Τίτλος:
National immunization strategies targeting migrants in six European
countries
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Over the last three years an unprecedented flow of migrants arrived in
Europe. There is evidence that vaccine preventable diseases have caused
outbreaks in migrant holding centres. These outbreaks can be favored by
a combination of factors including low immunization coverage, bad
conditions that migrants face during their exhausting journey and
overcrowding within holding facilities. In 2017, we conducted an online
survey in Croatia, Greece, Italy, Malta, Portugal and Slovenia to
explore the national immunization strategies targeting irregular
migrants, refugees and asylum seekers. All countries stated that a
national regulation supporting vaccination offer to migrants is
available. Croatia, Italy, Portugal and Slovenia offer to migrant
children and adolescents all vaccinations included in the National
Immunization Plan; Greece and Malta offer only certain vaccinations,
including those against diphtheria-tetanus-pertussis, poliomyelitis and
measles-mumps-rubella. Croatia, Italy, Malta and Portugal also extend
the vaccination offer to adults. All countries deliver vaccinations in
holding centres and/or community health services, no one delivers
vaccinations at entry site. Operating procedures that guarantee the
migrants' access to vaccination at the community level are available
only in Portugal. Data on administered vaccines is available at the
national level in four countries: individual data in Malta and Croatia,
aggregated data in Greece and Portugal. Data on vaccination uptake among
migrants is available at national level only in Malta. Concluding,
although diversified, strategies for migrant vaccination are in place in
all the surveyed countries and generally in line with WHO and ECDC
indications. Development of procedures to keep track of migrants'
immunization data across countries, development of strategies to
facilitate and monitor migrants' access to vaccinations at the community
level and collection of data on vaccination uptake among migrants should
be promoted to meet existing gaps. (C) 2018 The Authors. Published by
Elsevier Ltd.
Συγγραφείς:
Giambi, Cristina
Del Manso, Martina
Dalla Zuanna, Teresa and
Riccardo, Flavia
Bella, Antonino
Caporali, Maria Grazia and
Baka, Agoritsa
Caks-Jager, Nuska
Melillo, Tanya
Mexia,
Ricardo
Petrovic, Goranka
Declich, Silvia
Ali, Karam Adel
and Dente, Maria Grazia
Lannazzo, Stefania
Kaic, Bernard and
Napoli, Christian
Panagiotopoulos, Takis
Pereira, Filipa and
CARE Working Grp Natl Immuniza
Εκδότης:
Elsevier Sci Ltd, Exeter, United Kingdom
Λέξεις-κλειδιά:
Migrants; Vaccination; Infectious diseases; Europe
DOI:
10.1016/j.vaccine.2018.01.060
