Driving delivery and uptake of catch-up vaccination among adolescent and adult migrants in UK general practice: a mixed methods pilot study
BMC Medicine,
Год журнала:
2024,
Номер
22(1)
Опубликована: Май 3, 2024
Abstract
Background
Migrants
in
the
UK
and
Europe
face
vulnerability
to
vaccine-preventable
diseases
(VPDs)
due
missed
childhood
vaccines
doses
marginalisation
from
health
systems.
Ensuring
migrants
receive
catch-up
vaccinations,
including
MMR,
Td/IPV,
MenACWY,
HPV,
is
essential
align
them
with
European
vaccination
schedules
ultimately
reduce
morbidity
mortality.
However,
recent
evidence
highlights
poor
awareness
implementation
of
guidelines
by
primary
care
staff,
requiring
novel
approaches
strengthen
pathway.
Methods
The
‘Vacc
on
Track’
study
(May
2021–September
2022)
aimed
measure
under-vaccination
rates
among
establish
new
referral
pathways
for
vaccination.
Participants
included
aged
16
or
older,
born
outside
Western
Europe,
North
America,
Australia,
New
Zealand,
two
London
boroughs.
Quantitative
data
history,
referral,
uptake,
sociodemographic
factors
were
collected,
practice
nurses
prompted
deliver
vaccinations
following
guidelines.
Focus
group
discussions
in-depth
interviews
staff
explored
views
delivering
vaccination,
barriers,
facilitators,
opportunities.
Data
analysed
using
STATA12
NVivo
12.
Results
57
presenting
sites
18
countries
(mean
age
41
[SD
7.2]
years;
62%
female;
mean
11.3
9.1]
years
UK)
over
a
minimum
6
months
follow-up
revealed
significant
needs,
particularly
MMR
(49
[86%]
required
vaccination)
Td/IPV
(50
[88%]).
Fifty-three
(93%)
participants
referred
any
but
completion
courses
was
low
(6
[12%]
33
[64%]
MMR),
suggesting
individual
systemic
barriers.
Qualitative
(
n
=
39)
adult
highlighted
lack
systems
currently
place
offer
arrival
need
health-care
provider
skills
knowledge
be
improved.
32)
identified
limited
appointment/follow-up
time,
gaps,
inadequate
engagement
routes,
incentivisation
as
challenges
that
will
addressed.
they
underscored
potential
champions,
trust-building
mechanisms,
community-based
uptake
migrants.
Conclusions
Given
needs
our
sample,
current
barriers
driving
identified,
findings
suggest
it
important
explore
this
public
issue
further,
potentially
through
larger
trial.
Strengthening
existing
pathways,
capacity
care,
alongside
implementing
strategies
centred
cultural
competence
building
trust
migrant
communities
focus
areas.
Язык: Английский
Antimicrobial resistance among refugees and asylum seekers: a global systematic review and meta-analysis
The Lancet Infectious Diseases,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 1, 2024
Язык: Английский
Seroprevalence status of vaccine-preventable diseases in migrants living in shelter centers in Barcelona, Spain
Enfermedades Infecciosas y Microbiología Clínica,
Год журнала:
2024,
Номер
unknown
Опубликована: Май 1, 2024
Toxigenic Corynebacterium diphtheriae Infections in Low-Risk Patients, Switzerland, 2023
Pascal Urwyler,
Daniel Goldenberger,
Kerstin Grosheintz
и другие.
Emerging infectious diseases,
Год журнала:
2024,
Номер
31(1)
Опубликована: Дек. 11, 2024
We
report
a
cluster
of
infections
with
genetically
related
toxigenic
Corynebacterium
diphtheriae
linked
to
an
outbreak
among
asylum
seekers
in
Switzerland
that
subsequently
affected
patients
without
known
exposure.
This
discovery
highlights
the
importance
rapid,
interdisciplinary
investigations
and
regular
vaccination
status
assessment,
especially
elderly
populations
waning
immunity.
Язык: Английский
Seroprevalence status of vaccine-preventable diseases in migrants living in shelter centers in Barcelona, Spain
Enfermedades infecciosas y microbiologia clinica (English ed ),
Год журнала:
2024,
Номер
unknown
Опубликована: Июнь 1, 2024
Vaccination coverage and access among children and adult migrants and refugees in the Middle East and North African region: a systematic review and meta-analysis
EClinicalMedicine,
Год журнала:
2024,
Номер
78, С. 102950 - 102950
Опубликована: Ноя. 22, 2024
Язык: Английский
Measles Among the Foreign-Born Population Residing in Spain, 2014–2022: Missed Opportunities for Vaccination
Vaccines,
Год журнала:
2024,
Номер
12(12), С. 1452 - 1452
Опубликована: Дек. 23, 2024
Background/Objectives:
Spain
has
been
in
a
measles
elimination
phase
since
2014.
No
evidence
exists
about
the
distribution
of
cases
among
population
born
outside
Spain.
The
aim
this
study
was
thus
to
describe
epidemiological
situation
measles,
stratified
by
place
birth,
during
post-elimination
period
Methods:
This
is
retrospective
confirmed
reported
RENAVE
between
2014
and
2022.
A
descriptive
analysis
case
characteristics
(sex,
age
group,
vaccination
status,
imported
case)
performed,
well
as
an
temporal
trends
geographic
incidence
rate
(IR;
cases/million
inhabitants).
All
analyses
were
origin
(Spain
vs.
Spain).
We
then
performed
sensitivity
those
Spain,
with
representation
Kaplan–Meier
curves
taking
into
account
year
arrival
country
until
onset
measles.
Results:
Between
2022,
951
(overall
IR:
2.3).
Among
these,
18.6%
(177
cases,
3.0)
IRs
show
differences
(p
<
0.001)
terms
group
origin.
By
children
under
5
years
had
highest
IR,
but
adults
aged
30
older
proportion
cases.
ratio
(IRR)
5-fold
higher
foreign-born
than
native-born
children.
time
trend
shows
peak
2019
for
(IR:
8.6
5.4,
respectively),
consistent
European-wide
scenario,
while
only
one
Geographical
variability
rates
region
observed:
Catalonia
Valencian
Community
accumulated
throughout
period.
median
from
rash
6
years.
Conclusions:
40%
Spain’s
its
population.
Taking
increasing
migrant
we
consider
that
public
health
efforts
need
be
directed
towards
susceptible
groups
people.
In
context
advanced
elimination,
specific
interventions
identifying
attending
most
vulnerable
populations
should
designed
implemented.
Язык: Английский