[Evolution of vaccine coverage from school year 2003-2004 to 2006-2007, for 5 to 6-year-old children in Geneva].
OBJECTIVE
The authors had for aim to study the evolution of vaccination coverage for diphtheria, tetanus, pertussis, poliomyelitis, measles, mumps, rubella (MMR) and Haemophilus influenzae b (Hib) in 5 to 6-year-old children in Geneva, from school year 2003-2004 to 2006-2007.


METHODS
The data was collected from vaccination cards of 17,184 children attending public schools in the Geneva canton.


RESULTS
The average vaccination coverage over the study period was 93.4% for diphtheria, 93.5% for tetanus, 92.5% for pertussis, and 92.4% for poliomyelitis. For MMR and Hib, the coverage was 80.6, 78.4, 79.1 and 81.2% respectively. Between 2003 and 2007, an increase of coverage was observed for all vaccines. It was especially observed for MMR and Hib vaccines, even though the coverage remained below 90%.


CONCLUSIONS
In the Geneva canton, epidemiological surveillance of vaccination coverage of 5 to 6-year-old children can be achieved through systematic data analysis of children's vaccination cards. All commonly used vaccines reached the recommended coverage rates, except for MMR and Hib, even though their coverage had significantly increased.
Jeannot
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Faculté de médecine, université de Genève, centre médical universitaire, 1, avenue Michel-Servet, 1211 Genève 4, Suisse. emilien.jeannot@unige.ch <emilien.jeannot@unige.ch>
Wyler Lazarevic
C-A
CA
Duperrex
O
O
Chastonay
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P
D002648:Child; D002675:Child, Preschool; D006801:Humans; D013557:Switzerland; D013997:Time Factors; D014611:Vaccination / Q000706:statistics & numerical data*