Impact of the COVID-19 lockdown on routine childhood vaccination coverage rates in Catalonia (Spain): a public health register-based study.

OBJECTIVE: The aim of this study was to determine the impact of the lockdown measures adopted during the COVID-19 pandemic on routine childhood vaccination coverage rates in Catalonia (Spain) and to estimate its recovery once the progressive return to 'normalcy' had begun. STUDY DESIGN: We conducted a public health register-based study. METHODS: Routine childhood vaccination coverage rates were analysed in three periods: a first pre-lockdown period (from January 2019 to February 2020), a second lockdown period with full restrictions (from March 2020 to June 2020), and, finally, a third post-lockdown period with partial restrictions (from July 2020 to December 2021). RESULTS: During the lockdown period, most of the coverage rates remained stable, concerning the pre-lockdown period; however, when comparing the vaccination coverage rates in the post-lockdown period to the pre-lockdown period, we observed decreases in all types of vaccines and doses analysed, except for coverage with the PCV13 vaccine in 2-year-olds, which experienced an increase. The most relevant reductions were observed in measles-mumps-rubella and diphtheria-tetanus-acellular pertussis vaccination coverage rates. CONCLUSIONS: Since the beginning of the COVID-19 pandemic, there has been an overall decline in routine childhood vaccine coverage rates, and the pre-pandemic rates have not yet been recovered. Immediate and long-term support strategies must be maintained and strengthened to restore and sustain routine childhood vaccination.

Seguridad Clínica y responsabilidad profesional en ginecología y obstetricia / No disponible

No disponible

Wrongful birth: responsabilidad profesional en el diagnóstico prenatal (1989-2004) / Wrongful birth: professional liability in prenatal diagnosis (1989-2004)

Objetivo/introducción: el error en el diagnóstico prenatal puede privar a la mujer de la información necesaria para decidir con plena autonomía si ejerce su derecho a interrumpir el embarazo. 'Wrongful birth' es la doctrina anglosajona utilizada como acción para exigir responsabilidades si el resultado es una malformación o enfermedad detectable en el estudio prenatal. Sujetos y método: se realizó un estudio descriptivo retrospectivo de las demandas por 'wrongful birth' en la provincia de Barcelona en el período 1989-2014. Resultados: Se encontraron 38 reclamaciones (incidencia de 3 por cada 100.000 nacimientos). Las patologías más frecuentes son: malformaciones múltiples (23%), cromosomopatías (13%), malformaciones cardiovasculares (13%) y esqueléticas de extremidades (13%). La vía de reclamación más utilizada es la extrajudicial (52,63%). Conclusiones: el 'error humano o de gestión' supone un riesgo muy alto de responsabilidad profesional médica, mientras que el error en la interpretación ecográfica supone indemnización en el 23,53% de los casos (AU)

Objective/introduction: Error in prenatal diagnosis can deprive woman of the information needed to decide with full autonomy whether to exercise their right to a pregnancy termination. The Anglo-Saxon concept of wrongful birth is a legal cause of action if the result is a malformation or disease detectable in prenatal study. Subjects and method: We performed a retrospective and descriptive study of wrongful birth claims in the province of Barcelona in the period 1989-2014. Results: There were 38 claims (an incidence of 3 complaints per 100,000 births). The most frequent entities were multiple malformations (23%), chromosomopathies (13%), and malformations of the heart and extremities (13% each). Most claims (52.63%) were settled out of court. Conclusions: 'Human or management error' represents a very high risk for medical professional liability claims. Error in ultrasound interpretation leads to compensation in 23.53% of cases (AU)