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[Vaccination coverage against hepatitis B in first-grade children, Paris, 2002-2008]
V Personne1, O Benainous1, D Lévy-Bruhl2
1Département de médecine générale, faculté de médecine, université Paris Descartes, Sorbonne Paris Cité, 24, rue du Faubourg-Saint-Jacques, 75014 Paris, France.
Insights
Hepatitis B vaccination coverage in Paris first-graders was low, with nearly 40% unvaccinated. Catch-up campaigns have only reached one-third of these children, highlighting the need for continued vigilance in adolescent vaccination status.
Area of Science:
- Public Health
- Vaccinology
- Epidemiology
Context:
- The French hepatitis B vaccination controversy led to decreased vaccination rates since the mid-1990s.
- Assessing vaccination coverage in a key pediatric population is crucial for public health.
- Understanding vaccination trends in urban settings provides insights into national public health challenges.
Purpose:
- To analyze hepatitis B vaccination coverage among first-grade children in Paris between 2002 and 2008.
- To identify sociodemographic factors influencing hepatitis B vaccination uptake.
- To evaluate the effectiveness of catch-up vaccination campaigns for adolescents.
Summary:
- A retrospective study analyzed 108,114 children's vaccination records.
- Only 56.6% were considered vaccinated (≥3 doses) and 43.9% adequately vaccinated.
- Key influencing factors included Paris arrondissement, birth year, and country of birth.
Impact:
- Nearly 40% of children started first grade unvaccinated against hepatitis B.
- Adolescents aged 12-17 years show limited uptake in catch-up campaigns, with only one-third benefiting.
- This underscores the critical need for ongoing monitoring and intervention for adolescent hepatitis B vaccination status.
Introduction:
The French controversy over the possible risks of vaccination against hepatitis B seems to have resulted in a slowdown or delay in vaccination of target populations since the mid-1990s. This article reports the results of the analysis of vaccination coverage against hepatitis B of first-grade children in Paris between 2002 and 2008.
Methodology:
Retrospective and descriptive study of vaccination status against hepatitis B for children born between 1997 and 2002 and attending first grade in a Paris school between 2002 and 2008, using anonymous data from the prevention service of the city of Paris.
Results:
The analysis included 108,114 children whose Health Book (carnet de santé) included sociodemographic data and the presence of at least one diphtheria-tetanus-polio vaccination. Among these targeted children, 66,597 (61.6%) had started a vaccination against hepatitis B, 61,190 (56.6%) were considered "vaccinated" (at least three doses), and 47,489 (43.9%) "adequately vaccinated" (at least three doses respecting the prescribed intervals between injections). The sociodemographic factors associated with hepatitis B coverage were as follows: Paris arrondissement where the child attended school, year, and country of birth.
Conclusion:
Nearly 40% of the children in this cohort had not been vaccinated against hepatitis B before beginning first grade. They have now become adolescents aged 12-17 years. Current data indicate that only one-third of them have benefited from the catch-up campaign. This finding reinforces the need for vigilance on the vaccination status of adolescents against hepatitis B.
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