Vaccination against meningococcus C. vaccinal coverage in the French target population

J-P Stahl1, R Cohen, F Denis

  • 1Service de maladies infectieuses et tropicales, université 1 de Grenoble, CHU de Grenoble, BP 217, 38043 Grenoble, France. JPStahl@chu-grenoble.fr

Insights

Meningococcus C vaccine coverage in France was low in 2011, with only 32.3% of infants and 21.3% of teenagers vaccinated. This indicates a need to improve public health strategies for immunization programs.

Area of Science:

  • Public Health
  • Epidemiology
  • Vaccinology

Background:

  • Meningococcus C immunization was recommended in France in 2009 for infants and adolescents.
  • Vaccine reimbursement began in January 2010, aiming to increase uptake.
  • Assessing vaccine coverage was crucial to evaluate the policy's effectiveness.

Purpose of the Study:

  • To evaluate the vaccine coverage for Meningococcus C in France in 2011.
  • To determine the uptake of the Meningococcus C vaccine among infants and adolescents.
  • To assess the impact of the reimbursement policy on vaccination rates.

Main Methods:

  • A study included 3000 mothers of children aged 0-35 months and 2250 mothers of teenagers aged 14-16 years.
  • Participants were recruited via internet panels, with quotas based on French National Institute of Statistics (INSEE) data.
  • Mothers completed a questionnaire reporting their child's vaccinations from health records.

Main Results:

  • Vaccination was considered essential or useful by over 90% of mothers for both age groups.
  • Vaccine coverage was 32.3% for infants aged 12-23 months and 57.3% for those aged 24-35 months.
  • Coverage was significantly lower for teenagers, with only 21.3% vaccinated.

Conclusions:

  • Two years post-reimbursement, Meningococcus C vaccine coverage levels were substantially lower than anticipated for policy effectiveness.
  • Low uptake in infants and particularly in teenagers suggests challenges in the immunization strategy.
  • Further interventions are needed to improve Meningococcus C vaccination rates and achieve public health goals.
Abstract

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