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Master Thesis

Évaluation de la couverture vaccinale contre la diphtérie, le tétanos, la poliomyélite, l'hépatite B et la coqueluche de la population adulte en Savoie

Abstract : Objective : Evaluation of the immunisation cover for diphteria, tetanus, poliomyelitis, hepatitis B and pertussis of the adult population of the Savoie region, of the existence of a vaccination record document, and the method of patient follow upby general practitionners. Methods : Descriptive epidemiological survey of nine health centres in the region, the public health clinic at Chambery hospital, four urban general practice surgeries and four rural general practice surgeries. Results : Three hundred and ninety nine (399) patients with an average age of 46,10 years were included in the study. Eighty percent (80%), were considereted up to date concerning tetanus, 69% for diphteria and poliomyelitis. These results are comparable to those found in the neighbouring Isere region in 2002. Forty four percent (44%) of patients were up to date for hepatitis B, which is largery insufficient, and no improvement on the results found in 2002. The vaccination cover for pertussis was mediocre with only 10% of patients up to date in this study, and this despite the introduction of a "booster dose"strategy for adults five years ago. Of the population studied, 37% possessed no document regarding vaccination status. Conclusion : Overall low rates of vaccination cover were found, particularly for hepatitis B and pertussis in the age groups studied, this worsens with increasing age. The introduction of a document to accurately record vaccinations, to be used universally, and easily accessible for all, is a public health priority in view of the poor immunisation records found.
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Master Thesis
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Submitted on : Tuesday, October 11, 2011 - 3:13:38 PM
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  • HAL Id : dumas-00631125, version 1

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Michelle Peiffer Andron. Évaluation de la couverture vaccinale contre la diphtérie, le tétanos, la poliomyélite, l'hépatite B et la coqueluche de la population adulte en Savoie. Médecine humaine et pathologie. 2009. ⟨dumas-00631125⟩

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