US Meningitis Vaccination Rates

The Impact of COVID-19 on Routine Adolescent Care

The drop-off in vaccinations between the 1st and 2nd doses of the MenACWY vaccine is a nationwide problem. Pre-pandemic, MenACWY second-dose vaccination rates were gradually increasing in adolescent patients, but remained low at around 50%.1 Additionally, the COVID-19 pandemic has disrupted health care delivery, leading to a decrease in adolescent wellness visits.2*

*According to CDC.gov claims from February 16, 2020–June 14, 2020.

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MenACWY Vaccination Rates Measure Up

MenACWY Rates

MenACWY 1st Dose Vaccination Rate in Compared With National Rate3

Although national meningococcal vaccination rates have steadily increased, a significant drop-off remains between the 1st and 2nd dose, and many teens remain under-protected against this vaccine-preventable disease.3 Doctors, providers, local governments, and health care organizations remain committed to closing this gap. However, many areas of the health care industry have been significantly affected by the COVID-19 pandemic, and this could have an impact upon the progress made in recent years.

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National COVID Impacts

As a result of the COVID-19 pandemic, there has been a national increase in telehealth appointments. Additionally, job loss has resulted in lower rates of national insurance coverage. These factors have resulted in fewer in-office wellness visits in 2020, contributing missed opportunities for vaccination4,5.

Pediatric and adolescent wellness visits decreased by 47%2,a

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Medicaid and Children’s Health Insurance Program (CHIP) enrollment participation increased by 6 million5,c

Telehealth visits increased 154% from 2019 to 20204,b

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23.1 million unemployment claims at the peak of the pandemic lockdown6,d

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aData from March to June 2020.

bWhen comparing telehealth visits in March 2020 to the same time period in March 2019.

cData from February–September 2020.

dData from US Bureau of Labor and Statistics for April 2020.

These factors could mean patients missed opportunities for essential vaccinations that can help protect them against meningococcal disease.

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MenACWY Claims, 2019 vs 2020

MenACWY vaccine claims in 2019 vs 20207

Reflects private insurance claims only. Private claims data not available for .

The COVID-19 pandemic’s substantial impact on routine adolescent care may have contributed to the decrease in MenACWY claims seen in last year. Many teens could be behind on this important vaccine.

MenACWY claims includes both doses or specific age groups.

Patient Resources

It’s not too late to help protect against meningococcal meningitis. Reach out to your patients and ensure they are up-to-date on their meningococcal vaccination.

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Now more than ever, national conversations are happening about the importance of vaccination in helping to prevent vaccine-preventable diseases, such as meningococcal meningitis. As your teen heads back to school, ensure they are up-to date on meningococcal vaccination. Call our office today to schedule a visit!

COVID-19 continues to impact .
Here are the latest statistics8-11:

COVID-19 Newly Diagnosed Cases and Change by Month

Average Mobility (by Month)12,a

aMobility trends for each month are estimated as the average daily relative volume of Apple Maps directions requests per state compared with a baseline volume on January 13, 2020. Data for May 11-12, 2020 and March 12, 2021 is not available, therefore not included.

Unemployment Rate 2020 (by Month)13

References: 1. Walker TY, Elam-Evans LD, Yankey D, et al. National, regional, state, and selected local area vaccination coverage among adolescents aged 13–17 years–United States, 2018. MMWR Morb Mortal Wkly Rep. 2019;68(33):718-723. 2. Mbaeyi SA. Maintaining and strengthening routine childhood vaccination during the COVID-19 pandemic. Centers for Disease Control and Prevention. Published August 4, 2020. Accessed February 22, 2021. https://www2.cdc.gov/vaccines/ed/ciinc/archives/20/downloads/8_4/Sarah_Mbaeyi.pdf 3. 2019 adolescent meningococcal conjugate (MenACWY) vaccination coverage dashboard. Centers for Disease Control and Prevention. Updated August 14, 2020. Accessed May 18, 2021. https://www.cdc.gov/vaccines/imz-managers/coverage/teenvaxview/data-reports/menacwy/dashboard/2019.html 4. Koonin LM, Hoots B, Tsang CA, et al. Trends in the use of telehealth during the emergence of the COVID-19 pandemic–United States, January-March 2020. MMWR Morb Mortal Wkly Rep. 2020;69(43):1595-1599. 5. Corallo B, Rudowitz R. Analysis of recent national trends in Medicaid and CHIP enrollment. Published April 8, 2021. Accessed April 19, 2021. https://www.kff.org/coronavirus-covid-19/issue-brief/analysis-of-recent-national-trends-in-medicaid-and-chip-enrollment/ 6. Unemployment rate rises to record high 14.7 percent in April 2020. The Economics Daily. Bureau of Labor Statistics, US Department of Labor. Published May 13, 2020. Accessed February 23, 2021. https://www.bls.gov/opub/ted/2020/unemployment-rate-rises-to-record-high-14-point-7-percent-in-april-2020.htm?view_full 7. Data on file. Sanofi Pasteur Inc. 8. COVID data tracker. Centers for Disease Control and Prevention. Accessed May 13, 2021. https://covid.cdc.gov/covid-data-tracker/#datatracker-home 9. State-level mask requirements in response to the coronavirus (COVID-19) pandemic, 2020-2021. Ballotpedia. Accessed May 18, 2021. https://ballotpedia.org/State-level_mask_requirements_in_response_to_the_coronavirus_(COVID-19)_pandemic,_2020-2021 10. Travel restrictions issued by states in response to the coronavirus (COVID-19) pandemic, 2020-2021. Ballotpedia. Accessed May 18, 2021. https://ballotpedia.org/Travel_restrictions_issued_by_states_in_response_to_the_coronavirus_(COVID-19)_pandemic,_2020-2021 11. Coronavirus (COVID-19) vaccine distribution by state. Ballotpedia. Accessed May 18, 2021. https://ballotpedia.org/Coronavirus_(COVID-19)_vaccine_distribution_by_state 12. Mobility trends reports. Apple Mobility Data. Accessed May 17, 2021. https://covid19.apple.com/mobility 13. State employment and unemployment—March 2020. Bureau of Labor Statistics, US Department of Labor. Published April 17, 2020. Accessed May 17, 2021. https://www.bls.gov/news.release/archives/laus_04172020.pdf