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[Vaccination in childhood in France: Current issues and challenges]
Daniel Lévy-Bruhl1, Daniel Floret2
1Direction des maladies infectieuses - Santé publique France, Saint-Maurice, France.
Insights
Childhood vaccination coverage in France is high for infants but low for older children and adolescents, increasing risks for preventable diseases like measles and HPV. Improving vaccination rates is crucial for public health.
Area of Science:
- Pediatrics
- Public Health
- Immunology
Background:
- Childhood vaccination is critical for preventing contagious diseases, especially in early life.
- While infant vaccination coverage is high in France, rates for older children and adolescents are concerning.
- Insufficient immunization leads to preventable severe cases of diseases like measles and meningococcal C infections.
Purpose of the Study:
- To assess current childhood vaccination issues and challenges in France.
- To highlight the unsatisfactory vaccination coverage in older children and adolescents.
- To emphasize the need for improved immunization strategies for specific diseases.
Main Methods:
- Analysis of vaccination coverage data for different age groups in France.
- Identification of specific vaccines with insufficient coverage, including measles, meningococcal C, hepatitis B, and papillomavirus.
- Review of the role of healthcare professionals and governmental support in vaccination programs.
Main Results:
- Infant vaccination coverage meets public health objectives.
- Vaccination coverage against measles and meningococcal C is insufficient in older children and adolescents.
- Coverage for adolescent vaccinations against hepatitis B and papillomavirus is significantly below expectations, posing risks for young adults.
Conclusions:
- Urgent interventions are needed to improve vaccination coverage in older children and adolescents in France.
- General practitioners and pediatricians are key to increasing immunization rates.
- Enhanced support and tailored tools from the Ministry of Health are essential for healthcare providers to boost vaccination efforts.
Abstract:
Vaccination in childhood in France : current issues and challenges. Children are a priority target for immunization programs, in large part because the most contagious vaccine- preventable diseases affect children early in life. If vaccination coverage of infants is very high and consistent with public health objectives, the situation regarding older children and especially adolescents is unsatisfactory. Vaccination coverage against measles and meningococcal C diseases are insufficient, resulting in the occurrence of severe cases, which could have been avoided through better immunization coverage. In adolescents, coverage against hepatitis B and especially papillomavirus are far below the expectation, exposing young adults to contamination by these oncogenic viruses. General practitioners and pediatricians are the cornerstone to increase vaccination coverage. The renewed commitment for the vaccination program of the Ministry of Health and its agencies should give them the support they need, in particular by providing them with tools tailored to their practice.
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