Mozambique records 2 cases of vaccine-derived polio, first in 2 years
Mozambique declared an outbreak of circulating vaccine-derived poliovirus type 2 (cVDPV2) after two cases were detected in the Zambezi province. Details of the outbreak are published today in the latest weekly update from the Global Polio Eradication Initiative (GPEI).
These are the first polio cases in Mozambique since January of 2017. The case-patients include a 6-year-old girl with no history of vaccination, and a community contact of that patient. The girl experienced an onset of paralysis on Oct 21, 2018.
"The GPEI and partners are working with country counterparts to support the local public health authorities in conducting a field investigation (clinical, epidemiological and immunological) and thorough risk assessment to discuss planning and implementation of immunization and outbreak response," the GPEI said.
These are the first polio cases GPEI has recorded in 2019.
Jan 11 GPEI update
Study highlights high cost of adult vaccination at OB/GYN clinics
A study today in Vaccine that assessed the time and resources spent on adult vaccination at medical clinics found costs far higher at obstetrician and gynecology (OB/GYN) practices, a setting where vaccine refusals were also the highest.
Researchers, including some federal experts, based their findings on a convenience sample of 19 family medicine, internal medicine, and OB/GYN practices in nine states, which they observed for a 1-week period sometime between March and October 2017. The data did not include influenza vaccination. The study also included a practice management survey, and the team made estimates for time spent on activities that they couldn't directly observe.
Median cost per vaccination was $7 for family medicine practices and $8 for internal medicine practices, but it was $43 for OB/GYN practices. In addition, of OB/GYN patients counseled to receive vaccination, 68% declined to receive them. Factors that led to higher costs at OB/GYN practices were increased time for counseling, administering vaccine, and managing vaccine supplies.
The researchers said the reduced costs at family medicine and internal medicine clinics might reflect their having more automated systems in place because of their traditional roles as vaccine providers.
The findings raise the issue of resources spent on counseling patients about vaccines when they ultimately refuse them—time that providers can't always bill for, which may drive up costs. "It is therefore important for practices to utilize effective counseling methods and increase the uptake of vaccinations for counseled patients," the authors concluded. "Considering these approaches can help practices to increase the financial stability of vaccination at their practice."
Jan 11 Vaccine abstract