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National immunization strategies targeting migrants in six European countries

dc.contributor.authorGiambi, Cristina
dc.contributor.authorDel Manso, Martina
dc.contributor.authorDalla Zuanna, Teresa
dc.contributor.authorRiccardo, Flavia
dc.contributor.authorBella, Antonino
dc.contributor.authorCaporali, Maria Grazia
dc.contributor.authorBaka, Agoritsa
dc.contributor.authorCaks-Jager, Nuska
dc.contributor.authorMelillo, Tanya
dc.contributor.authorMexia, Ricardo
dc.contributor.authorPetrović, Goranka
dc.contributor.authorDeclich, Silvia
dc.contributor.authorAli, Karam Adel
dc.contributor.authorDente, Maria Grazia
dc.contributor.authorIannazzo, Stefania
dc.contributor.authorKaić, Bernard
dc.contributor.authorNapoli, Christian
dc.contributor.authorPanagiotopoulos, Takis
dc.contributor.authorPereira, Filipa
dc.contributor.authorCARE working group for the National Immunization Survey
dc.date.accessioned2018-02-19T13:01:53Z
dc.date.available2018-02-19T13:01:53Z
dc.date.issued2018-02-06
dc.description.abstractOver 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.pt_PT
dc.description.sponsorshipThe 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).pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationVaccine. 2018 Feb 6. pii: S0264-410X(18)30120-8. doi: 10.1016/j.vaccine.2018.01.060. [Epub ahead of print]pt_PT
dc.identifier.doi10.1016/j.vaccine.2018.01.060pt_PT
dc.identifier.issn0264-410X
dc.identifier.urihttp://hdl.handle.net/10400.18/4968
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionhttps://doi.org/10.1016/j.vaccine.2018.01.060pt_PT
dc.subjectMigrantspt_PT
dc.subjectVaccinationpt_PT
dc.subjectInfectious diseasespt_PT
dc.subjectImmunization Strategiespt_PT
dc.subjectEuropept_PT
dc.subjectVacinaspt_PT
dc.subjectMigrantespt_PT
dc.subjectVacinaçãopt_PT
dc.subjectEuropapt_PT
dc.subjectDeterminantes da Saúde e da Doençapt_PT
dc.subjectObservação em Saúde e Vigilânciapt_PT
dc.subjectInvestigação em Serviços de Saúdept_PT
dc.titleNational immunization strategies targeting migrants in six European countriespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleVaccinept_PT
rcaap.rightsembargoedAccesspt_PT
rcaap.typearticlept_PT

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