Journal article
A novel measles outbreak control strategy in the Netherlands in 2013–2014 using a national electronic immunization register: A study of early MMR uptake and its determinants
Background: During a large measles outbreak in the Netherlands in 2013–2014, infants aged 6–14 months living in municipalities with low (<90%) measles-mumps-rubella (MMR) coverage were individually invited for an early MMR using the national electronic immunization register, Præventis. We estimated uptake of early MMR prior to and during the 2013–2014 outbreak and assessed determinants for early MMR vaccination.
Methods: We obtained vaccination records from Præventis, and defined early MMR as vaccination before 415 days (13 months) of age. A multi-level multivariable logistic regression model, restricted to infants with three diphtheria-pertussis-tetanus-polio (DPTP) vaccinations was used to examine the association between early MMR uptake and sex, parents’ country of birth, socioeconomic status (SES; at postcode level) and voting proportions for the Reformed Political Party (SGP; at municipal level), used as a proxy for religious objections towards vaccination.
Authors
Languages
- English
Publication year
2017
Journal
Vaccine
Volume
5828–5834
Type
Journal article
Categories
- Data
Diseases
- Measles
- Mumps
- Rubella
Countries
- Netherlands Kingdom of the
Tags
- Coverage monitoring
- Electronic health records
- Immunization information systems
- Outbreak
- Registries
WHO Regions
- European Region
