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Introduction: The health district of Mopti is confronted with factors that influence its vaccination coverage [1]. The aim of the study was to study the factors influencing the low BCG vaccination coverage in VAR1 and Penta3 in children aged 0 to 23 months in the health district in 2021.Methodology: We carried out a descriptive cross-sectional study, collected information from 280 mothers questioned on the services provided by the vaccination service for children before the age of two, the reasons for incompleteness using a questionnaire. Univariate and multivariate logistic regression analysis was done for the variables using SPSS software. An association was significant when p < 0.05.Results: Vaccination completeness was 53.08%, varying from 94% BCG, 79% VAR1 and 83% Penta3. The analysis showed that mothers who spent more time at the vaccination center (P=0.098, Chi-square=18.617), who missed certain sessions (P=0.174, Chi-square=13.371) and who were informed of missed consumables (P=0.278, Chi-square= 7.485) are significantly associated with vaccine incompleteness. Conclusion: Vaccination completeness was insufficient despite good knowledge of the mothers on vaccination. [ABSTRACT FROM AUTHOR]

Since the advent of conjugated polysaccharide vaccines and the regular adaptation of recommendations for their use, including the obligation to vaccinate all infants, the incidence of invasive infections has been significantly reduced. However, pneumococcus remains the number 1 cause of morbidity and mortality from bacterial infection in all age groups. Two phenomena contribute to this situation: -- The replacement of strains contained in vaccines, which are targeted because they are invasive, by "carriage" strains, some of which also have a "medium" invasive potential, but which can infect hosts with co-morbidities; serotype 3 remains relatively insensitive to vaccine antibodies because of the thickness of its capsule; the bacterial ecosystem is also influenced by antibiotic treatments and interactions with viruses and between different age groups. -- A glaring lack of vaccination coverage for patients with chronic illnesses and/or immunodeficiencies, despite numerous opportunities to "update" their vaccinations. The steady increase in the number of valences in vaccines is reaching its limits, and research is focusing on the development of vaccines using only or partially non-capsular antigens, such as surface proteins common to the different serotypes. [ABSTRACT FROM AUTHOR]

Résumé: La couverture vaccinale vis-à-vis de la rougeole stagne et reste insuffisante en France et dans le monde, ce qui a permis sa réémergence actuellement observée. L'essor d'Internet a engendré une plus grande diffusion d'idées anti-vaccination et majoré l'hésitation vaccinale. Mais les nouvelles technologies pourraient aussi permettre le développement d'outils d'information et d'aide-mémoire sur la vaccination. Cette étude épidémiologique évaluative longitudinale, non randomisée, prospective, avait pour objectif d'évaluer l'impact d'une campagne d'information par courriel quant à l'amélioration de la couverture vaccinale ROR dans la Loire. L'envoi d'un courriel aide-mémoire aux parents d'enfant en âge d'être vaccinés par le ROR est associé à une meilleure couverture vaccinale. Cet effet pourrait être amélioré en le combinant à un outil numérique d'aide à la décision. The measles immunization coverage stagnates and is insufficient in France and in the world, resulting in the current measles outbreak. The growth of the Internet has brought the dissemination of antivaccine ideas and has increased the vaccine hesitancy. But new communication technologies could also lead to develop new information and reminder tools about immunization. This longitudinal epidemiological evaluative non-randomized prospective study aimed to assess the possible impact of an information campaign by email on the MMR vaccination coverage in the French department Loire. Sending a reminder email to the parents whose children have reached the age for MMR vaccination is associated with better immunization coverage. This impact could be improved by combining with a decision aid. [ABSTRACT FROM AUTHOR]

Epidemiological surveillance makes it possible to assess the impact of a vaccination policy in terms of reducing the incidence of target diseases and achieving control objectives for these diseases. The situation in France is contrasted in this respect. Some diseases (diphtheria, tetanus, poliomyelitis, infant haemophilus influenzae b meningitis) have been totally or almost totally eliminated thanks to very high vaccination coverage. For other diseases (measles, invasive meningococcal C, hepatitis B), insufficient vaccination coverage leads to the persistence of a disease burden which should be considered unacceptable, since it is very easily preventable. Finally, for other diseases (pertussis, influenza, pneumococcal meningitis in infant), better control of these diseases would require the availability of more effective vaccines, which should not discourage from optimizing the current level of control through high vaccination coverage with current vaccines. [ABSTRACT FROM AUTHOR]

Abstract: Background: Every year, 15 to 20 tetanus cases are reported in France. The latest national figures showed that only 62 % of adults were up-to-date for this vaccination. We tried to determine the factors associated with vaccination coverage and with knowledge of vaccination status. Methods: We analyzed data from the “Santé et Protection sociale” survey (2002). We analyzed the association between factors and tetanus vaccination coverage. We then explored the association between these factors and knowledge of vaccination status. Results: Two demographic variables were only associated with vaccination coverage (higher coverage in male individuals and in individuals living in some regions of the country). Two socioeconomic variables were only associated with knowledge of vaccination status (higher knowledge in people from high income families and in managers/private professionals and in office workers). Coverage and status awareness both decreased with lower education level, in residents of large urban centers and in individuals without private medical insurance, and these two indicators were both associated to age but in an opposite direction. Conclusion: Factors influencing vaccination coverage are rather demographic, whereas socioeconomic factors seem to influence more the knowledge of vaccination status. This distinction should help to target public health actions and adapt information for the least covered and the least informed groups. [ABSTRACT FROM AUTHOR]

Abstract: Objective: This study had for aim to assess pneumococcal vaccination rates in hospitalized patients. Design: A prospective study was carried out in two medical wards of the Nice University Hospital, France. Patients were included from December 31, 2007 to February 12, 2008. Results: Hundred and thirty-seven patients, aged 62±20 years, were included. Pneumococcal vaccination was indicated for 62 patients (45 %). Among these 62 patients, 53 (85 %) had not been vaccinated in the previous 5 years, for the following reasons: no medical advice on vaccination (36 cases), no medical consultation in the past years (nine cases), patient opposed to vaccination (two cases), physician opposed to vaccination (one case), miscellaneous (five cases). Among the 53 patients, seven were vaccinated during their hospital stay and 13 were advised to be vaccinated by their general practitioner. Conclusions: This study highlights a low rate of pneumococcal vaccination in hospitalized patients, mainly due to insufficient counseling from physicians, both in community or in hospital practice. [Copyright &y& Elsevier]

Abstract: Objective: The authors had for aim to study the evolution of vaccination coverage for diphtheria, tetanus, pertussis, poliomyelitis, measles, mumps, rubella (MMR) and Haemophilus influenzae b (Hib) in 5 to 6-year-old children in Geneva, from school year 2003–2004 to 2006–2007. Design: The data was collected from vaccination cards of 17,184 children attending public schools in the Geneva canton. Results: The average vaccination coverage over the study period was 93.4% for diphtheria, 93.5% for tetanus, 92.5% for pertussis, and 92.4% for poliomyelitis. For MMR and Hib, the coverage was 80.6, 78.4, 79.1 and 81.2% respectively. Between 2003 and 2007, an increase of coverage was observed for all vaccines. It was especially observed for MMR and Hib vaccines, even though the coverage remained below 90%. Conclusion: In the Geneva canton, epidemiological surveillance of vaccination coverage of 5 to 6-year-old children can be achieved through systematic data analysis of children''s vaccination cards. All commonly used vaccines reached the recommended coverage rates, except for MMR and Hib, even though their coverage had significantly increased. [Copyright &y& Elsevier]

Abstract: The authors conducted a survey in an international vaccination centre. The aim of the study was to assess the travelers’ knowledge of vaccines and to check their health record to determine the vaccination rate. We used a self-administered questionnaire and added vaccination certificates to the document. Results: Most of the travelers knew about complications due to vaccinations, but ignored their contraindications. Knowledge decreased over the age of thirty. The travelers agreed with antihepatitis B vaccination and only 10% mentioned the risk of multiple sclerosis. The list of compulsory vaccinations and their schedule were well-known but some of the travelers ignored their vaccine status and said they trusted their general practitioner. Only 40% of people over 20years of age were able to present their national or international vaccination certificate, a reason for underestimating the vaccination rate. Conclusion: It would be necessary to have a “World Health Organization” type vaccination certificate available for all French people over 20years of age, while improving the smart health card and training practitioners to better inform their patients about vaccinations. [Copyright &y& Elsevier]

Abstract: Aim: The authors had for aim to determine the vaccination coverage in Burgundy. This study was based on data collection from institutions either in charge of vaccination or controlling the vaccination coverage of given target populations. Method: The concerned institutions were asked to provide a representative sample of the population controlled between September 2000 and June 2001 and a longitudinal study was carried out on the data. The analysis of vaccination coverage was made by institution and included i) the rate of people carrying a document proving their vaccination, ii) the rate of minimal vaccination coverage, and iii) the rate of maximal vaccination coverage. Results: 4,159 people participated in the study. The analysis revealed that, on the first university medical follow-up, young people rarely carried a vaccination certificate. This rate increased in occupational medicine and in healthcare institutions. The minimum rates of vaccination coverage against tetanus strongly decreased for population of over 60 years of age (39.6%), and adults living in precariousness (44.3%). In occupational medicine, 34.2% of women ignored their vaccinal status against rubella, almost 10% said that they had not contracted the disease and were not vaccinated. Conclusion: This survey confirmed the urgent need to improve the vaccination coverage against tetanus for people over 60 years of age, and vaccination against rubella for women of reproductive age. It also demonstrated the need to provide adults with an appropriate vaccination file allowing recording and saving their respective vaccination status. [Copyright &y& Elsevier]

Abstract: Introduction. – Influenza is a serious health problem in Europe. Vaccination is the only preventive measure, reducing mortality and morbidity of influenza in all age groups. Objectives. – The authors had for aim to assess influenza vaccination coverage during two seasons in France, to understand the incentives and barriers to vaccination and to determine vaccination intentions for the following winter. Methods. – A random-sampling, mail-based household survey was made among non-institutionalised individuals aged 15 and over. The surveys for 2001–2002 and 2002–2003 used the same questionnaire and were subsequently pooled. Three target groups were determined for analysis: (1) persons aged 65 and over; (2) people working in the medical field and (3) persons aged 65 and over or working in the medical field. Results. – Influenza vaccination coverage in France decreased from 23.0% in 2001–2002 to 22.4% in 2002–2003. Most frequent reasons for being vaccinated were advice from the family doctor (50.8%), influenza considered as a serious illness (45.3%) and free vaccine (44.1%). Reasons for not being vaccinated mentioned by people who had never been vaccinated were young age (27.0%), not considering vaccination (18.9%), and not expecting to catch influenza (13.9%). Conclusion. – Vaccination coverage decreased during the 2002–2003 season in comparison to the 2001–2002 season. The family doctor is the most important source of encouragement for people to be vaccinated against influenza. We therefore suggest that family doctors be better informed on influenza vaccine and the disease itself, so that they can actively inform their patients on these topics. [Copyright &y& Elsevier]