 epidemic in china CORD-Papers-2022-06-02 (Version 1)

Title: Vaccination Guidelines During and After the COVID-19 Epidemic in China
Published: 2020-08-21
Journal: China CDC Wkly
DOI: 10.46234/ccdcw2020.169
DOI_URL: http://doi.org/10.46234/ccdcw2020.169
Author Name: Yu Wenzhou
Author link: https://covid19-data.nist.gov/pid/rest/local/author/yu_wenzhou
Author Name: Li Yuanqiu
Author link: https://covid19-data.nist.gov/pid/rest/local/author/li_yuanqiu
Author Name: Wu Jing
Author link: https://covid19-data.nist.gov/pid/rest/local/author/wu_jing
Author Name: Wang Fuzhen
Author link: https://covid19-data.nist.gov/pid/rest/local/author/wang_fuzhen
Author Name: Wen Ning
Author link: https://covid19-data.nist.gov/pid/rest/local/author/wen_ning
Author Name: Rodewald Lance
Author link: https://covid19-data.nist.gov/pid/rest/local/author/rodewald_lance
Author Name: Hao Lixin
Author link: https://covid19-data.nist.gov/pid/rest/local/author/hao_lixin
Author Name: Li Yixing
Author link: https://covid19-data.nist.gov/pid/rest/local/author/li_yixing
Author Name: Zheng Hui
Author link: https://covid19-data.nist.gov/pid/rest/local/author/zheng_hui
Author Name: Li Keli
Author link: https://covid19-data.nist.gov/pid/rest/local/author/li_keli
Author Name: Ma Chao
Author link: https://covid19-data.nist.gov/pid/rest/local/author/ma_chao
Author Name: Wu Dan
Author link: https://covid19-data.nist.gov/pid/rest/local/author/wu_dan
Author Name: Cao Lei
Author link: https://covid19-data.nist.gov/pid/rest/local/author/cao_lei
Author Name: Cao Lingsheng
Author link: https://covid19-data.nist.gov/pid/rest/local/author/cao_lingsheng
Author Name: Ye Jiakai
Author link: https://covid19-data.nist.gov/pid/rest/local/author/ye_jiakai
Author Name: Liu Yanmin
Author link: https://covid19-data.nist.gov/pid/rest/local/author/liu_yanmin
Author Name: Zhang Guomin
Author link: https://covid19-data.nist.gov/pid/rest/local/author/zhang_guomin
Author Name: Du Wen
Author link: https://covid19-data.nist.gov/pid/rest/local/author/du_wen
Author Name: An Zhijie
Author link: https://covid19-data.nist.gov/pid/rest/local/author/an_zhijie
Author Name: Wang Huaqing
Author link: https://covid19-data.nist.gov/pid/rest/local/author/wang_huaqing
Author Name: Yin Zundong
Author link: https://covid19-data.nist.gov/pid/rest/local/author/yin_zundong
sha: e6801645b9256d1e2a8eb2e4fa0bf86d00717ede
license: cc-by-nc-sa
license_url: https://creativecommons.org/licenses/by-nc-sa/2.0/
source_x: Medline; PMC; WHO
source_x_url: https://www.medline.com/https://www.ncbi.nlm.nih.gov/pubmed/https://www.who.int/
pubmed_id: 34594733
pubmed_id_url: https://www.ncbi.nlm.nih.gov/pubmed/34594733
pmcid: PMC8422244
pmcid_url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8422244
url: https://www.ncbi.nlm.nih.gov/pubmed/34594733/ https://doi.org/10.46234/ccdcw2020.169
has_full_text: TRUE
Keywords Extracted from Text Content: COVID-19 virus hepatitis B surface antigen wound DTaP BCG protein derivatives A+C meningococcal polysaccharide vaccine rabies PEP. COVID-19 Hepatitis A vaccine DTaP vaccine oral rotavirus people hepatitis B children Encephalitis vaccines tetanus toxoid rabies vaccines recipients joint polio vaccine BCG hepatitis B vaccine PLADs hepatitis B vaccines PUE Children Vaccines persons mothers A+C meningococcal polysaccharide vaccines SMS 2-3 counties adolescents bOPV TB-PPD infants Hubei Province Patients rabies PEP IPV China's National Health Commission individuals tetanus Polio vaccine mid-march vaccine recipients measles rubella vaccine rubella vaccines JE vaccine Measles hepatitis A vaccine Hepatitis B vaccine bOPV. Vaccine recipients bacille calmette-guerin hepatitis A vaccines Infants WeChat coronavirus disease 2019 measles-containing vaccines polio BCG-PPD 1-12
Extracted Text Content in Record: First 5000 Characters:In late December 2019, clinicians in Hubei Province noticed and reported to health authorities a cluster of cases of pneumonia of unknown etiology (PUE) that turned out to be the start of the coronavirus disease 2019 (COVID-19) pandemic (1) . By January 29, 2020, all provincial-level administrative divisions (PLADs) across the country had launched their highest public health emergency responses (Level 1 responses) (2) (3) . Vaccination service delivery was impeded by social distancing measures and restrictions on gatherings of people required in the Level 1 response protocols. Although vaccination services continued to be available in some areas, and four vaccines -rabies vaccine for postexposure prophylaxis, the birth doses of hepatitis B vaccine and bacille calmette-guerin (BCG) vaccine, and tetanus toxoid for wound prophylaxiscontinued to be administered on time in all areas, most vaccination services were stopped as part of the response (4-6). On February 3, China CDC published interim guidelines for vaccinations during the COVID-19 epidemic based on local epidemiological circumstances (7) . In early March 2020, the COVID-19 epidemic in PLADs outside of Hubei Province was coming under control, and in mid-march, China's National Health Commission issued a notice to resume routine vaccination services in an orderly manner (8) . Eighty percent of the country's vaccination venues (China CDC, unpublished data) had suspended immunization services for up to two months for vaccines other than BCG, the first dose of hepatitis B, rabies, and tetanus toxoid for wound management. China CDC developed guidelines for resumption of routine immunization services and catch-up vaccinations for children who missed or delayed vaccine doses due to COVID-19. We describe the China CDC guidelines for during and after the COVID-19 epidemic in China. During the COVID-19 epidemic, community transmission of the COVID-19 virus increased risk of infection in gatherings of people including in vaccination clinic settings. Considering the risk of COVID-19 infection and the risk of vaccine preventable diseases, China CDC made the following guidelines (7, 9) . 1) Hepatitis B vaccine and BCG vaccine should be administered to newborn infants in birth hospitals and centers on time in accordance with routine National Immunization Program recommendations. The second and third doses of hepatitis B vaccine for infants whose mothers were hepatitis B surface antigen positive should be administered on time at vaccination clinics. 2) Vaccines for post-exposure prophylaxis (PEP), e.g. rabies vaccines and tetanus toxoid, should be administered on time based on standard PEP guidelines. Patients should go to the nearest medical institution with a dog-related injury treatment clinic for timely administration of rabies PEP. 3) If COVID-19 virus is not circulating in a community (urban and rural communities and villages under the jurisdiction of sub-district offices or township people's governments), individuals can receive vaccination services during clinic operation times in accordance with local health authorities or local CDC guidelines. 4) If the COVID-19 virus is circulating in a community, administration of vaccines other than the urgent vaccinations described above can be suspended. Attention must be given to ensuring that children can be caught up on vaccinations as soon as possible once community circulation of the COVID-19 virus has ended. 5) Individuals seeking vaccination services should make an appointment with their vaccination clinic through the Internet or by telephone. Appointments allow clinics to minimize the number of children and parents waiting to receive vaccinations or waiting to be released from observation after vaccination. 6) All people coming to a vaccination clinic should ensure they do not have a fever or other illness symptom. Children with symptoms or signs of illness will not be vaccinated. Children must be accompanied by their parents or guardians, who must also not have symptoms or signs of illness. 7) At home, following vaccination, the child's physical condition should be monitored. If the child feel hot or feverish then their temperature should be taken. Post-vaccination adverse reactions like fever and local swelling will generally resolve without treatment. If there are symptoms other than mild, local reactions or fever that can be relieved, medical advice should be sought in a timely manner. 8) To learn about personal protective measures for going to vaccination clinics, please refer to the "Provisional Guidelines for Public Medical Care During the COVID-19 Pandemic" issued by China CDC (10). To reduce risk of COVID-19 virus transmission during the epidemic, most vaccination clinics in China suspended vaccination services for vaccines other than BCG, hepatitis B vaccines, rabies, and tetanus toxoid, as described above. As the level of control over the COVID-19 pandemic in China improves, local vaccination clinics
Keywords Extracted from PMC Text: Hepatitis B vaccine joint infants vaccine recipients polio vaccine hepatitis A vaccine measles-containing vaccines people 7–10 recipients IPV rabies PEP. bOPV. oral rotavirus polio rubella vaccine people's mothers tetanus DTaP vaccine bOPV hepatitis B vaccine Hepatitis A vaccine hepatitis A vaccines TB-PPD Children 's " encephalitis vaccine A+C meningococcal polysaccharide vaccine rabies vaccines Encephalitis vaccines persons JE vaccine Polio vaccine adolescents Infants tetanus toxoid PEP 1–2 1–12 hepatitis B Vaccine recipients COVID-19 A+C meningococcal polysaccharide vaccines SMS COVID-19 virus rubella vaccines BCG protein derivatives hepatitis B surface antigen BCG-PPD Patients WeChat children DTaP Vaccines measles
Extracted PMC Text Content in Record: First 5000 Characters:During the COVID-19 epidemic, community transmission of the COVID-19 virus increased risk of infection in gatherings of people including in vaccination clinic settings. Considering the risk of COVID-19 infection and the risk of vaccine preventable diseases, China CDC made the following guidelines (7,9). 1) Hepatitis B vaccine and BCG vaccine should be administered to newborn infants in birth hospitals and centers on time in accordance with routine National Immunization Program recommendations. The second and third doses of hepatitis B vaccine for infants whose mothers were hepatitis B surface antigen positive should be administered on time at vaccination clinics. 2) Vaccines for post-exposure prophylaxis (PEP), e.g. rabies vaccines and tetanus toxoid, should be administered on time based on standard PEP guidelines. Patients should go to the nearest medical institution with a dog-related injury treatment clinic for timely administration of rabies PEP. 3) If COVID-19 virus is not circulating in a community (urban and rural communities and villages under the jurisdiction of sub-district offices or township people's governments), individuals can receive vaccination services during clinic operation times in accordance with local health authorities or local CDC guidelines. 4) If the COVID-19 virus is circulating in a community, administration of vaccines other than the urgent vaccinations described above can be suspended. Attention must be given to ensuring that children can be caught up on vaccinations as soon as possible once community circulation of the COVID-19 virus has ended. 5) Individuals seeking vaccination services should make an appointment with their vaccination clinic through the Internet or by telephone. Appointments allow clinics to minimize the number of children and parents waiting to receive vaccinations or waiting to be released from observation after vaccination. 6) All people coming to a vaccination clinic should ensure they do not have a fever or other illness symptom. Children with symptoms or signs of illness will not be vaccinated. Children must be accompanied by their parents or guardians, who must also not have symptoms or signs of illness. 7) At home, following vaccination, the child's physical condition should be monitored. If the child feel hot or feverish then their temperature should be taken. Post-vaccination adverse reactions like fever and local swelling will generally resolve without treatment. If there are symptoms other than mild, local reactions or fever that can be relieved, medical advice should be sought in a timely manner. 8) To learn about personal protective measures for going to vaccination clinics, please refer to the "Provisional Guidelines for Public Medical Care During the COVID-19 Pandemic" issued by China CDC (10). Vaccination clinics should consider requirements and anticipated staffing needs for COVID-19 prevention and control efforts as they arrange vaccination services (8). In counties and districts where there have been no cases or all imported cases have been controlled (i.e. no new confirmed or suspected infections within 14 days after the last case and close contacts have been released from quarantine), vaccination clinics should restart routine immunization and implement catch-up vaccination in an orderly manner. 1) Anyone whose vaccinations have been postponed due to the COVID-19 pandemic; 2) Anyone who missed any vaccinations or is not completely up-to-date on vaccinations based on the National Immunization Program schedule; 3) Appointments and catch-up immunization shall be suspended for individuals in the following circumstances: Anyone confirmed to have COVID-19 and asymptomatic infected individuals who have not been quarantined for 14 days after leaving the hospital; those who have come into contact with someone infected with COVID-19 virus within 14 days; anyone who has been present in an epidemic area within 14 days or whose family members have had symptoms like fever and cough within 14 days. Principles and guidelines for catch-up immunization Vaccines that are covered by the National Immunization Program including hepatitis B, BCG, polio, MMR, DTaP, Japanese encephalitis, meningococcal, and hepatitis A vaccines, shall be considered priority vaccines. Vaccines that are not covered by the National Immunization Program should be caught up in a timely manner. Program and non-program vaccines can be administered together in the same clinic visit. Individuals who have missed doses prescribed by the National Immunization Program schedule only need to complete the missed doses; there is no need to restart the vaccination series for any vaccine. Individuals who have missed vaccines prescribed by the National Immunization Program should complete the vaccination schedule based on their age and vaccination procedures, including minimum vaccination intervals and number of doses described in the catch-up immunization section. If it is not feasible to c
PDF JSON Files: document_parses/pdf_json/e6801645b9256d1e2a8eb2e4fa0bf86d00717ede.json
PMC JSON Files: document_parses/pmc_json/PMC8422244.xml.json
G_ID: vaccination_guidelines_during_and_after_the_covid_19_epidemic_in_china