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pp 1-7 | Cite as

Decreasing Vaccination Coverage Against Hepatitis B and Tuberculosis in Newborns

  • Aneta Nitsch-OsuchEmail author
  • Beata Pawlus
  • Maria Pawlak
  • Ernest Kuchar
Chapter
Part of the Advances in Experimental Medicine and Biology book series

Abstract

The number of parents who refuse to vaccinate their children or present the so-called hesitant behavior, i.e., delay the moment of vaccination beyond the mandatory time, has increased in many developed countries. The purpose of this retrospective study was to evaluate the completeness and timeliness of vaccinations against hepatitis B (HBV) and tuberculosis (TB) in neonates in a single maternity hospital in Warsaw, Poland. We reviewed medical files of 14,785 children born in the hospital in 2015–2017 and calculated the proportion of newborns not vaccinated on time according to the Polish Immunization schedule that includes vaccination against HBV and TB in the first day of life. Newborns remained unvaccinated because of parental refusal (refusers) or decision for a delay (hesitants), or medical contraindications. The percentage of unvaccinated newborns in the 3 years was as follows: 7.3% in 2015, 6.7% in 2016, and 10.1% in 2017. Parental decisions rather than medical contraindications caused nonvaccination (4.4% vs. 2.9% in 2015, 4.7% vs. 2.0% in 2016, and 7.5% vs. 2.6% in 2017). The majority of refusals concerned both vaccinations (67.3% in 2015, 74.8% in 2016, and 68% in 2017). Among parents who refused only one vaccination, TB vaccination was refused more often than HBV (9.2% vs. 7.1% in 2015, 8.3% vs. 5.7% in 2016, and 5.9% vs. 2.7% in 2017). Similar trends were observed among the hesitants. In conclusion, it seems essential to implement effective educational and informative activities targeted to parents to reinforce positive attitudes toward vaccinations.

Keywords

Hepatitis B Immunization Newborns Tuberculosis Vaccination coverage Vaccine 

Notes

Conflicts of Interest

The authors declare no conflict of interests in relation to this article.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Ethics Committee of Warsaw Medical University in Poland.

Informed Consent

The requirement to obtain individual patient consent was waived as the study is of retrospective nature consisting of the anonymous review of patient hospital files.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Aneta Nitsch-Osuch
    • 1
    • 2
    Email author
  • Beata Pawlus
    • 2
  • Maria Pawlak
    • 1
    • 3
  • Ernest Kuchar
    • 4
  1. 1.Department of Social Medicine and Public HealthWarsaw Medical UniversityWarsawPoland
  2. 2.Saint Family HospitalWarsawPoland
  3. 3.Voivodeship Sanitary Inspection StationWarsawPoland
  4. 4.Department of Pediatrics and Clinical Assessment UnitWarsaw Medical UniversityWarsawPoland

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