Bouvier P, Valdez E, Toscani L, Restellini J P, Rougemont A
Institute Universitaire de médecine sociale et préventive, Faculté de médecine, Université de Genève.
Soz Praventivmed. 1994;39(1):56-62. doi: 10.1007/BF01369954.
To measure the immunization uptake among 2 year-old children living in Geneva.
Review of the vaccination cards, systematically checked because of the compulsory vaccination against diphtheria, during the year in 1991.
3937 immunization cards were reviewed, ie. 93.6% of the children in the given age group. Immunization uptake rates were, for diphtheria and tetanus (3 doses) 96.8%; pertussis (3 doses) 96.1%; poliomyelitis (3 doses) 96.6%. For measles, mumps and rubella vaccine (MMR) (1 dose), 78.4%. For the Haemophilus influenzae b vaccine, recently introduced: 68.5%. The uptake rate for MMR was lower among children of swiss origin (75.5%) than among children of other nationalities (84.6%, p < 0.0001). The highest rates were found among children coming from southern Europe and Latin America.
From the point of view of the community risk, immunization uptake rates for diphtheria, tetanus, pertussis and poliomyelitis can be considered satisfactory. For MMR vaccine, the rate was higher than 2 years earlier, but still insufficient, compared to the level which could block the transmission of the target diseases in the population. The persistence of such a low rate of immunization uptake will not prevent the occurrence of epidemics in the population.
测定居住在日内瓦的2岁儿童的免疫接种率。
查阅1991年全年因白喉强制接种而系统检查的疫苗接种卡。
共查阅了3937张免疫接种卡，即该年龄组儿童的93.6%。白喉和破伤风（3剂）的免疫接种率为96.8%；百日咳（3剂）为96.1%；脊髓灰质炎（3剂）为96.6%。麻疹、腮腺炎和风疹疫苗（MMR）（1剂）的接种率为78.4%。最近引入的b型流感嗜血杆菌疫苗接种率为68.5%。瑞士裔儿童的MMR接种率（75.5%）低于其他国籍儿童（84.6%，p<0.0001）。最高接种率出现在来自南欧和拉丁美洲的儿童中。
从社区风险的角度来看，白喉、破伤风、百日咳和脊髓灰质炎的免疫接种率可认为是令人满意的。MMR疫苗的接种率比两年前有所提高，但与能够阻断目标疾病在人群中传播的水平相比，仍然不足。如此低的免疫接种率持续存在将无法防止人群中出现疫情。
