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Open AccessReview

Vaccination Coverage among Prisoners: A Systematic Review

1
Penitentiary Center Alicante II, Carretera N-330, Km. 66, 03400 Villena, Spain
2
Servicio de Urgencias, Hospital Universitario del Vinalopó-Elche, Calle Tonico Sansano Mora, 03293 Elche, Spain
3
Department of Pulmonary and Infectious Diseases, University Hospital of Copenhagen, North Zealand Dyrehavevej 29, 3400 Hillerød, Denmark
4
European Society of Clinical Microbiology and Infectious Diseases, Vaccine Study Group—EVASG, 4010 Basel, Switzerland
5
Department of Community Nursing, Preventive Medicine and Public Health and History of Science, University of Alicante, San Vicente del Raspeig, 03690 Alicante, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(20), 7589; https://doi.org/10.3390/ijerph17207589
Received: 30 August 2020 / Revised: 3 October 2020 / Accepted: 14 October 2020 / Published: 19 October 2020
(This article belongs to the Special Issue Global Infectious Diseases and Surveillance and Control Systems)
Prison inmates are highly susceptible for several infectious diseases, including vaccine-preventable diseases. We conducted a systematic international literature review on vaccination coverage against hepatitis B virus (HBV), hepatitis A virus (HAV), combined HAV/HBV, tetanus-diphtheria, influenza, pneumococcal, and combined measles, mumps, and rubella (MMR) in prison inmates, according to the PRISMA guidelines. The electronic databases were used Web of Science, MEDLINE, Scopus, and Cinhal. No language or time limit were applied to the search. We defined vaccination coverage as the proportion of vaccinated prisoners. There were no limitations in the search strategy regarding time period or language. Of 1079 identified studies, 28 studies were included in the review. In total, 21 reported on HBV vaccine coverage (range between 16–82%); three on HAV (range between 91–96%); two studies on combined HAV/HBV (77% in the second dose and 58% in the third); three studies on influenza vaccine (range between 36–46%), one of pneumococcal vaccine coverage (12%), and one on MMR coverage (74%). We found that data on vaccination coverage in prison inmates are scarce, heterogeneous, and do not include all relevant vaccines for this group. Current published literature indicate that prison inmates are under-immunized, particularly against HBV, influenza, MMR, and pneumococci. Strengthen immunization programs specifically for this population at risk and improvement of data record systems may contribute to better health care in prisoners. View Full-Text
Keywords: prisoners; inmates; vaccination coverage; immunization programs prisoners; inmates; vaccination coverage; immunization programs
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Vicente-Alcalde, N.; Ruescas-Escolano, E.; Harboe, Z.B.; Tuells, J. Vaccination Coverage among Prisoners: A Systematic Review. Int. J. Environ. Res. Public Health 2020, 17, 7589.

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