National immunization strategies targeting migrants in six European countries
Autor: | Giambi, Cristina, Del Manso, Martina, Dalla Zuanna, Teresa, Riccardo, Flavia, Bella, Antonino, Caporali, Maria Grazia, Baka, Agoritsa, Caks-Jager, Nuska, Melillo, Tanya, Mexia, Ricardo, Petrović, Goranka, Declich, Silvia, Ali, Karam Adel, Dente, Maria Grazia, Iannazzo, Stefania, Kaić, Bernard, Napoli, Christian, Panagiotopoulos, Takis, Pereira, Filipa, CARE working group for the National Immunization Survey |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
Male
Migrants Vaccination Infectious diseases Europe 0302 clinical medicine Surveys and Questionnaires 030212 general & internal medicine Socioeconomics Child Transients and Migrants Vaccines Health Policy Vaccination Overcrowding Observação em Saúde e Vigilância Poliomyelitis Europe Infectious Diseases Geography Child Preschool Community health Molecular Medicine Infectious diseases population characteristics Vaccine-preventable diseases Female Migrantes Europa Immunization Strategies geographic locations Adolescent Refugee 030231 tropical medicine National Immunization Survey Migrants Preventable Disease 03 medical and health sciences Vaccine-Preventable Diseases National Strategies medicine Humans General Veterinary General Immunology and Microbiology Immunization Programs Public Health Environmental and Occupational Health Infant Newborn Outbreak Infant social sciences medicine.disease Vacinação Vacinas Immunization Investigação em Serviços de Saúde migrants health vaccination strategy Europe Determinantes da Saúde e da Doença |
Popis: | 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. The study was conducted in the framework of the CARE (‘‘Common Approach for REfugees and other migrants’ health”) project (717217/CARE) that received funding from the EU health Programme (2014–2020). info:eu-repo/semantics/publishedVersion |
Databáze: | OpenAIRE |
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