Rapid Monitoring of Vaccination to prevent measles in Ceará State, Brazil, 2015

Moura, Ana Débora Assis; Braga, Ana Vilma Leite; Carneiro, Ana Karine Borges; Alves, Elaine Cristina da Silva; Bastos, Camila Maria Marques; Nunes, Iara Holanda; Figueiredo, Tereza Wilma Silva; Canto, Surama Valena Elarrat; Garcia, Márcio Henrique de Oliveira; Teixeira, Antonia Maria da Silva

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Epidemiologia e Serviços de Saúde

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EXPERIENCE REPORT • Epidemiol. Serv. Saúde 27 (2) • 2018 • https://doi.org/10.5123/S1679-49742018000200017 copy

Rapid Monitoring of Vaccination to prevent measles in Ceará State, Brazil, 2015

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

to describe the results of Rapid Monitoring Vaccination monitoring conducted with the aim of interrupting the measles outbreak in the State of Ceará, Brazil, in 2015.

Methods:

this was a descriptive study using data taken from 52,216 vaccination cards of children aged from 6 months to less than 5 years and data on vaccination coverage, homogeneity, and reasons for non-vaccination extracted from the National Immunization Program Information System (SI-PNI).

Results:

vaccination coverage against measles reached 96.7% in Ceará; of the 21 Regional Health Offices in the State, four did not reach minimum coverage of 95% for the first dose, and two for the second dose; 836 children (1.6%) were not vaccinated and 1,388 vaccine doses were not used.

Conclusion:

Measles vaccination campaigns enabled the immunization coverage goal in the State of Ceará to be surpassed, despite the considerable number of unvaccinated children found.

Keywords:
Surveillance; Monitoring; Measles; Immunization Coverage; Epidemiology, Descriptive

Regional Health Coordination	Doses applied (N)	RMC vaccination coverage (%)
Regional Health Coordination	Doses applied (N)	Dose 1	Dose 2
1^st Fortaleza/22nd Cascavel	237	98.1	95.3
2^nd Caucaia	24	99.5	97.8
3^rd Maracanaú	155	97.8	96.1
4^th Baturité	67	92.0	119.3
5^th Canindé	19	99.6	149.0
6^th Itapipoca	214	90.8	84.2
7^th Aracati	-	100.0	100.0
8^th Quixadá	83	96.0	134.5
9^th Russas	48	97.3	93.9
10^th Limoeiro do Norte	-	100.0	98.4
11^th Sobral	7	96.8	118.1
12^th Acaraú	25	99.2	98.9
13^th Tianguá	13	95.1	119.7
14^th Tauá	51	94.9	138.3
15^th Crateús	100	96.7	119.8
16^th Camocim	32	100.0	103.1
17^th Icó	50	95.9	96.7
18^th Iguatu	47	99.3	99.6
19^th Brejo Santo	121	94.9	111.3
20^th Crato	140	93.2	104.9
21^th Juazeiro do Norte	246	95.1	99.6
Ceará State	1,679	96.7	106.6

Reasons	N	%
Other reasons	820	59.1
Lack of time	219	15.8
Lack of vaccine	135	9.7
Lack of scheduling	110	7.9
Difficulty in going to the place of vaccination	36	2.6
Multiple injections at the same time	24	1.7
Loss/absence of vaccination proof	16	1.2
Refusal to be vaccinated	13	1.0
Primary Health Care unit closed	7	0.5
Medical contraindication	6	0.4
Adverse event in previous dose	2	0.1
Total	1,388	100.0

Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil SRTVN Quadra 701, Via W5 Norte, Lote D, Edifício P0700, CEP: 70719-040, +55 61 3315-3464, Fax: +55 61 3315-3464 - Brasília - DF - Brazil
E-mail: ress.svs@gmail.com

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[1] Correspondence: Ana Débora Assis Moura - Rua Almirante Barroso, No. 600, Bairro Praia de Iracema, Fortaleza, CE, Brasil. CEP: 60060-440. E-mail: anadeboraam@hotmail.com