Steul Katrin Simone, Fertig Regina, Heinrich Raphaela, Reisert Roswitha, Krahn Jürgen
Infektionsschutz, Hygiene und Umwelt, Gesundheitsamt Darmstadt Dieburg, Darmstadt, Germany.
Amtsleitung, Gesundheitsamt Darmstadt Dieburg, Darmstadt, Germany.
Gesundheitswesen. 2025 Jan;87(1):62-68. doi: 10.1055/a-2365-1400. Epub 2024 Jul 12.
When the Measles Protection Act as part of the Infection Protection Act came into force 2020, various types of facilities were obliged to report. The public health department of the city of Darmstadt and the district of Darmstadt Dieburg aimed to find out to what extent these facilities have complied with the reporting obligation and whether any conclusions could be derived from the data on the vaccination status of the respective group of people.
Reports from the facilities and the feedback from those affected (or their legal guardians) were reviewed and evaluated descriptively. They were divided into groups (1) schoolchildren, (2) children from other childcare facilities, (3) those in municipal accommodation for refugees and (4) those employed in one of these or in a medical facility (§§23, 33, 36 German Infection Protection Act).
1,527 children (2.5% of all pupils in Darmstadt Dieburg) with incomplete or unknown immunity to measles were reported from 138 schools. 70% of these provided documentation of sufficient immunity after receivng the letter from the public health department, so that it can be concluded that less than 1% (0.76%) of children were without measles protection. 17 children with incomplete vaccination status were reported from the other childcare facilities. 3,986 people with incomplete vaccination status were reported from the refugee accommodation facilities, of which 566 (14.2%) submitted complete proof after receiving a letter from the public health department. A total of 17 employees were reported from the facilities according to §§23, 33 and 36 Infection Protection Act.
The reporting obligation was met in very different ways by different facilities. No statement could be made about the vaccination status of the various groups of people affected by the Measles Protection Act, as it could not be assumed with certainty that the facilities had reported comprehensively.
作为《感染保护法》一部分的《麻疹保护法》于2020年生效时，各类机构均有报告义务。达姆施塔特市和达姆施塔特-迪堡县的公共卫生部门旨在查明这些机构在多大程度上履行了报告义务，以及能否从这些数据中得出有关各人群疫苗接种状况的结论。
对各机构的报告以及受影响者（或其法定监护人）的反馈进行了描述性审查和评估。它们被分为几组：（1）学童，（2）来自其他儿童保育机构的儿童，（3）市政难民收容所中的人员，以及（4）受雇于这些机构或医疗设施中的人员（《德国感染保护法》第23、33、36条）。
138所学校报告了1527名对麻疹免疫力不完全或不明的儿童（占达姆施塔特-迪堡所有学生的2.5%）。其中70%在收到公共卫生部门的信函后提供了足够免疫力的证明，因此可以得出结论，不到1%（0.76%）的儿童没有麻疹保护。其他儿童保育机构报告了17名疫苗接种状况不完全的儿童。难民收容设施报告了3986名疫苗接种状况不完全的人员，其中566人（14.2%）在收到公共卫生部门的信函后提交了完整证明。根据《感染保护法》第23、33和36条，各机构共报告了17名员工。
不同机构以非常不同的方式履行了报告义务。无法就受《麻疹保护法》影响的各人群的疫苗接种状况作出说明，因为不能确定地认为各机构已进行了全面报告。
