ABSTRACT
Introduction: The world is enveloped with the coronavirus disease 2019 (COVID-19) Pandemic with modern medicine and public health facing their most significant challenges ever posed. As the number of COVID-19 cases increased worldwide, an important issue of concern was the continuation of routine immunization services for children. This study has been conceptualized to assess the effect of the COVID-19 pandemic on infant Immunization. Materials and Methods: This study was a descriptive study conducted in an urban community amongst healthy children < 1-year-old from January 2018 to September 2021. Immunization records of infants were obtained from data generated during each immunization session and strength, weakness, opportunity, and threat analysis was done using a questionnaire. Results: During the study, a total of 3518 vaccinations were done, a total of 3010 vaccinations (85.5%) were done on time, and the total delayed vaccinations were 508 (14.5%). The difference among the years was statistically significant, with the highest delay in the year 2020 (P < 0.001). However, in the year 2021, the number of vaccinations carried out from April to September was 568, with delayed vaccination of only 10.9%. Conclusion: The Armed Forces childhood immunization program could be sustained during the COVID-19 pandemic due to a multitude of contributing factors such as adherence to national guidelines that prioritized vaccination, infrastructure, and availability of trained workforce and most importantly commitment to strict COVID appropriate behavior.
ABSTRACT
Introduction: From being declared as Public Health Emergency of International Concern and the transmission dynamics of COVID-19, outbreak control has been the cornerstone of combating COVID-19 cases within communities and clusters. An outbreak investigation of COVID-19 positive cases was conducted in a close community setting at an industrial warehouse which included working and residential areas in the premises, with the aim to break the chain of transmission rapidly and to formulate preventive strategy for dealing with other outbreaks in a community setting. Materials and Methods: This was a study where a rapid outbreak response was carried out after two individuals tested COVID-19 positive. Following the national and local guidelines, immediate decongestion followed by aggressive contact tracing, testing and isolating the cases were done. Results: After the rapid contact tracing exercise, contacts were identified, quarantined and tested. Daily monitoring of the contacts revealed six symptomatic confirmed cases and on testing, 19 asymptomatic contacts were positive. All confirmed cases were immediately admitted to the hospital. Additional two positive cases reported from family contacts. The mean age of the individuals was 46 years. There were 9 individuals with co-morbidities and two individuals developed acute respiratory distress syndrome and expired in the hospital. The secondary attack rate was calculated to be 17.51%. Conclusion: Prompt public health measures by rapid response team, creation of containment zone, contact tracing, early isolation along with daily influenza like illness screening and strict quarantine effectively helped in containment of the outbreak in the population under study.