Brockmann Stefan O, Wjst Stephanie, Zelmer Ursula, Carollo Stefanie, Schmid Mirjam, Roller Gottfried, Eichner Martin
Kreisgesundheitsamt, Geschäftsteil Gesundheitsschutz, Landratsamt Reutlingen, Sankt Wolfgang Straße 13, 72764, Reutlingen, Deutschland.
Institut für klinische Epidemiologie und angewandte Biometrie, Universität Tübingen, Tübingen, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2016 May;59(5):592-8. doi: 10.1007/s00103-016-2335-6.
The number of asylum seekers in Germany has increased dramatically in 2015. Their medical care includes the officially recommended vaccinations; yet, no detailed information on this is yet available in Germany. In light of the rising number of asylum seekers, we have developed a concept to facilitate their vaccination. This concept includes the coordination of different partners, the supply of vaccines and other materials through the local health office, and the cooperation with the local physicians' association. To evaluate and accelerate progress, we compared the number of vaccinations conducted by physicians independently of the vaccination concept with those conducted within the new concept. For the period of investigation, 2,256 new asylum seekers were temporarily accommodated in the facilities. The vaccination concept was applied in only some of the facilities. Twenty-eight percent of all asylum seekers (642) were vaccinated at least once; 89 % of the vaccinees (571) were vaccinated within the newly developed concept. In the facilities that were not included in this concept, only 6 % of the refugees were vaccinated, whereas in the facilities that were included up to 58 % were vaccinated. Even though the new concept has started successfully, further innovations are required to reach sufficient vaccination coverage among asylum seekers. In view of the large number of new asylum seekers expected, the adjustment and expansion of the new concept requires professional planning and coordination. Furthermore, additional resources are required.
2015年，德国寻求庇护者的数量急剧增加。他们的医疗保健包括官方推荐的疫苗接种；然而，德国目前尚无关于此的详细信息。鉴于寻求庇护者数量不断增加，我们制定了一个概念来促进他们的疫苗接种。这个概念包括协调不同的合作伙伴，通过当地卫生办公室供应疫苗和其他物资，以及与当地医师协会合作。为了评估并加速进展，我们将独立于疫苗接种概念的医生进行的疫苗接种数量与新概念下进行的疫苗接种数量进行了比较。在调查期间，有2256名新寻求庇护者被临时安置在这些设施中。疫苗接种概念仅在部分设施中应用。所有寻求庇护者中有28%（642人）至少接种过一次疫苗；其中89%（571人）是在新制定的概念下接种的。在未纳入此概念的设施中，只有6%的难民接种了疫苗，而在纳入此概念的设施中，高达58%的人接种了疫苗。尽管新概念已成功启动，但仍需要进一步创新，以在寻求庇护者中实现足够的疫苗接种覆盖率。鉴于预计会有大量新的寻求庇护者，新概念的调整和扩展需要专业的规划和协调。此外，还需要额外的资源。
