{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T20:04:35Z","timestamp":1787861075171,"version":"build-2784847793"},"reference-count":46,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T00:00:00Z","timestamp":1622592000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To document the decline in vaccination coverage in the first months of 2020 as an indirect effect of the COVID\u201019 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a literature review in medical databases. Overall, 143 articles were initially retrieved, out of which 48 were selected and included in the review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Our review retrieved similar data in many countries worldwide, and, globally, preliminary data from the first 4\u00a0months of 2020 indicate a decline in diphtheria\u2010tetanus\u2010pertussis coverage, generally considered the marker of vaccination coverage across countries. World Health Organization recommends maintaining vaccination services, prioritising primary series vaccinations especially for measles\u2010rubella or poliomyelitis, but it also lets each country decide whether to maintain the immunisation services evaluating the current epidemiology of vaccine\u2010preventable diseases and the COVID\u201019 local transmission scenario. Successively, recovering of vaccinations should be planned. Moreover, during the pandemic, influenza vaccination should be promoted as a central public health measure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Future challenges will be to maintain the vaccination programmes, especially in children younger than 2\u00a0years old and adolescents, to plan the recovery of vaccinations for subjects who postponed them during the lockdown, and to early identify any vaccine\u2010preventable disease outbreak.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.15949","type":"journal-article","created":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T06:55:46Z","timestamp":1621839346000},"page":"2529-2535","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":78,"title":["Impact that the COVID\u201019 pandemic on routine childhood vaccinations and challenges ahead: A narrative review"],"prefix":"10.1111","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1476-4752","authenticated-orcid":false,"given":"Elena","family":"Chiappini","sequence":"first","affiliation":[{"name":"Paediatric Infectious Diseases Unit Department of Health Sciences Anna Meyer Children University Hospital Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Parigi","sequence":"additional","affiliation":[{"name":"Paediatric Infectious Diseases Unit Department of Health Sciences Anna Meyer Children University Hospital Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7912-3366","authenticated-orcid":false,"given":"Luisa","family":"Galli","sequence":"additional","affiliation":[{"name":"Paediatric Infectious Diseases Unit Department of Health Sciences Anna Meyer Children University Hospital Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelia","family":"Licari","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Foundation IRCCS Policlinico San Matteo University of Pavia Pavia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria","family":"Brambilla","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Foundation IRCCS Policlinico San Matteo University of Pavia Pavia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Angela Tosca","sequence":"additional","affiliation":[{"name":"Allergy Center Istituto Giannina Gaslini Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7016-8421","authenticated-orcid":false,"given":"Giorgio","family":"Ciprandi","sequence":"additional","affiliation":[{"name":"Casa di Cura Villa Montallegro Genoa Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluigi","family":"Marseglia","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Foundation IRCCS Policlinico San Matteo University of Pavia Pavia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,6,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.1467"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352-4642(20)30108-5"},{"key":"e_1_2_9_4_1","unstructured":"Gavi WHO UNICEF.At least 80 million children at risk of disease as COVID\u201019 disrupts vaccination efforts warn Gavi WHO and UNICEF.2020.https:\/\/www.gavi.org\/news\/media\u2010room\/least\u201080\u2010million\u2010children\u2010risk\u2010disease\u2010covid\u201019\u2010disrupts\u2010vaccination\u2010effortsexternal.icon. 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