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The vaccination coverage in dispensaries on Mayotte Island is lacking for natives and migrants alike
1SMIT, CHU de Clermont-Ferrand, site Gabriel, Montpied, 58, rue Montalembert, 63000 Clermont-Ferrand, France.
Insights
Vaccination coverage in Mayotte is critically low, with only 23% of patients up-to-date on mandatory immunizations. This study highlights significant gaps in vaccination status and traceability, urging improved public health efforts.
Area of Science:
- Public Health
- Epidemiology
- Immunization Practices
Background:
- Mayotte faces challenges in maintaining adequate vaccination coverage rates.
- Understanding vaccination status is crucial for preventing infectious disease outbreaks.
Purpose of the Study:
- To assess the vaccination coverage rate among patients attending dispensaries in Mayotte.
- To identify factors influencing vaccination status and traceability.
Main Methods:
- A prospective study was conducted in three Mayotte dispensaries from June to July 2019.
- Included 162 patients, analyzing their vaccination status and origin.
Main Results:
- Only 23% of patients were up-to-date on mandatory vaccinations; 45% were not, and 32% had unknown status.
- Vaccination coverage and traceability were poor across all age groups and origins.
- Specific vaccines like MMR and Hepatitis B showed higher adherence than HiB and meningitides.
Conclusions:
- Significant deficiencies exist in vaccination coverage and record-keeping in Mayotte.
- Efforts are needed to improve immunization rates, as patients do not appear to oppose vaccination.
- Public health interventions should focus on enhancing vaccination accessibility and compliance.
Objective:
Assessing the vaccination coverage rate in Mayotte dispensaries.
Patients And Methods:
Prospective study in three dispensaries from June to July 2019.
Results:
Of the 162 patients included, 78% (126/162) were natives of the island and 19% (30/162) were from the Comoros Islands. Twenty-three percent (37/162) were up-to-date on their mandatory vaccinations, 45% (73/162) were not and 32% (52/162) had unknown vaccination status. There was no difference in relation to their origin. Some vaccinations were strictly followed (MMR, Hepatitis B…) others were not (HiB, meningitides…). The vaccination coverage rate and its traceability are altogether lacking whatever the age or origin of patients. Efforts must be made in order to increase the vaccination coverage rate among people who, from our experience, do not oppose vaccination in any way.
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