Vaccinations chez les migrants et les réfugiés : un défi pour les systèmes de santé européens
Fifty-eight articles were included in a qualitative synthesis to assess the frequency of vaccine-preventable diseases and vaccination coverage among migrants and refugees in Europe. The results showed that migrants and refugees have lower vaccination rates than the ethnic European population.
Studies have shown that the countries of origin of migrants and refugees have decreased immunization rates. A qualitative systematic review was carried out to assess the frequency of vaccine-preventable diseases, as well as vaccination coverage, between migrants and refugees in Europe. Fifty-eight articles were retrieved from the Medline and Cochrane databases. Diseases analyzed included hepatitis B-related measles, rubella, mumps, tetanus, polio, pertussis, diphtheria, meningitis and chickenpox. Although there were insufficient data for many of the diseases analyzed, several studies concluded that the immunization rates of migrants and refugees were lower. Reasons for the lower vaccination rates include low vaccination coverage in the country of origin, constant migration preventing the administration of multiple doses, lack of patient registration and lack of coordination from public health authorities. The authors recommend increased monitoring of vaccination status upon entry into Europe.
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