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Int. J. Environ. Res. Public Health 2017, 14(5), 459; doi:10.3390/ijerph14050459

Immunization Strategies Targeting Newly Arrived Migrants in Non-EU Countries of the Mediterranean Basin and Black Sea

1
National Center for Epidemiology, Surveillance and Health Promotion, National Institute of Health (Istituto Superiore di Sanità, ISS), viale Regina Elena, 299, 00161 Rome, Italy
2
Department of Medical Surgical Sciences and Traslational Medicine, “Sapienza” University of Rome, Via di Grottarossa, 1035/1039, 00189 Rome, Italy
3
Department of Epidemiology, Andalusian Regional Ministry of Health, Avenida de la innovaciòn s/n, 41020 Sevilla, Spain
4
Network for the Control of Cross-Border Health Threats in the Mediterranean Basin and Black Sea for the ProVacMed Project—Coordination Centre, National Institute of Health (Istituto Superiore di Sanità, ISS), viale Regina Elena 299, 00161 Rome, Italy
*
Author to whom correspondence should be addressed.
Academic Editors: Jimmy T. Efird and Pollie Bith-Melander
Received: 8 February 2017 / Revised: 19 April 2017 / Accepted: 21 April 2017 / Published: 25 April 2017
(This article belongs to the Special Issue Refugee Health)
View Full-Text   |   Download PDF [303 KB, uploaded 25 April 2017]

Abstract

Background: The World Health Organization recommends that host countries ensure appropriate vaccinations to refugees, asylum seekers and migrants. However, information on vaccination strategies targeting migrants in host countries is limited. Methods: In 2015–2016 we carried out a survey among national experts from governmental bodies of 15 non-EU countries of the Mediterranean and Black Sea in order to document and share national vaccination strategies targeting newly arrived migrants. Results: Four countries reported having regulations/procedures supporting the immunization of migrants at national level, one at sub-national level and three only targeting specific population groups. Eight countries offer migrant children all the vaccinations included in their national immunization schedule; three provide only selected vaccinations, mainly measles and polio vaccines. Ten and eight countries also offer selected vaccinations to adolescents and adults respectively. Eight countries provide vaccinations at the community level; seven give priority vaccines in holding centres or at entry sites. Data on administered vaccines are recorded in immunization registries in nine countries. Conclusions: Although differing among countries, indications for immunizing migrants are in place in most of them. However, we cannot infer from our findings whether those strategies are currently functioning and whether barriers to their implementation are being faced. Further studies focusing on these aspects are needed to develop concrete and targeted recommendations for action. Since migrants are moving across countries, development of on-line registries and cooperation between countries could allow keeping track of administered vaccines in order to appropriately plan immunization series and avoid unnecessary vaccinations. View Full-Text
Keywords: migrants; vaccination; infectious diseases; Mediterranean Basin and Black Sea migrants; vaccination; infectious diseases; Mediterranean Basin and Black Sea
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Giambi, C.; Del Manso, M.; Dente, M.G.; Napoli, C.; Montaño-Remacha, C.; Riccardo, F.; Declich, S.; Network for the control of cross-border health threats in the Mediterranean Basin and Black Sea for the ProVacMed project. Immunization Strategies Targeting Newly Arrived Migrants in Non-EU Countries of the Mediterranean Basin and Black Sea. Int. J. Environ. Res. Public Health 2017, 14, 459.

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