New analysis signifies that seasonal flu vaccination rates are decrease among dialysis facilities with bigger proportions of minority sufferers, and the hole appears to be widening over time. The findings seem in an upcoming challenge of JASN.
Vaccination should be widespread and uniform to maximise safety in opposition to viral sicknesses, and understanding vaccination limitations will assist to raised put together for large-scale vaccination campaigns, resembling those who might be want for COVID-19. Although analysis has uncovered racial and ethnic disparities in vaccination rates for sicknesses such because the seasonal flu, it is unclear whether or not such disparities lengthen to sufferers with kidney failure, who concurrently are in danger for problems of an infection and have intensive contact with health care providers.
To decide whether or not vaccination rates at dialysis facilities differ based on the facilities’ racial and ethnic composition, John Danziger, MD, MPhil (Beth Israel Deaconess Medical Center) and his colleagues examined data on influenza vaccinations in 2014-2017 that 6,735 dialysis facilities reported to the Centers for Medicare & Medicaid Services.
“The population of patients with kidney failure is important to study because these patients are uniformly covered by Medicare, all have an assigned kidney doctor, and often attend their dialysis facilities—which have a central role in coordinating vaccination administration—several times per week,” stated Dr. Danziger. “Thus, they are well-situated to receive influenza vaccination uniformly, and disparities in receipt of vaccination must reflect systemic factors above and beyond insurance coverage or access to care.”
The staff discovered that the typical share of sufferers vaccinated throughout the influenza season was 72.1%. Facilities with greater proportions of Black and Hispanic sufferers had considerably decrease vaccination percentages than much less various facilities.
Also, the typical proportion of sufferers vaccinated at every facility decreased by 1.05% from 2014 to 2017, and rates decreased to a larger extent among facilities with greater proportions of minorities. In facilities with the best proportions of Black sufferers, the share of vaccinated sufferers decreased 1.21% per 12 months, in contrast with a lower of solely 0.88% per 12 months in facilities with the bottom proportions of Black sufferers. The investigators discovered related tendencies for Hispanic sufferers.
“The failure to uniformly vaccinate patients seen in facilities with larger minority populations has important implications for those individuals and for their communities, and is a missed opportunity to protect the most vulnerable,” stated Dr. Danziger. “This study is particularly relevant since the COVID-19 epidemic will almost certainly require a large-scale vaccination campaign. By highlighting the disparities in vaccination facing minorities, who are at highest risk of COVID-19 complications, our study underscores which populations are at greatest need for vaccination outreach programs.”
“Racial and Ethnic Disparities in Seasonal Influenza Vaccination among Dialysis Facilities in the United States,” DOI: 10.1681/ASN.2020040483
American Society of Nephrology
Racial and ethnic disparities in flu vaccination rates among US dialysis facilities (2020, August 13)
retrieved 13 August 2020
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