Infant mandatory vaccinations: Confirmation of a positive impact - 14/12/19

Vaccinations obligatoires du nourrisson : confirmation d’un impact positif

Doi : 10.1016/j.medmal.2019.11.007

R. Cohen ^a, A. Martinot ^c, J. Gaudelus ^d,^e, D. Subtil ^f, J.-P. Stahl ^b, P. Pujol ^g,⁎ , V. Picquet ^g, H. Lepetit ^h, L. Longfier ^h, B. Leboucher ⁱ
^a Unité court séjour petits nourrissons, CHI de Créteil, 40, avenue de Verdun, 94010 Créteil cedex, France
^b Service de maladies infectieuses et tropicales, université-1 de Grenoble, CHU, BP 217, 38043 Grenoble, France
^c EA 2694 – Santé publique: épidémiologie et qualité des soins, University Lille, CHU de Lille, 59000 Lille, France
^d Service de pédiatrie, hôpital Jean-Verdier, 93140 Bondy, France
^e Université Paris-XIII, 93017 Bobigny, France
^f Service de gynéco-obstétrique, CHU de Lille, Lille, France
^g GSK France, 23, rue François-Jacob, 92500 Rueil-Malmaison, France
^h IDM – Families, 10, boulevard des Frères Voisin, 92130 Issy-les-Moulineaux, France
ⁱ Unité de réanimation et médecine néonatales, pôle Femme-Mère-Enfant, CHU d’Angers, 4, rue Larrey, 49933 Angers cedex 9, France

^⁎Corresponding author.

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Highlights

•	Infant vaccines protecting against 11 diseases have changed from recommended to mandatory status in France for all children born from first of January 2018.
•	Vaccinoscopie is an annual French web-based survey targeting mothers, monitoring vaccine coverages (VCRs) in children as well as mothers’ opinion regarding vaccination.
•	This study shows a positive impact of mandatory vaccination extension on VCRs and opinion of infants’ mothers for the second consecutive year.
•	Among infants born after mandatory vaccination extension, VCRs for vaccines that did not achieve Public Health objectives increased further in 2018 and 2019 (especially MenC and HepB VCRs).

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Abstract

Objective

Infant vaccines protecting against 11 diseases have changed from recommended to mandatory status in France for all children born from first of January 2018. Through Vaccinoscopie survey, we measured for the second consecutive year the impact of this new policy on vaccine coverage rates (VCRs) and mothers’ perception regarding vaccination.

Methods

Web-based survey on a representative sample of 1500 mothers of 0 to 17-month-old infants.

Results

Non-optimal VCRs continued to increase in 2019 versus 2017 (according to age, +7 to 8 points VCR for Hepatitis B and +36 to 68 points for Meningococcus C). After a progressive decrease between 2012 and 2017, the rate of favorable mothers’ opinion towards vaccination continued to progress in 2018 and 2019.