REASONS FOR NON-IMMUNIZATION OF CHILDREN IN AP VOJVODINA, SERBIA
DOI:
https://doi.org/10.46793/PP170220013RKeywords:
immunization, vaccination coverage, missed vaccinationAbstract
Introduction: Immunization play a vital role in preventing diseases in children. Despite that, some of children remained unimmunized.
This study aimed to assess the level of immunization coverage and associated factors in the AP Vojvodina, Serbia.
Material and Methods: Using data of the Institute of Public Health of Vojvodina and of all other six local departments of Public Health across the AP Vojvodina, we analysed the immunization coverage of mandatory vaccines and reasons for missed opportunities in the AP Vojvodina in the period from 1997 to 2015.
Results: Vaccination coverages of all obligate vaccines in Vojvodina were high (above 95%), but the coverage of the sesond dose of MMR vaccine was between 87% (1997-2006) and 93% (2007-2015). Among the non-medical reasons, the highest proportion of missed opportunities to primo-vaccination against diphtheria, tetanus, pertussis, poliomyelitis, measles, mumps and rubella was caused by non-compliance. Lack of vaccines was the main reason for missed opportunities vaccination by HB, Hib and by vaccines which recomended before school entry (OPV, second dose of MMR vaccine).
Conclusion: Establishing of the continuing availability of all vaccines and improving of education about vaccine safety among healthcare workers and parents are the main preconditions for the maintenance and increasing of immunization coverage in AP Vojvodina.
References
Petrović V, Radovanović I. Aktivna imunizacija. U: Radovanović Z. Epidemiologija, Medicinski fakultet Univerziteta u Novom Sadu, III izmenjeno izdanje; 2012.p. 255-276.
Petrović V, Šeguljev Z, Radovanović Z. Imunizacija protiv zaraznih bolesti. Medicinski fakultet Univerziteta u Novom Sadu. Novi Sad. 2015. p. 9-34.
Čekanac R. Significance of immunization for public health. Vojnosanit Pregl. 2015;72(5):395-396. PMID: 26165045.
Polio Global Eradication Initiative. Dostupno 11. februara 2017. godine na http://polioeradication.org/news-post/global-eradication-of-wild-poliovirus-type-2-declared/
World Health Organization. WHO vaccine-preventable diseases: monitoring system. 2016 global summary. 2017.
World Health Organization. WHO morbidity and mortality weekly report 2012 November 11 Contract No.: No. 44.
World Health Organization. WHO morbidity and mortality weekly report 2012 November 11 Contract No.: No. 43.
Institut za javno zdravlje Vojvodine. [Zarazne bolesti u Vojvodini, 2015. Godišnji izveštaj]. Novi Sad: Institut za javno zdravlje Vojvodine; 2016. p. 127-135. Dostupno 8. februara 2017. godine na http://www.izjzv.org.rs/publikacije/ZarazneBolesti/ZB_2015.pdf
Roush SW, Murphy TV. Historical comparisons of morbidity and mortality for vaccine-preventable diseases in the United States. JAMA. 2007;298(18):2155-2163. doi: 10.1001/jama.298.18.2155. PMID: 18000199.
Marian Ołpinski. Anti-Vaccination Movement and Parental Refusals of Immunization of Children in USA. Pediatria polska. 2012;87:381–385. Dostupno 2. februara 2017. godine na http://dx.doi.org/10.1016/j.pepo.2012.05.003
Pravilnik o imunizaciji i načinu zaštite lekovima. Službeni glasnik Republike Srbije, broj 11/2006, 25/2013, 63/2013, 99/2013, 118/2013, 65/2014 i 32/2015. Dostupno 5. septembra 2016. godine na http://www.rfzo.rs/download/pravilnici/mz/Pravilnik_imunizacija-15042015.pdf
Zakon o zaštiti stanovništva od zaraznih bolesti (Službeni glasnik RS br. 125/04 и 36/15). Dostupno 1. februara 2017. godine na http://www.rfzo.rs/download/zakoni/zakon_zastita_od_zaraznih_bolesti.pdf
Ristić M, Šeguljev Z, Petrović V, Vuleković V, Dugandžija T. Uticaj sociodemografskih karakteristika roditelja na obuhvat imunizacijom dece. Opšta medicina. 2013;19(1-2):19-25.
Rainey JJ, Watkins M, Ryman TK, Sandhu P, Bo A, Banerjee K. Reasons related to non-vaccination and under-vaccination of children in low and middle income countries: findings from a systematic review of the published literature, 1999-2009. Vaccine. 2011;29(46):8215-21. doi: 10.1016/j.vaccine.2011.08.096. PMID: 21893149.
Ristić M, Šeguljev Z, Petrović V , Dugandžija T, Stanimirov B. Odnos stavova roditelja prema imunizaciji i obuhvata imunizacijom dece. Medicina danas. 2012;11(10-12):315-323.
Retraction--Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. Lancet. 2010;375(9713):445. doi: 10.1016/S0140-6736(10)60175-4. PMID: 20137807.
European Centre for Disease Prevention and Control. Communicable disease threats report. Week 4, 22-28 January 2017. Dostupno 16. februara 2017. godine na http://ecdc.europa.eu/en/publications/Publications/communicable-disease-threats-report-28-jan-2017.pdf
Seguljev Z, Duric P, Petrovic V, Stefanovic S, Cosic G, Hrnjakovic IC, at al. Current measles outbreak in Serbia: a preliminary report. Euro Surveill. 2007;12(3):E070315.2. PMID: 17439786.
Nedeljković J, Rakić Adrović S, Tasić G, Kovačević-Jovanović V, Lončarević G, Hübschen JM, at al. Resurgence of measles in Serbia 2010-2011 highlights the need for supplementary immunization activities. Epidemiol Infect. 2016;144(5):1121-1128. doi: 10.1017/S0950268815002277. PMID: 26449667.
World Health Organization. Eliminating measles and rubella. Framework for the verification process in the WHO European Region 2014. Dostupno 2. oktobra 2016. godine na http://www.euro.who.int/__data/assets/pdf_file/0009/247356/Eliminating-measles-and-rubella-Framework-for-the-verification-process-in-the-WHO-European-Region.pdf
Demicheli V, Rivetti A, Debalini MG, Di Pietrantonj C. Vaccines for measles, mumps and rubella in children. Cochrane Database Syst Rev. 2012;(2):CD004.407. doi: 10.1002/14651858.CD004407.pub3. PMID: 22336803.
European Centre for Disease Prevention and Control. Addressing misconceptions on measles vaccination. Dostupno 16. februara 2017. godine na http://ecdc.europa.eu/en/healthtopics/measles/pages/addressing-misconceptions-on-measles-vaccination.aspx
Betsch C. Overcoming healthcare workers vaccine refusal--competition between egoism and altruism. Euro Surveill. 2014;19(48):20979. doi: http://dx.doi.org/10.2807/1560-7917.ES2014.19.48.20979 PMID: 25496574.
Institut za javno zdravlje Srbije „Dr Milan Jovanović Batut“. Rеzultаti sprоvеdеnе imunizаciје u Srbiјi u pеriоdu 2011-2015. gоdinе. 2016. Dostupno 15. jula 2016. godine na http://www.batut.org.rs/download/aktuelno/2016JulImunizacija.pdf
Institut za javno zdravlje Srbije „Dr Milan Jovanović Batut“. Izvеštај о sprоvеdеnој imunizаciјi nа tеritоriјi Rеpubliке Srbiје u 2015. gоdini. 2016. Dostupno 3. juna 2016. godine na http://www.batut.org.rs/download/izvestaji/Imunizacija%202015.pdf
