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Member Research & Reports

Member Research & Reports

Michigan Study Finds Timely Vaccinations May Reduce Mortality of Children in India

UM SPH professors Dr. Nijika Shrivastwa, Dr. Brenda Gillespie, Dr. James Lepkowski, and Dr. Matthew Boulton have conducted an analysis of data from a 2008 household and facility survey in India, looking at children with and without immunization cards. 268,553 children five years old and younger were included in the study during a one-year observation. The authors considered three major vaccines in their analysis: bacilli Calmette-Guerin (BCG), diphtheria-pertussis-tetanus (DPT3), and the measles-containing vaccine (MCV).

The percentage of children in the study that received the BCG, DPT3, and MCV vaccines in a timely manner were 31 percent, 19 percent, and 34 percent respectively. Vaccination increased slightly as children got older but generally plateaued at 24 months. Overall vaccination coverage for children under five was 87 percent, 63 percent, and 76 percent for BCG, DPT3, and MCV respectively.

The authors state that delayed administration of vaccines in children likely contributes significantly to the burden of preventable diseases in India. Improved record-keeping could help identify gaps in vaccinations and encourage more families to vaccinate their children earlier, thus aiding in the elimination of preventable of disease.

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