Vaccine Preventable Disease Programme, Public Health Wales, Temple of Peace and Health, Cathays Park, Cardiff, Wales CF10 3NW, UK.
J Public Health (Oxf). 2012 Dec;34(4):498-504. doi: 10.1093/pubmed/fds047. Epub 2012 Jun 18.
The teenage booster of tetanus/diphtheria/polio vaccine is the final dose in the routine UK childhood schedule. It has the lowest uptake of all childhood vaccines in Wales and no Health Board (HB) has achieved 95% uptake. We examined the services used to deliver this vaccine across Wales in order to determine how to improve the national uptake rate.
A cross-sectional survey of the systems used to deliver the vaccine in the 7 HBs in Wales and their 22 constituent local authorities. Routinely published quarterly and annual COVER report uptake data for each HB were used to compare system effectiveness.
The vaccine was either offered in school, in general practice or in both settings. Higher uptake rates were achieved with greater consistency in schools (76-81%) compared with general practice (5-74%), and when coordinated by the HB. When an option was available, most parents chose for their child to be vaccinated in school.
Higher uptake rates of the teenage booster were observed when it was given in school compared with general practice. The findings suggest that offering the teenage booster in schools in all areas of Wales may improve vaccine uptake.
青少年破伤风、白喉和脊髓灰质炎疫苗加强剂是英国儿童常规免疫接种程序中的最后一剂疫苗。在威尔士，该疫苗的接种率是所有儿童疫苗中最低的，没有一个卫生局（HB）达到了 95%的接种率。我们调查了威尔士各地提供这种疫苗的服务，以确定如何提高全国的接种率。
对威尔士 7 个卫生局及其 22 个组成地方当局使用的系统进行了横断面调查。使用每个卫生局定期公布的每季度和年度 COVER 报告接种数据来比较系统的有效性。
疫苗可以在学校、一般实践或这两种环境中提供。在学校接种的接种率更高（76-81%），比在一般实践接种的接种率（5-74%）更一致，并且由卫生局协调时接种率更高。当有选择时，大多数家长选择让孩子在学校接种疫苗。
与在一般实践接种相比，在学校接种青少年破伤风、白喉和脊髓灰质炎疫苗加强剂的接种率更高。这些发现表明，在威尔士所有地区的学校提供青少年破伤风、白喉和脊髓灰质炎疫苗加强剂可能会提高疫苗接种率。
