title: Socioeconomic status and vaccine coverage during wild-type poliovirus emergence in Israel.
abstract: In August 2013, a nationwide vaccination campaign with bivalent oral polio vaccine (bOPV) was initiated after isolation of wild-type poliovirus type 1 (WPV-1) in routine sewage surveillance in Israel. The campaign started in the Southern district and later extended to the entire country. This study examined the association between socioeconomic status (SES), and compliance with bOPV vaccine during the campaign. Nationwide data relating to SES by geographical cluster were correlated with vaccine coverage rates in the same areas. All analyses were conducted separately for Jews and Arabs. Coverage with the bOPV vaccination campaign in the Arab population (92·4%) was higher than in the Jewish population (59·2%). This difference was consistently present in all SES clusters. In the Jewish population there was an inverse correlation between SES and vaccination coverage rates (R = -0·93, P < 0·001). Lower vaccination coverage with supplemental vaccine activities in higher SES groups is a challenge that needs to be addressed in future public health events and emergencies in order to achieve satisfactory protection rates for the public.
authors.affiliation: Edith Wolfson Medical Center,Directorate,Holon,Israel.
authors.forename: B
authors.initials: B
authors.lastname: Binyaminy
authors.affiliation: Department of Public Health,Faculty of Health Sciences,Ben-Gurion University of the Negev,Beer-Sheva,Israel.
authors.forename: N
authors.initials: N
authors.lastname: Bilenko
authors.affiliation: Regional Office of Ministry of Health,Southern District,Beer-Sheva,Israel.
authors.forename: E J
authors.initials: EJ
authors.lastname: Haas
authors.affiliation: Department of Public Health,Faculty of Health Sciences,Ben-Gurion University of the Negev,Beer-Sheva,Israel.
authors.forename: I
authors.initials: I
authors.lastname: Grotto
authors.affiliation: Regional Office of Ministry of Health,Southern District,Beer-Sheva,Israel.
authors.forename: M
authors.initials: M
authors.lastname: Gdalevich
mesh_terms: D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007557:Israel / Q000208:ethnology; D055118:Medication Adherence / Q000208:ethnology; D011051:Poliomyelitis / Q000208:ethnology / Q000517:prevention & control*; D017955:Poliovirus / Q000187:drug effects; D011055:Poliovirus Vaccine, Oral / Q000008:administration & dosage*; D011634:Public Health; D012923:Social Class; D014611:Vaccination / Q000706:statistics & numerical data*; D016903:Drug Monitoring
chemical_list: D011055:Poliovirus Vaccine, Oral
keywords: Public health; polio; vaccination (immunization); vaccine policy development