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Open AccessArticle

Determining Factors for Pertussis Vaccination Policy: A Study in Five EU Countries

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Institut Pasteur/INSERM/University of Versailles Saint Quentin, UMR 1181 Biostatistics, Biomathematics, Pharmacoepidemiology and Infectious Diseases, 25 rue du Dr Roux, F-75724 Paris CEDEX 15, France
2
EHESP French School of Public Health, F-35000 Rennes, France
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ScHARR, The University of Sheffield, 30 Regent Street, Sheffield S1 4DA, UK
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Univ Rennes, EHESP, CNRS, ARENES – UMR 6051, F-35000 Rennes, France
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French Collaborative Institute on Migration, 93322 Aubervilliers, France
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Institut Pasteur, Unit Biodiversity and Epidemiology of Bacterial Pathogens, 25 rue du Dr Roux, F-75724 Paris CEDEX 15, France
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National Reference Center for Whooping Cough and OtherBordetella Infections, Institut Pasteur, 25 rue du Dr Roux, F-75724 Paris CEDEX 15, France
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Department of General Paediatrics and Infectious Diseases, Necker-Enfants malades University Hospital, Université de Paris, AP-HP, 135 rue de Sevres, 75015 Paris, France
*
Author to whom correspondence should be addressed.
Vaccines 2020, 8(1), 46; https://doi.org/10.3390/vaccines8010046
Received: 8 December 2019 / Revised: 20 January 2020 / Accepted: 21 January 2020 / Published: 26 January 2020
(This article belongs to the Special Issue Strategies Addressing Falling Vaccine Coverage and Vaccine Hesitancy)
Pertussis vaccination policy varies across Europe, not only in the type of vaccine—whole cell (wP) vs. acellular (aP1/2/3/5)—but also in the schedule and recommendation for parents. This study aims to investigate the determining factors for the type of vaccine, immunization schedule and maternal immunization recommendation. From March to May 2019, experts in national health agencies and major academic or research institutions from Denmark, France, Poland, Sweden and the UK were invited to a semi-structured interview. Thematic analysis was performed on the transcripts using a codebook formulated by three coders. Inter-coder agreement was assessed. Fifteen expert interviews were conducted. The identified driving factors for pertussis vaccine policy were classified into three domains: scientific factors, sociological factors, and pragmatic factors. The determining factors for the type of vaccine were prescriber’s preference, concern of adverse events following immunization (AEFI), effectiveness, and consideration of other vaccine components in combined vaccines. The determining factors for infant schedule were immunity response and the potential to improve coverage and timeliness. The determining factors for maternal immunization were infant mortality and public acceptability. To conclude, socio-political and pragmatic factors were, besides scientific factors, important in determining the pertussis vaccine type, schedule of childhood immunization and recommendations for parents.
Keywords: Bordetella pertussis; whooping cough; vaccination policy; national immunization program Bordetella pertussis; whooping cough; vaccination policy; national immunization program
MDPI and ACS Style

Wong, A.; Opinel, A.; Combes, S.-B.; Toubiana, J.; Brisse, S. Determining Factors for Pertussis Vaccination Policy: A Study in Five EU Countries. Vaccines 2020, 8, 46.

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