Publications by authors named "Zell E"

Importance: Routine vaccinations are key to prevent outbreaks of vaccine-preventable diseases. However, there have been documented declines in routine childhood vaccinations in the U.S.

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Social support is the degree to which people are accepted by, cared for, and attended to by important others and is one of the most popular constructs in the psychological canon. This project synthesized data from 60 meta-analyses, which included over 2,700 studies and 2.1 million participants, to evaluate the association of social support with psychological adjustment.

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Immunizations are an important tool to reduce the burden of vaccine preventable diseases and improve population health. High-quality immunization data is essential to inform clinical and public health interventions and respond to outbreaks of vaccine-preventable diseases. To track COVID-19 vaccines and vaccinations, CDC established an integrated network that included vaccination provider systems, health information exchange systems, immunization information systems, pharmacy and dialysis systems, vaccine ordering systems, electronic health records, and tools to support mass vaccination clinics.

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The big-fish-little-pond effect (BFLPE) is the tendency for students to evaluate themselves more favourably when they have high rank in a low rank school than low rank in a high rank school. Research has documented the BFLPE on experienced emotions. We conducted three studies that examined forecasts of how the BFLPE influences other people's emotions (i.

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Introduction: In 2021, HHS Office of Minority Health and CDC developed a composite measure of social vulnerability called the Minority Health Social Vulnerability Index (MHSVI) to assess the needs of communities most vulnerable to COVID-19. The MHSVI extends the CDC Social Vulnerability Index with two new themes on healthcare access and medical vulnerability. This analysis examines COVID-19 vaccination coverage by social vulnerability using the MHSVI.

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Although severe COVID-19 illness and hospitalization are more common among older adults, children can also be affected (1). More than 3 million cases of COVID-19 had been reported among infants and children aged <5 years (children) as of December 2, 2022 (2). One in four children hospitalized with COVID-19 required intensive care; 21.

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According to the big-fish-little-pond effect (BFLPE), students evaluate themselves more favourably when they have a high rank in a low-rank school than a low rank in a high-rank school. We examined whether the BFLPE impacts self-evaluations in regional settings, where the reference group is one's nation or subnation. In Study 1, participants told that they ranked above average in a below-average nation evaluated themselves more favourably than participants told that they ranked below average in an above-average nation.

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Background: SARS-CoV-2 infection in pregnant women has been associated with severe illness in the women and higher rates of premature delivery. There is, however, paucity of data on the impact of the timing of SARS-CoV-2 infection and on symptomatic or asymptomatic infections on birth outcomes. Data from low-middle income settings is also lacking.

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Objective: To use a model-based approach to estimate vaccination coverage of routinely recommended childhood and adolescent vaccines for the United States.

Methods: We used a hierarchical model with retrospective cohort data from eleven IIS jurisdictions, which contains vaccination records submitted by providers. Numerators included data from 2014 to 2019 at the county level for 2.

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Objective: Severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection during pregnancy has been associated with poor pregnancy outcomes. There is, however, not much information on the impact of the timing of SARS-CoV-2 infection on pregnancy outcomes, and studies from low-middle income settings are also scarce.

Study Design: We conducted a cross-sectional study from April to December 2020, in South Africa, to assess the association of SARS-CoV-2 infection on a nasal swab at the time of labor with fetal death, preterm birth, low birth weight, or pregnancy-induced complications.

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Tracking vaccination coverage is a critical component of monitoring a vaccine program. Three different surveillance systems were used to examine trends in varicella vaccination coverage during the United States vaccination program: National Immunization Survey-Child, National Immunization Survey-Teen, and immunization information systems (IISs). The relationship of these trends to school requirements and disease decline was also examined.

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A tree model identified adults age ≤34 years, Johnson & Johnson primary series recipients, people from racial/ethnic minority groups, residents of nonlarge metro areas, and those living in socially vulnerable communities in the South as less likely to be boosted. These findings can guide clinical/public health outreach toward specific subpopulations.

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Objectives: In summer 2021, the number of COVID-19-associated hospitalizations in the United States increased with the surge of the SARS-CoV-2 Delta variant. We assessed how COVID-19 vaccine initiation and dose completion changed during the Delta variant surge, based on jurisdictional vaccination coverage before the surge.

Methods: We analyzed COVID-19 vaccination data reported to the Centers for Disease Control and Prevention.

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Article Synopsis
  • The study aimed to understand the risk factors for hospitalization due to COVID-19, focusing on both vaccinated and unvaccinated individuals to aid public health measures.
  • Data was collected from over 250 hospitals between January 2021 and April 2022, comparing hospitalization rates and patient characteristics of vaccinated and unvaccinated persons with confirmed COVID-19 infections.
  • Results indicated that unvaccinated individuals had significantly higher hospitalization rates—up to 17.7 times higher compared to vaccinated individuals—particularly during the Omicron variant surge.
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Article Synopsis
  • A study analyzed over 323 million vaccine records to identify demographic factors related to delaying or missing the second dose of the mRNA COVID-19 vaccines (Pfizer-BioNTech and Moderna) in 2021.
  • Findings showed that 87.3% received their second dose on time, while 3.4% had delays, and 9.4% missed it altogether.
  • Groups at higher risk for delays or missed doses included racial/ethnic minorities, young adults (ages 18-39), individuals in socially vulnerable regions, and those outside the northeastern U.S., highlighting the need for targeted outreach to these populations.
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Objective: To evaluate the impact of vaccine scale-up on population level covid-19 mortality and incidence in the United States.

Design: Observational study.

Setting: US county level case surveillance and vaccine administration data reported from 14 December 2020 to 18 December 2021.

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Higher COVID-19 incidence and mortality rates in rural than in urban areas are well documented (1). These disparities persisted during the B.1.

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We analyzed first-dose coronavirus disease vaccination coverage among US children 5-11 years of age during November-December 2021. Pediatric vaccination coverage varied widely by jurisdiction, age group, and race/ethnicity, and lagged behind vaccination coverage for adolescents aged 12-15 years during the first 2 months of vaccine rollout.

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Vaccination against SARS-CoV-2 (the virus that causes COVID-19) is highly effective at preventing hospitalization due to SARS-CoV-2 infection and booster and additional primary dose COVID-19 vaccinations increase protection (1-3). During August-November 2021, a series of Emergency Use Authorizations and recommendations, including those for an additional primary dose for immunocompromised persons and a booster dose for persons aged ≥18 years, were approved because of reduced immunogenicity in immunocompromised persons, waning vaccine effectiveness over time, and the introduction of the highly transmissible B.1.

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Influenza causes considerable morbidity and mortality in the United States. Between 2010 and 2020, an estimated 9-41 million cases resulted in 140,000-710,000 hospitalizations and 12,000-52,000 deaths annually (1). As the United States enters the 2021-22 influenza season, the potential impact of influenza illnesses is of concern given that influenza season will again coincide with the ongoing COVID-19 pandemic, which could further strain overburdened health care systems.

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Objective: The connection between personality traits and performance has fascinated scholars in a variety of disciplines for over a century. The present research synthesizes results from 54 meta-analyses (k = 2028, N = 554,778) to examine the association of Big Five traits with overall performance.

Method: Quantitative aggregation procedures were used to assess the association of Big Five traits with performance, both overall and in specific performance categories.

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Although severe COVID-19 illness and hospitalization are more common among adults, these outcomes can occur in adolescents (1). Nearly one third of adolescents aged 12-17 years hospitalized with COVID-19 during March 2020-April 2021 required intensive care, and 5% of those hospitalized required endotracheal intubation and mechanical ventilation (2). On December 11, 2020, the Food and Drug Administration (FDA) issued Emergency Use Authorization (EUA) of the Pfizer-BioNTech COVID-19 vaccine for adolescents aged 16-17 years; on May 10, 2021, the EUA was expanded to include adolescents aged 12-15 years; and on August 23, 2021, FDA granted approval of the vaccine for persons aged ≥16 years.

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Article Synopsis
  • Clinical trials show that COVID-19 vaccines authorized for use in the U.S. (Pfizer-BioNTech, Moderna, and Johnson & Johnson) are highly effective against symptomatic disease.
  • Real-world studies of over 7,000 patients indicate that these vaccines are particularly effective in preventing hospitalizations among adults aged 65 and older.
  • Specifically, vaccine effectiveness rates in preventing hospitalizations during early 2021 ranged from 84% to 96% depending on the vaccine type and age group, highlighting the importance of increasing vaccination coverage among older adults to lower hospitalization risks.
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After the March 2020 declaration of the COVID-19 pandemic in the United States, an analysis of provider ordering data from the federally funded Vaccines for Children program found a substantial decrease in routine pediatric vaccine ordering (1), and data from New York City and Michigan indicated sharp declines in routine childhood vaccine administration in these areas (2,3). In November 2020, CDC interim guidance stated that routine vaccination of children and adolescents should remain an essential preventive service during the COVID-19 pandemic (4,5). To further understand the impact of the pandemic on routine childhood and adolescent vaccination, vaccine administration data during March-September 2020 from 10 U.

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