Impfungen bei erwachsenen Flüchtlingen

Tarr, Philip; Notter, Julia; Sydow, Véronique; Wirz, Sebastian; Wallnöfer, Astrid; Vollgraff, Michael; Neumayr, Andreas; Berger, Christoph; Battegay, Manuel; Fehr, Jan; Jackson, Yves-Laurent Julien; Posfay‐Barbe, Klara M.; Durieux, Sophie; Ritz, Nicole; Staehelin, Cornelia; Boillat‐Blanco, Noémie; Fuchs, Simon Wolfgang; Martin, Brian

doi:10.4414/smf.2016.02829

Cited by 3 publications

(6 citation statements)

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“…To resolve such obstacles, vaccination guidelines, such as the published guidelines “Vaccinations in Adult Refugees” 14 were mentioned as particularly helpful and important—especially as “tailored” vaccination strategies are mentioned for situations where the previous vaccination history of a patient remains unknown.…”

Section: Resultsmentioning

confidence: 99%

“…20 Interviewees highlighted that the first doctor-patient contact should aim to build trust and not to administer as many vaccinations as possible—this is even mentioned in Swiss vaccination recommendations for under-vaccinated asylum seekers and refugees. 14…”

Section: Discussionmentioning

confidence: 99%

“…The federal government recommendations regarding vaccinations and their documentation were repeatedly stated as informative and helpful to effectively address this issue. 14,21…”

Section: Discussionmentioning

confidence: 99%

“…Although, the physicians' propositions for vaccination are willingly accepted and not rejected, the documentation of vaccination-that is, finding a record of previous vaccines before migration is a real problem, as mentioned by nearly one third of the physicians. To resolve such obstacles, vaccination guidelines, such as the published guidelines "Vaccinations in Adult Refugees" 14 were mentioned as particularly helpful and importantespecially as "tailored" vaccination strategies are mentioned for situations where the previous vaccination history of a patient remains unknown.…”

Section: Prevention-related Findings-vaccination and Adherence To Tre...mentioning

confidence: 99%

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Improving Primary Healthcare Access for Asylum Seekers and Refugees: A Qualitative Study From a Swiss Family Physician Perspective

Oehri,

Chernet,

Merten

et al. 2023

J Prim Care Community Health

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Since 2015 the need for evidence-based guidance in primary health care management of refugees, asylum seekers, and immigrants has dramatically increased. The aims of this study were to identify the challenges met by primary care physicians in Switzerland, by performing semi-structured interviews and to identify possible approaches and interventions. Between January 2019 and January 2020, 20 GPs in 3 Swiss cantons were interviewed. The interviews were transcribed, coded with MAXQDA 18, and analyzed using the framework methodology. Following relevant findings were highlighted; (i) problems relating to health insurance companies among (health-insured) asylum seekers and refugees were negligible; (ii) there is a high acceptance for vaccination by refugees, asylum seekers, and immigrants; (iii) limitations in time for consultations and adequate reimbursement for practitioners pose a serious challenge; (iv) the majority of consultations are complaint-oriented, preventive consultations are rare; and (v) the language barrier is a major challenge for psychosocial consultations, whereas this appears less relevant for somatic complaints. The following issues were identified as high priority needs by the study participants; (i) increased networking between GPs, that is, establishing bridging services with asylum centers, (ii) improved training opportunities for GPs in Migration Medicine with regular updates of current guidelines, and (iii) a standardisation of health documentation facilitating exchange of medical data, that is, digital/paper-based “health booklet” or “health pass.”

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…The federal government recommendations regarding vaccinations and their documentation were repeatedly stated as informative and helpful to effectively address this issue. 14,21…”

Section: Discussionmentioning

confidence: 99%

Section: Prevention-related Findings-vaccination and Adherence To Tre...mentioning

confidence: 99%

See 2 more Smart Citations

Improving Primary Healthcare Access for Asylum Seekers and Refugees: A Qualitative Study From a Swiss Family Physician Perspective

Oehri,

Chernet,

Merten

et al. 2023

J Prim Care Community Health

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“…Recommendations to provide age-specific basic immunization to children and catch-up immunization to adults exist. 8 However, vaccination was explicitly delegated to primary health care physicians at the community level once the formal process of registration was finalized, i.e. often after several months.…”

Section: Introductionmentioning

confidence: 99%

Seroprotection rates of vaccine-preventable diseases among newly arrived Eritrean asylum seekers in Switzerland: a cross-sectional study

Staehelin

Chernet

Sydow

et al. 2019

Journal of Travel Medicine

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Background According to 2016 World Health Organization and United Nations Children’s Fund country estimates, Eritrea has overall high vaccination coverage with immunization rates for three doses of diphtheria/tetanus/pertussis and polio vaccine of 95%, for two doses measles vaccine of 85% and for three doses hepatitis B vaccine of 85%. If confirmed, this could imply that routine basic vaccination of newly arrived Eritreans could be safely omitted. Methods We used stored serum samples from two cross-sectional studies that screened newly arrived Eritrean refugees for infectious diseases. Consenting refugees aged 16 years and older who registered in one of three neighbouring cantons in northwestern Switzerland were enrolled between January 2016 and December 2017. Antibody titers against the following vaccine-preventable diseases were measured (applied thresholds for seroprotection in brackets): diphtheria (>0.1 IU/ml), tetanus (>0.1 IU/ml), measles (>150 mIU/ml), rubella (only for women, >11 IU/ml), varicella (>50 mIU/ml), hepatitis B [hepatitis B surface antigen (HBsAg) Index >0.9, Hepatitis B core antibody (anti-HBc) Index >0.9 and antibodies to HBsAg (anti-HBs) >10 IE/L]. Differences between sex and age groups (≤25 and >25 years) were measured by Fisher’s exact test. Results We analysed samples of 133 study participants (20 women, 15%) with a median age of 25 years (range 16–61). Rates of seropositivity were as follows for women/men, respectively: diphtheria 57.9%/74.8% (difference non-significant), tetanus 94.8%/41.1% (P < 0.001), measles 73.7%/76.6% (non-significant), rubella in women 78.9%, varicella 89.5%/95.3% (non-significant), anti-HBc 15.8%/26.2% (non-significant) and anti-HBs 15.8%/17.8% (non-significant). Conclusion Seroprevalence for vaccine-preventable infections did not meet levels required to confer herd immunity in any of the human-to-human transmissible diseases that were studied. In general, the strategy proposed by the Federal Office of Public Health to offer basic immunization to all newly arrived refugees, including newly arriving Eritrean refugees, is justified.

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National approaches to the vaccination of recently arrived migrants in Europe: A comparative policy analysis across 32 European countries

Ravensbergen

Nellums

Hargreaves

et al. 2019

Travel Medicine and Infectious Disease

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BackgroundMigrants may be underimmunised and at higher risk of vaccine-preventable diseases, yet there has been no comprehensive examination of what policies are currently implemented across Europe targeting child and adult migrants. We analysed vaccination policies for migrants in 32 EU/EEA countries and Switzerland.MethodsUsing framework analysis, we did a comparative analysis of national policies and guidelines pertaining to vaccination in recently arrived migrants through a systematic guideline and literature review and by approaching national experts.ResultsSix (18.8%) of 32 countries had comprehensive policies specific to the vaccination of migrants (two focused only on child migrants, four on both adults and children). Nineteen (59.4%) countries applied their national vaccination schedule for migrant vaccinations, predominantly focusing on children; and five (15.6%) countries had circulated additional migrant-specific resources to relevant health-care providers. In six (18.8%) countries, policies on migrant vaccination focused on outbreak-specific vaccines only. In ten (31.3%) countries, policies focused on priority vaccinations, with polio being the vaccine most commonly administered and heterogeneity noted in vaccines recommended to adults, adolescents, and children. Eighteen (56.3%) countries recommended that an individual should be considered as unvaccinated where vaccination records were missing, and vaccines re-administered. Nine (28.1%) countries reported that specific vaccinations were mandatory.ConclusionThere is considerable variation in policies across Europe regarding approaches to vaccination in adult and child migrants, and a lack of clarity on optimum ways forward, what vaccines to offer, with a need for robust research in this area. More emphasis must be placed on ensuring migrant-specific guidance is disseminated to front-line healthcare professionals to improve vaccine delivery and uptake in diverse migration populations across the region.

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Impfungen bei erwachsenen Flüchtlingen

Cited by 3 publications

References 0 publications

Improving Primary Healthcare Access for Asylum Seekers and Refugees: A Qualitative Study From a Swiss Family Physician Perspective

Improving Primary Healthcare Access for Asylum Seekers and Refugees: A Qualitative Study From a Swiss Family Physician Perspective

Seroprotection rates of vaccine-preventable diseases among newly arrived Eritrean asylum seekers in Switzerland: a cross-sectional study

National approaches to the vaccination of recently arrived migrants in Europe: A comparative policy analysis across 32 European countries

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