The European Journal of Public Health – Volume 25, Issue 3, 01 June 2015

The European Journal of Public Health
Volume 25, Issue 3, 01 June 2015
http://eurpub.oxfordjournals.org/content/25/3

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Vaccination coverage for measles, mumps and rubella in anthroposophical schools in Gelderland, The Netherlands
Judith H.E. Klomp , Alies van Lier , Wilhelmina L.M. Ruijs Eur J Public Health (2015) 25 (3): 501-505 DOI: http://dx.doi.org/10.1093/eurpub/cku178 First published online: 18 November 2014 (5 pages)
Abstract
Background: Social clustering of unvaccinated children in anthroposophical schools occurs, as inferred from various measles outbreaks that can be traced to these schools. However, accurate vaccination coverage data of anthroposophical schools are not widely available.
Methods:
In 2012, we performed a survey to estimate the vaccination coverage in three different grades of 11 anthroposophical schools in Gelderland, The Netherlands. We also gauged the opinion on childhood vaccination of the parents and compared these with the results of a national survey. In 2014, we were also able to obtain the registered total vaccination coverage per school from the national vaccination register to compare this with our survey data.
Results:
The self-reported MMR vaccination coverage (2012) in the three grades of the schools in our study was 83% (range 45–100% per school). The registered total vaccination coverage (2014) was 78% (range 59–88% per school). The 95% confidence intervals of the two different vaccination coverages overlap for all schools. The parents in this study were less convinced about the beneficial effect of vaccinations and more worried about the possible side effects of vaccination compared with parents in general.
Conclusion:
Despite high overall vaccination coverage, the WHO goal to eliminate measles and rubella will not easily be achieved when social clustering of unvaccinated children in anthroposophical schools remains.

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Low measles vaccination coverage among medical residents in Marseille, France: reasons for non-vaccination, March 2013
Teija Korhonen , Ariane Neveu , Alexis Armengaud , Caroline Six , Kostas Danis , Philippe Malfait
DOI: http://dx.doi.org/10.1093/eurpub/cku254 512-517 First published online: 12 February 2015
Abstract
Background:
During 2008–12, France and Europe experienced large measles outbreaks, involving also healthcare workers (HCW). We aimed to estimate the vaccination coverage (VC) of measles among medical residents of the University of Aix/Marseille, in South-Eastern France.
Methods:
In March 2013, we conducted a cross-sectional study among all medical residents of the Medical Faculty of Aix/Marseille. We used a self-administered questionnaire to collect information on self-reported VC and reasons for vaccination and non-vaccination. We compared proportions, using the chi-squared test and prevalence ratios (PRs) with 95% confidence intervals (95% CIs).
Results:
Of 1152 eligible residents, 703 (61%) participated in the study and 95 (14%; 95% CI: 12–17%) reported having had measles in the past. Of all participants, 613 (93%; 95% CI: 91–95%) reported having been vaccinated against measles and 389 (76%; 95% CI: 73–80%) received two doses. Only 268 (38%) reported having visited an occupational health physician. Vaccinated individuals were more likely to report easy access to vaccination as the main motivation for measles vaccination, compared with unvaccinated residents (435; 71% and 21; 45%; P < 0.001, respectively).
Conclusions:
VC among the medical residents of the University of Aix/Marseille was well below the recommended 95% coverage for two doses of measles vaccination. The majority of the study participants had not visited an occupational health doctor. Lack of easy access seems to represent major barriers to measles vaccination. We recommend that the student union, occupational health services and hospitals co-operate and address these problems in order to improve VC in this group.