The importance of monitoring adherence to vaccinations of different population groups in the structure of the information subsystem of epidemiological surveillance of vaccine prevention


DOI: https://dx.doi.org/10.18565/epidem.2019.9.3.47-52

Platonova T.A., Golubkova A.A., Koltunova E.S., Smirnova S.S., Kuznezova O.A.

1) Ural State Medical University, Ministry of Health of Russia, Yekaterinburg, Russia; 2) OOO “European Medical Center «UGMC-Health», Yekaterinburg, Russia; 3) Yekaterinburg Research Institute of Viral Infections, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Yekaterinburg, Russia; 4) Children’s City Clinical Hospital Eleven, Yekaterinburg, Russia; 5) Urals Research Institute for Maternal and Child Care, Ministry of Health of Russia, Yekaterinburg, Russia
Owing to immunization, significant successes have been achieved in the fight against infectious diseases. However, many issues of organizing an epidemiological surveillance over vaccination in the population still need to be improved.
Objective. To determine the importance of monitoring adherence to vaccination in different population groups in the system for epidemiological surveillance of immunoprophylaxis and to elaborate recommendations for its improvement.
Subjects and methods. A survey of 865 parents, 1325 health care workers, 750 students and 216 teachers of the Medical University was conducted to determine the commitment of certain groups of the population of a large industrial city to vaccination. Epidemiological, sociological, and statistical studies were used.
Results. Assessment of parents’ attitude towards vaccination ascertained that 79.3% of the respondents were positive, 6.4% denied the need for vaccination, and 14.3% expressed doubts about its effectiveness and safety. The main source of information about vaccinations in parents was the opinion of health workers; however, their survey identified 187 (14.1%) employees, mainly among the trained professionals with negative attitudes towards vaccination. Among the students of the medical university, there were 66 (8.8%) persons doubting the effectiveness of vaccinations, while most of them were junior students. There were negative answers to the question about vaccinations in 8.3% of the questionnaires filled out by the teachers (n = 18), mainly by those working at the theoretical departments. It is obvious that to form a positive attitude to vaccination in the population and to increase vaccination rates, it is necessary to specify educational programs, taking into account the target audience: junior students of medical universities, teachers of theoretical departments, health care medical workers with more than 20 years of experience.
Conclusion. Monitoring vaccination adherence enables important information to be obtained to determine the trajectories of education, upbringing of the population, and to enhance the competence of teachers and health care workers, who will contribute to the improvement of vaccination. This type of monitoring should be included in the information subsystem of epidemiological surveillance over vaccination as an independent component used on a regular basis.
Keywords: epidemiological surveillance, vaccination, adherence
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Literature

  1. Briko N.I. [Assessment of immunoprophylaxis quality and efficiency. Medical scientific and methodological portal «Attending physician»]. https://www.lvrach.ru/2012/10/15435557/ (In Russ.).
  2. Tatochenko V.K., Ozeretskovsky N.A. Fedorov A.M. [Immunoprophylaxis–2014]. Moscow: Pediatr, 2014. 280 p. (In Russ.).
  3. Feldblum I.V. [Epidemiological surveillance of vaccine]. Medial 2014; 3(13): 37–55. (In Russ.).
  4. Golubkova A.A., Platonova T.A., Kharitonov A.N., Rybinskova E.A., Lelenkova E.V., Yuzhanina T.S. [Measles. Characteristics of the epidemic process and its determinants in real time (on the example of measles outbreak in Yekaterinburg in 2016]. Epidemiologiya i vakcinoprofilaktika 2017; 6(97): 54–8. (In Russ.).
  5. Briko N.I., Tsapkova N.N.. Batyrshina L.R., Korshunov V.A., Feldblum I.V., Bikmieva A.V., Subbotina K.A., Filippov O.V. [Problems of Vaccinal Prevention in Adult Population]. Epidemiologiya i vakcinoprofilaktika 2018; 2(99): 4–15. https://doi.org/10.31631/2073-3046-2018-17-2-4-15 (In Russ.).
  6. Briko N.I., Feldblum I.V., Mikheeva I.V., Subbotina K.A., Poluchkina A.V. [Vaccination: study guide with simulation course]. Moscow: GEOTAR-Media, 2017. 144 p. (In Russ.).
  7. Feldblum I.V. [Modern problems of vaccine prophylaxis (scientific review)]. Profilakticheskaya i klinicheskaya medicina 2017; 2(63): 20–7. (In Russ.).
  8. Platonova T.A., Koltunova E.S., Golubkova A.A., Zhilyaeva I.V., Abdulvalieva V.V., [Practical issues of vaccination of children in a polyclinic (based on expert evaluation of vaccination in the indicator groups)]. Tihookeanskiу medicinskiу zhurnal 2018; (3): 33–7. (In Russ.).
  9. Platonova T.A., Koltunova E.S., Zhilyaeva I.V., Abdulvalieva V.V., Golubkova А.А. [National calendar of preventive vaccinations or how to achieve the timeliness and obligation of its execution. Abstracts Book of the interregional scientific-practical conference with international participation «Virusnye infekcii i obshchestvo: problemnye voprosy diagnostiki, lecheniya i profilaktiki»]. Ekaterinburg, 2018; 75–6. (In Russ.).
  10. Galina N. P. [Attitude to immunoprophylaxis of doctors of various specialties]. Epidemiologiya i vakcinoprofilaktika 2018; 17(3): 74–79. https://doi.org/ 10.31631/2073-3046-2018-17-3-74-79 (In Russ.).


About the Autors

Tatiana A. Platonova, Postgraduate Student, Department of Epidemiology, Social Hygiene and Organization of State Sanitary-Epidemiological Service, Ural State Medical University, Ministry of Health of Russia; Epidemiologist, OOO “European Medical Centre «UGMC-Health», Yekaterinburg, Russia; е-mail:fill.1990@inbox.ru; ORCID: http://orcid.org/0000-0001-5441-854X
Prof. Alla A. Golubkova, МD, Professor, Department of Epidemiology, Social Hygiene and Organization of State Sanitary-Epidemiological Service, Ural State Medical University, Ministry of Health of Russia; Researcher, Ural Siberian Research and Guidance Center for the Prevention of HAIs, Yekaterinburg Research Institute of Viral Infections, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Yekaterinburg, Russia; е-mail: allagolubkova@yandex.ru; ORCID: http://orcid.org/ 0000-0003-4812-2165
Ekaterina S. Koltunova, Еpidemiologist, Children’s City Clinical Hospital Eleven, Yekaterinburg, Russia; е-mail:ekaterinakashina1989@gmail.com
Svetlana S. Smirnova, Сand. Med. Sci., Associate Professor, Department of Epidemiology, Social Hygiene and Organization of State Sanitary-Epidemiological Service, Ural State Medical University, Ministry of Health of Russia; Head, Ural Siberian Research and Guidance Center for the Prevention of HAIs, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being, Yekaterinburg, Russia; е-mail: smirnova_ss69@mail.ru
Olga A. Kuznetsova, Epidemiologist, Urals Research Institute for Maternal and Child Care, Ministry of Health of Russia, Yekaterinburg, Russia; е-mail: okungurova82@mail.ru


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