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Mandatory vaccination of infants in France: Is that the way forward?

In this opinion paper, the authors argue that the extension of mandatory immunization of infants up to two years of age from three diseases (diphtheria, tetanus, poliomyelitis) to 11 diseases, introduced in France in January 2018, is not a sustainable response to the challenge of controlling vaccine...

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Autores principales: Partouche, Henri, Gilberg, Serge, Renard, Vincent, Saint-Lary, Olivier
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394317/
https://www.ncbi.nlm.nih.gov/pubmed/30672344
http://dx.doi.org/10.1080/13814788.2018.1561849
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author Partouche, Henri
Gilberg, Serge
Renard, Vincent
Saint-Lary, Olivier
author_facet Partouche, Henri
Gilberg, Serge
Renard, Vincent
Saint-Lary, Olivier
author_sort Partouche, Henri
collection PubMed
description In this opinion paper, the authors argue that the extension of mandatory immunization of infants up to two years of age from three diseases (diphtheria, tetanus, poliomyelitis) to 11 diseases, introduced in France in January 2018, is not a sustainable response to the challenge of controlling vaccine-preventable diseases. In France in 2017, infant immunization coverage (IC) rates were sufficiently high or increasing (hepatitis B), except for measles, mumps and rubella (MMR) and meningococcus C disease. Even if vaccination obligation makes it possible to achieve the MMR IC objectives among infants, communication programmes and supported advice from GPs are essential for the catch-up of susceptible adults to obtain herd immunity. The impact of mandatory immunization on hesitancy remains uncertain, and it contradicts the evolution of the patient’s role in the governance of his own health and the principle of autonomy. Numerous studies have shown that interventions and advice from health professionals improve vaccine acceptance. To correct the poor implementation of some vaccination programmes by health professionals, strong communication and resources from health authorities are needed, rather than a retreat towards obligation. Reducing missed opportunities and increasing access to immunization are essential objectives. Finally, an immunization policy based on primary care and a patient-centred approach to each vaccination are more likely to reduce vaccine hesitancy, sustainably.
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spelling pubmed-63943172019-03-04 Mandatory vaccination of infants in France: Is that the way forward? Partouche, Henri Gilberg, Serge Renard, Vincent Saint-Lary, Olivier Eur J Gen Pract Opinion Paper In this opinion paper, the authors argue that the extension of mandatory immunization of infants up to two years of age from three diseases (diphtheria, tetanus, poliomyelitis) to 11 diseases, introduced in France in January 2018, is not a sustainable response to the challenge of controlling vaccine-preventable diseases. In France in 2017, infant immunization coverage (IC) rates were sufficiently high or increasing (hepatitis B), except for measles, mumps and rubella (MMR) and meningococcus C disease. Even if vaccination obligation makes it possible to achieve the MMR IC objectives among infants, communication programmes and supported advice from GPs are essential for the catch-up of susceptible adults to obtain herd immunity. The impact of mandatory immunization on hesitancy remains uncertain, and it contradicts the evolution of the patient’s role in the governance of his own health and the principle of autonomy. Numerous studies have shown that interventions and advice from health professionals improve vaccine acceptance. To correct the poor implementation of some vaccination programmes by health professionals, strong communication and resources from health authorities are needed, rather than a retreat towards obligation. Reducing missed opportunities and increasing access to immunization are essential objectives. Finally, an immunization policy based on primary care and a patient-centred approach to each vaccination are more likely to reduce vaccine hesitancy, sustainably. Taylor & Francis 2019-01-23 /pmc/articles/PMC6394317/ /pubmed/30672344 http://dx.doi.org/10.1080/13814788.2018.1561849 Text en © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Opinion Paper
Partouche, Henri
Gilberg, Serge
Renard, Vincent
Saint-Lary, Olivier
Mandatory vaccination of infants in France: Is that the way forward?
title Mandatory vaccination of infants in France: Is that the way forward?
title_full Mandatory vaccination of infants in France: Is that the way forward?
title_fullStr Mandatory vaccination of infants in France: Is that the way forward?
title_full_unstemmed Mandatory vaccination of infants in France: Is that the way forward?
title_short Mandatory vaccination of infants in France: Is that the way forward?
title_sort mandatory vaccination of infants in france: is that the way forward?
topic Opinion Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394317/
https://www.ncbi.nlm.nih.gov/pubmed/30672344
http://dx.doi.org/10.1080/13814788.2018.1561849
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