Evidence map›Paper›PMID 39461928›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2025

Routine vaccination coverage at ages 2 and 7, before, during, and after the COVID-19 pandemic: Results from the STARVAX surveillance system.

Ahash Jeevakanthan, Sophia Roubos, Cindy Hong, Allison Hender, Morag Granger, Sazzadul Khan, Maaz Shahid, Shannon LeBlanc, Jeanine O'Connell, Nicolas L Gilbert

Erratum issuedAbstract read
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
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  3. Driving change in Nova Scotia: The lasting impact of Public Health Mobile Units beyond COVID-19.Canadian journal of public health = Revue canadienne de sante publique · 2026
    Article
  4. Article
  5. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Ahash JeevakanthanPublic Health Agency of Canada, Ottawa, ON, Canada. ahash.jeevakanthan@phac-aspc.gc.ca.ORCID 0009-0002-9956-721X
Sophia RoubosPublic Health Agency of Canada, Ottawa, ON, Canada.
Cindy HongPublic Health Agency of Canada, Ottawa, ON, Canada.
Allison HenderAlberta Health, Edmonton, AB, Canada.
Morag GrangerSaskatchewan Health, Regina, SK, Canada.
Sazzadul KhanSaskatchewan Health, Regina, SK, Canada.
Maaz ShahidManitoba Health, Winnipeg, MB, Canada.
Shannon LeBlancDepartment of Health, Government of New Brunswick, Fredericton, NB, Canada.
Jeanine O'ConnellDepartment of Health, Government of Yukon, Whitehorse, YT, Canada.
Nicolas L GilbertPublic Health Agency of Canada, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA decline in routine vaccination coverage in children has been observed after the onset of the COVID-19 pandemic, but it is unclear whether these declines were sustained over time. This analysis assessed changes in vaccination coverage at ages 2 and 7 years for routinely administered vaccinations before, during, and after the COVID-19 pandemic.

methodsVaccination coverage was measured using yearly data from the Standardized Reporting on Vaccination (STARVAX) surveillance system between December 31, 2019, and December 31, 2023. Four provinces (Alberta, Saskatchewan, Manitoba, and New Brunswick) and one territory (Yukon) produced reports from their immunization registries and provided the Public Health Agency of Canada with the numbers of vaccinated 2-year-old and 7-year-old children. Population estimates from Statistics Canada and the Yukon Bureau of Statistics were used as the denominators.

resultsThere was a decline in vaccination coverage in 2023 compared to 2019. In 2-year-olds, coverage for one dose of the measles, mumps, and rubella (MMR) vaccine and four doses of the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine decreased from 88.9% to 84.3% and from 79.6% to 73.3%, respectively. Among 7-year-olds, DTaP (up-to-date) and MMR (two doses) vaccination coverage decreased from 77.3% to 68.2% and 85.4% to 74.9%, respectively.

conclusionThese declines are of concern and suggest that health care professionals should provide parents with accurate information regarding vaccines and encourage them to have their children vaccinated and keep vaccinations up to date.

Indexed as

COVID-19Vaccination CoverageCanadaChildChild, PreschoolHumansPandemicsPopulation SurveillanceCOVID-19Immunization registryImpact of the pandemicMeaslesPertussisPublicly funded vaccinesRoutine immunizationsSurveillanceVaccination coverageVaccine

Identifiers

PMID39461928
PMCPMC12075721

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.