ArticleHuman vaccines & immunotherapeutics2021
Effect of Hurricane Maria on HPV, Tdap, and meningococcal conjugate vaccination rates in Puerto Rico, 2015-2019.
Article in Human vaccines & immunotherapeutics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Effects of hydro-meteorological and geological disasters on vaccine-preventable disease outbreaks and routine immunisation amongst children: A scoping review.PLOS global public health · 2026Article
- We don't want to boil the ocean: expanding cancer research in the era of climate change.Cancer causes & control : CCC · 2025Article
- Identifying characteristics that enable resilient immunisation programmes: a scoping review.BMJ open · 2024Article
- Attitudes towards HPV and COVID school-entry policies among adults living in Puerto Rico.Human vaccines & immunotherapeutics · 2023Article
- Protecting vulnerable patient populations from climate hazards: the role of the nation's cancer centers.Journal of the National Cancer Institute · 2023Article
- Article
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Authors and funding
7 authors.
Funding
Abstract
In September 2017, Hurricane Maria devastated the Caribbean region, among them the US territory of Puerto Rico (PR). Vaccination distribution and uptake suffered from the impact. This study evaluated the trends in monthly vaccination initiation rates for human papilloma virus (HPV), Tdap and meningococcal conjugate (MenACWY) adolescent vaccines from 2015 to 2019, during which it was possible to observe and analyze the impact of Hurricane Maria on vaccine initiation. Monthly initiation rates were estimated. Age-standardized initiation rate ratio (SRR) and 95% CI were estimated. The analysis included 85,340 adolescents; 52.3% were male, and 47.7% were females. September 2017 showed HPV vaccine initiation had the lower rates of all the studied vaccines, with a rate of 75% after the disaster (from a rate of almost 90% in July 2017). Tdap and MenACWY vaccines rates remained above 90% in the same period. The SRR of HPV vaccine for September and October 2017 showed an estimated reduction of 5% and 8% in vaccine initiation rates, respectively for each month, when 2016 was the reference year (
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