The Rénarub network, set up in 1976, is the principle source of information on the epidemiology of rubella in France (1, 2). Its objective is to collate, at national level, cases of rubella occurring during pregnancy and congenital rubella, and more widely, to evaluate the impact of vaccination policy and prevention measures put in place in France with the aim of eliminating congenital rubella. The full version of this article is available on the website of the Institut de Veille Sanitaire, including the new case definition, more detailed results (http://www.invs.sante.fr/publications/2003/rubeole_2001/rubbeh_2001.pdf), and a list of laboratories participating in the network (http://www.invs.sante.fr/publications/2003/rubeole_2001/reseau_renarub.htm).
Abstract Background Vaccination of healthcare workers (HCW) aims to protect them and to reduce transmission to susceptible patients. Influenza, measles, pertussis, and varicella vaccinations are recommended but not mandatory for HCW in France. Insufficient vaccine coverage for these diseases in HCW has raised the question of introducing mandatory vaccination. We conducted a survey to estimate acceptability of mandatory vaccination for these four vaccines by HCW working in healthcare facilities (HCF) in France, and to identify associated determinants. Methods In 2019, we performed a cross-sectional survey of physicians, nurses, midwives and nursing assistants working in HCF in France using a randomised stratified three-stage sampling design (HCF type, ward category, HCW category). Data were collected in face-to-face interviews using a tablet computer. We investigated the possible determinants of acceptability of mandatory vaccination using univariate and multivariate Poisson regressions, and estimated prevalence ratios (PR). Results A total of 8594 HCW in 167 HCF were included. For measles, pertussis, and varicella, self-reported acceptability of mandatory vaccination (very or quite favourable) was 73.1% [CI95%: 70.9–75.1], 72.1% [69.8–74.3], and 57.5% [54.5–57.7], respectively. Acceptability varied according to i) HCW and ward category for these three vaccinations, ii) age group for measles and pertussis, and iii) sex for varicella. For mandatory influenza vaccination, acceptability was lower (42.7% [40.6–44.9]), and varied greatly between HCW categories (from 77.2% for physicians to 32.0% for nursing assistants). Conclusion HCW acceptability of mandatory vaccination was high for measles, pertussis and varicella but not as high for influenza. Vaccination for COVID-19 is mandatory for HCW in France. Replication of this study after the end of the COVID-19 crisis would help assess whether the pandemic had an impact on their acceptability of mandatory vaccination, in particular for influenza.
La surveillance de la coqueluche a ete etudiee dans 17 pays europeens. Meme si la majorite des systemes de surveillance s’appuie sur une declaration obligatoire des cas, dans la population generale et avec la definition de cas preconisee par l’OMS, il reste tres difficile de faire des comparaisons d’incidence entre les pays, le premier obstacle etant l’absence d’information fiable sur l’exhaustivite des declarations. Il n’existe pas d’arguments majeurs pour proposer un systeme de surveillance plutot qu’un autre puisqu’ils sont tres dependants de l’organisation des soins, des ressources disponibles et des objectifs de surveillance de chacun des pays.
Offenstadt, Georges PhD; Bonmarin, Isabelle MD; Guidet, Bertrand MD; Brun-Buisson, Christian MD; Fuhrman, Claire MD; Levy-Bruhl, Daniel MD Author Information
