Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz
Volume 59, Issue 5, 2016, Pages 584-591

Polio vaccination and stool screening in German reception centers for asylum seekers, November 2013–January 2014: What was implemented? [Polioimpfung und Stuhlscreening in deutschen Erstaufnahmeeinrichtungen für Asylsuchende, November 2013–Januar 2014: Was wurde umgesetzt?] (Article)

Zeitlmann N.* , George M. , Falkenhorst G.
  • a Abteilung für Infektionsepidemiologie, Robert Koch-Institut, Seestraße 10, Berlin, 13353, Germany, Postgraduiertenausbildung für angewandte Epidemiologie (PAE), Robert Koch-Institut, Berlin, Germany, Sachbereich Infektionsepidemiologie, Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit, Oberschleißheim, Germany
  • b Abteilung für Infektionsepidemiologie, Robert Koch-Institut, Seestraße 10, Berlin, 13353, Germany, Postgraduiertenausbildung für angewandte Epidemiologie (PAE), Robert Koch-Institut, Berlin, Germany, Infektionsepidemiologie, Landesuntersuchungsamt Rheinland-Pfalz, Landau, Germany
  • c Abteilung für Infektionsepidemiologie, Robert Koch-Institut, Seestraße 10, Berlin, 13353, Germany

Abstract

Background: Following the polio outbreak in Syria and the rising number of Syrian asylum seekers in Germany in 2013, the Robert Koch Institute recommended – within the context of existing vaccination recommendations for asylum seekers – on 01/11/2013 to prioritize polio vaccination of Syrian asylum seekers and stool screening in a target group of Syrian asylum seekers aged less than three years. Objectives: The article evaluates the implementation of this recommendation in German asylum seeker reception centres (RC) to gain further knowledge on the vaccination practices in RCs and to identify opportunities for improving future recommendations. Methods: The electronic questionnaire was sent by email to all German RCs, asking for general information on the RC, existing vaccination efforts, the main obstacles for implementation of the recommendations, the number of incoming and vaccinated asylum seekers, and asylum seekers screened for poliovirus in the period from 01/11/2013 to 31/01/2014. The RCs rated the feasibility of the recommendation and the provided multilingual information material. Results and Conclusion: All of the 20 identified RCs responded. During the study period, 33.874 asylum seekers arrived in the RCs. Of those with available information about possession of a vaccination record, on average 1.6 % did have one. All RCs offered timely vaccination to Syrian asylum seekers younger than three years. In this target group, eight RC achieved vaccination coverages of ≥ 80 %. Stool screening coverage was ≥ 80 % in five of 19 RCs. Eleven RCs rated the recommendation as very well/well implementable. Staff shortages and language barriers were mentioned as the main implementation obstacles. Similar future recommendations for asylum seekers in RCs should be accompanied by informational material in additional languages. Staff shortages hampering implementation could be overcome through collaborations with non-governmental organizations. © 2016, Springer-Verlag Berlin Heidelberg.

Author Keywords

Asylum seekers Vaccination Germany Polio Stool screening

Index Keywords

Germany refugee mass screening Poliovirus human Refugees Poliomyelitis virus statistics and numerical data mandatory testing Humans Adolescent virology Infant, Newborn male Poliovirus Vaccines preschool child poliomyelitis vaccine Infant Child, Preschool newborn female prevalence isolation and purification Feces utilization Utilization Review vaccination poliomyelitis Child

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84964316615&doi=10.1007%2fs00103-016-2334-7&partnerID=40&md5=27a6301f6fd0c4dc6c543118c6ca63b9

DOI: 10.1007/s00103-016-2334-7
ISSN: 14369990
Cited by: 2
Original Language: German