Catch-up immunization for adolescents and young adults during pre-travel consultation in Japan

Autor: Mugen Ujiie, Michiyo Suzuki, Kei Yamamoto, Norio Ohmagari, Shuzo Kanagawa
Rok vydání: 2021
Předmět:
Pediatrics
Viral Diseases
Varicella vaccine
medicine.disease_cause
Pathology and Laboratory Medicine
Geographical Locations
Japan
Global health
Medicine
Public and Occupational Health
Referral and Consultation
Travel
Vaccines
Multidisciplinary
Vaccination
virus diseases
Vaccination and Immunization
MMR vaccine
Medical Microbiology
Viral Pathogens
Viruses
Infectious diseases
Pathogens
Research Article
Adult
Medical conditions
medicine.medical_specialty
Herpesviruses
Asia
Adolescent
Science
Immunology
chemical and pharmacologic phenomena
Rubella
Measles
Microbiology
Varicella Zoster Virus
Young Adult
Virology
Infectious disease control
Humans
Mumps
Microbial Pathogens
Medicine and health sciences
Biology and life sciences
business.industry
Immunization Programs
Viral vaccines
Varicella zoster virus
Organisms
Odds ratio
biochemical phenomena
metabolism
and nutrition
medicine.disease
Immunization
Multivariate Analysis
People and Places
bacteria
Preventive Medicine
business
DNA viruses
Measles-Mumps-Rubella Vaccine
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 10, p e0258357 (2021)
ISSN: 1932-6203
Popis: Rubella and measles outbreaks in adults occur because of unimmunized or partially immunized status. Travel clinics play an important role in catch-up measles, rubella, mumps, and varicella immunization for adults. We evaluated the need for catch-up measles, rubella, mumps, and varicella immunization by young adults at our travel clinic. This retrospective observational study was conducted at the National Center for Global Health and Medicine from June 1, 2017 to May 31, 2018. Adults aged 16–49 years who received pre-travel consultation and had childhood immunization records were included. Individuals who fully or partially received planned measles, rubella, mumps, and varicella catch-up immunization were classified as “immunized.” We calculated the proportion of “immunized” individuals and analyzed the factors associated with catch-up measles, rubella, mumps, and varicella immunization at pre-travel consultation using logistic regression analysis. Overall, 3,456 individuals received pre-travel consultations during the study period; 827 (336 men, median age 22 years) had childhood immunization records. The most common trip purposes were study (33%) and tourism (24%). The most common destination was Asia (39%). Catch-up immunization of any measles, rubella, mumps, and varicella vaccine was needed by 755 individuals. After consultation, 20–46% of these participants who needed catchup immunization received at least one dose of immunization. Factors that are negatively associated with measles, rubella, mumps, and varicella catch-up immunization were tourism (odds ratio 0.37 to 0.58), yellow fever vaccination (0.45 to 0.50) (excluding varicella), and each disease history (0.13 to 0.40) (excluding rubella and varicella). Further studies are needed to identify barriers to catch-up immunization.
Databáze: OpenAIRE
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