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Background: Migrants often undergo an incomplete vaccination program in regards to the French recommendations. The aim of this study was to evaluate the practices of French General Practitioners’ (GPs) in terms of catch-up vaccination. Methods: A cross-sectional study was carried-out in 2017–2018 in France. An online questionnaire was disseminated by email through scholarly societies to GPs involved in the care and the vaccination of migrants. Analyses included univariate and multivariate analysis with a logistic regression model. Results: A total of 216 GPs completed the survey. A majority identified themselves with an average level regarding the prevention of infectious diseases among migrant populations (56.7%) and confirmed this is part of their daily practice (83.3%). The majority of respondents do not perform more than two injections on the same day. When compared to GPs working in health centres, those with a private practice are more likely to report returning to a full primary vaccination schedule (adjusted OR = 2.90, 95% CI [1.29–6.53]). Aside from the serology for hepatitis B and to a lesser extent for measles, other pre-vaccination serologies were not frequently used by GPs. When a migrant declares to be up-to-date with his immunisations, only 56.5% of doctors consider this information reliable. Conclusions: This study clarified the vaccination practices of GPs receiving migrant patients in consultation and showed its heterogeneity. An important need for benchmarks has been identified and these results were used for the elaboration of the French guidelines on vaccines catch-up.
Sohela Moussaoui; Anne Aurousseau; Sylvain Nappez; Julian Cornaglia; Gaylord Delobre; Sophie Blanchi; Louise Luan; Stéphanie Vandentorren; Olivier Bouchaud; Odile Launay; Louise Nutte; Roxane Liard; Mariela Skendi; Matthieu Mechain; Nicolas Vignier. Immunization Catch-Up for Newly Arrived Migrants in France: A Cross-Sectional Study among French General Practitioners. Vaccines 2021, 9, 681 .
AMA StyleSohela Moussaoui, Anne Aurousseau, Sylvain Nappez, Julian Cornaglia, Gaylord Delobre, Sophie Blanchi, Louise Luan, Stéphanie Vandentorren, Olivier Bouchaud, Odile Launay, Louise Nutte, Roxane Liard, Mariela Skendi, Matthieu Mechain, Nicolas Vignier. Immunization Catch-Up for Newly Arrived Migrants in France: A Cross-Sectional Study among French General Practitioners. Vaccines. 2021; 9 (6):681.
Chicago/Turabian StyleSohela Moussaoui; Anne Aurousseau; Sylvain Nappez; Julian Cornaglia; Gaylord Delobre; Sophie Blanchi; Louise Luan; Stéphanie Vandentorren; Olivier Bouchaud; Odile Launay; Louise Nutte; Roxane Liard; Mariela Skendi; Matthieu Mechain; Nicolas Vignier. 2021. "Immunization Catch-Up for Newly Arrived Migrants in France: A Cross-Sectional Study among French General Practitioners." Vaccines 9, no. 6: 681.
Background: In the context of the global COVID-19 pandemic and the expansion of the more transmissible 20J/501Y.V3 (Gamma) variant of concern (VOC), mRNA vaccines have been made available in French Guiana, an overseas French territory in South America, from mid-January 2021. This study aimed to estimate the willingness to be vaccinated and the socio-demographic and motivational correlates among Health Care Workers (HCWs) in French Guiana. Methods: A cross-sectional survey was conducted from January 22 to March 26, 2021 among a sample of HCWs in French Guiana. They were asked about their willingness to get vaccinated against COVID-19 and vaccine hesitancy, vaccine uptake and vaccines attitudes. Factors associated with willingness to get vaccinated have been analyzed with ordinal logistic regression, using Stata software. Results: A total of 579 HCWs were interviewed, including 220 physicians and 200 nurses most often working in hospital (54%) or in the liberal sector (22%). Overall, 65.6% of respondents reported that they were willing or had already been vaccinated against COVID-19, while 24.3% of respondents reported that they did not want to get vaccinated against COVID-19 and 11.2% were unsure. HCWs were more willing to get vaccine if they were older, were worried about COVID-19 and were confident in the management of epidemic. Conversely, participants were less likely to have been vaccinated or willing to if they were nurses or of another non-medical profession, born in French Guiana, feared adverse effects, or if they did not trust pharmaceutical companies and management of the epidemic by authorities. Conclusion: Negative attitudes towards vaccines are a major public health concern among HCWs in French Guiana when considering the current active epidemic with Gamma VOC. General vaccine hesitancy and concerns about future side effects in particular represent important barriers. Low confidence in government and science are significant in COVID-19 vaccine refusal among non-medical staffs. Public health messaging with information on vaccine safety should be tailored to address these concerns. The specific challenges of HCWs from French Guiana must be taken into account.
Nicolas Vignier; Kepha Brureau; Sybille Granier; Jacques Breton; Céline Michaud; Mélanie Gaillet; Camille Agostini; Mathilde Ballet; Mathieu Nacher; Audrey Valdes; Philippe Abboud; Antoine Adenis; Félix Djossou; Loïc Epelboin; Maylis Douine. Attitudes towards the COVID-19 Vaccine and Willingness to Get Vaccinated among Healthcare Workers in French Guiana: The Influence of Geographical Origin. Vaccines 2021, 9, 682 .
AMA StyleNicolas Vignier, Kepha Brureau, Sybille Granier, Jacques Breton, Céline Michaud, Mélanie Gaillet, Camille Agostini, Mathilde Ballet, Mathieu Nacher, Audrey Valdes, Philippe Abboud, Antoine Adenis, Félix Djossou, Loïc Epelboin, Maylis Douine. Attitudes towards the COVID-19 Vaccine and Willingness to Get Vaccinated among Healthcare Workers in French Guiana: The Influence of Geographical Origin. Vaccines. 2021; 9 (6):682.
Chicago/Turabian StyleNicolas Vignier; Kepha Brureau; Sybille Granier; Jacques Breton; Céline Michaud; Mélanie Gaillet; Camille Agostini; Mathilde Ballet; Mathieu Nacher; Audrey Valdes; Philippe Abboud; Antoine Adenis; Félix Djossou; Loïc Epelboin; Maylis Douine. 2021. "Attitudes towards the COVID-19 Vaccine and Willingness to Get Vaccinated among Healthcare Workers in French Guiana: The Influence of Geographical Origin." Vaccines 9, no. 6: 682.
Summary For the first 3 months of COVID-19 pandemic, COVID-19 was expected to be an immunizing non-relapsing disease. We report a national case series of 11 virologically-confirmed COVID-19 patients having experienced a second clinically- and virologically-confirmed acute COVID-19 episode. According to the clinical history, we discuss either re-infection or reactivation hypothesis. Larger studies including further virological, immunological and epidemiologic data are needed to understand the mechanisms of these recurrences.
Marie Gousseff; Pauline Penot; Laure Gallay; Dominique Batisse; Nicolas Benech; Kevin Bouiller; Rocco Collarino; Anne Conrad; Dorsaf Slama; Cédric Joseph; Adrien Lemaignen; François-Xavier Lescure; Bruno Levy; Matthieu Mahevas; Bruno Pozzetto; Nicolas Vignier; Benjamin Wyplosz; Dominique Salmon; Francois Goehringer; Elisabeth Botelho-Nevers. Clinical recurrences of COVID-19 symptoms after recovery: Viral relapse, reinfection or inflammatory rebound? Journal of Infection 2020, 81, 816 -846.
AMA StyleMarie Gousseff, Pauline Penot, Laure Gallay, Dominique Batisse, Nicolas Benech, Kevin Bouiller, Rocco Collarino, Anne Conrad, Dorsaf Slama, Cédric Joseph, Adrien Lemaignen, François-Xavier Lescure, Bruno Levy, Matthieu Mahevas, Bruno Pozzetto, Nicolas Vignier, Benjamin Wyplosz, Dominique Salmon, Francois Goehringer, Elisabeth Botelho-Nevers. Clinical recurrences of COVID-19 symptoms after recovery: Viral relapse, reinfection or inflammatory rebound? Journal of Infection. 2020; 81 (5):816-846.
Chicago/Turabian StyleMarie Gousseff; Pauline Penot; Laure Gallay; Dominique Batisse; Nicolas Benech; Kevin Bouiller; Rocco Collarino; Anne Conrad; Dorsaf Slama; Cédric Joseph; Adrien Lemaignen; François-Xavier Lescure; Bruno Levy; Matthieu Mahevas; Bruno Pozzetto; Nicolas Vignier; Benjamin Wyplosz; Dominique Salmon; Francois Goehringer; Elisabeth Botelho-Nevers. 2020. "Clinical recurrences of COVID-19 symptoms after recovery: Viral relapse, reinfection or inflammatory rebound?" Journal of Infection 81, no. 5: 816-846.