Why are young adults affected? Estimating measles vaccination coverage in 20-34 year old germans in order to verify progress towards measles elimination

PLoS Currents
M SchusterFlorian Burckhardt

Abstract

The introduction of measles vaccination into routine childhood vaccination programmes has led to a shift of disease burden and incidence among young adults. This was confirmed by the recent rise in measles cases and outbreaks throughout Europe. To prevent outbreaks and eliminate measles, one of the key objectives of the WHO Europe measles elimination framework is achieving overall vaccination coverage of ≥95% in the population on a district level. In the absence of national registers, data on vaccination coverage in Germany is recorded at the age of school entry, through insurance refund claim data and population studies. Vaccination status (VS) of young adults is largely unknown. We assessed measles vaccination coverage in young adults aged 20-34 years on a district level of the German Federal State of Rhineland-Palatinate. The knowledge and attitude towards immunization of unvaccinated to vaccinated young adults were compared using Likert questions. We used proportional allocation for stratified random sampling across 36 counties. We mailed a self-administered questionnaire with pre-paid return envelopes along with an offer to complete online. Prior to calculating coverage we tested for non-responder bias using logistic regre...Continue Reading

Citations

Nov 28, 2015·Enfermedades infecciosas y microbiología clínica·María Garcés-SánchezJavier Díez-Domingo
Apr 21, 2018·International Journal of Public Health·Ekkehardt AltpeterMirjam Mäusezahl-Feuz
Feb 26, 2019·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Thorsten RieckOle Wichmann

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