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Immunization coverage among refugee children in Berlin
Laila Fozouni1, Christoph Weber2, Andreas K Lindner2
1School of Medicine, University of California, San Francisco, San Francisco, California, USA.
Insights
In-camp immunization services at Tempelhof showed lower rates for Syrian children under five compared to older children. Afghani children under five had higher immunization rates than Syrian children under five.
Area of Science:
- Public Health
- Epidemiology
- Immunization Practices
Background:
- Refugee camps utilize varied immunization strategies, including in-camp services (Tempelhof) and centralized systems (Neukölln).
- Understanding the impact of conflict on child immunization is crucial for vulnerable populations.
Purpose of the Study:
- To assess the effect of conflict on immunization coverage among Syrian children.
- To evaluate the effectiveness of in-camp immunization services.
Main Methods:
- A survey was conducted with families of children aged 1-5 and their siblings under 18 in Tempelhof and Neukölln refugee camps.
- Immunization status differences were analyzed using the chi-squared (χ²) test.
Main Results:
- At Tempelhof, 27.8% of Syrian children under 5 were fully immunized-memory versus 73.7% over 5 (P=0.005).
- Afghani children under 5 (75%) had higher immunization rates than Syrian children under 5 (27.8%) (P=0.0009).
- Neukölln camp reported higher rates of partial (93%) or no immunization (5%) compared to Tempelhof (P<0.001).
Conclusions:
- In-camp immunization services may not be reaching all age groups effectively, particularly younger Syrian children.
- Centralized systems may face greater challenges in achieving full immunization coverage in refugee settings.
Background:
The Tempelhof refugee camp offers in-camp immunizations. Other camps, like Neukölln, rely on a centralized immunization system. We aimed to determine the impact of conflict on immunization rates of Syrian children and to measure the efficacy of in-camp immunization services.
Methods:
Families with children aged 1-5 in Tempelhof and Neukölln camps were surveyed. Surveys included siblings under the age of 18. Differences were compared using χ2 test.
Results:
Data on 179 children at Tempelhof and 40 children at Neukölln were collected. At Tempelhof, amongst Syrian children, 27.8% under the age of 5 were "fully immunized-memory," in contrast to 73.7% over the age of 5 (P = 0.005). This difference in immunization rates by memory between the age groups was not observed in Afghani children (P = 0.34) or in Iraqi children (P = 0.10). Furthermore, compared to the 27.8% of Syrian children, 75% of Afghani children under the age of 5 were "fully vaccinated-memory" (P = 0.0009). Compared to Tempelhof, more children at Neukölln were partially immunized (93%) or had no immunizations (5%) (P < 0.001).
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