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Vaccination in newly arrived immigrants to the European Union

机译：在新抵达移民到欧盟的疫苗接种

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The challenge of assimilating millions of immigrants in the European region each year presents significant socioeconomic issues. Among them is the threat of vaccine preventable diseases (VPDs) disease transmission within immigrant groups and the broader population given the permeability of nation state borders. A total of 3.8 million people immigrated to the European Union (EU) in 2014, among those were 1.6 million non-EU nationals. While vaccines have markedly reduced the transmission of disease, clusters of under-vaccinated individuals potentiate the rapid transmission of once-eradicated or controlled diseases. Immigrants pose a special challenge to host country public health vaccination programmes. Wars in their native countries may have interrupted vaccination programmes, documentation may be unavailable or unreliable, and refugees may present with health issues due to poor sanitation and food during transit. Further, immigrants are often reticent to access health care in the destination country, or may face financial or language barriers. Thus, preventive health care needs may go unaddressed and the first contact with a clinician is for an emergency. Equitable access to acute and preventive health care and services, including immunizations irrespective of individual’s immigration status, should be a priority for European region countries. Ensuring appropriate and timely vaccination for immigrants could be accomplished with a universal European region immunization schedule. Priority should be given to highly communicable VPDs such as measles, mumps, rubella, pertussis, diphtheria, varicella and polio.
机译：每年吸收欧洲地区数百万移民的挑战呈现出重大的社会经济问题。其中包括疫苗可预防的疾病（VPDS）疾病在移民群体中的疾病传播以及鉴于国家边界渗透性的更广泛的人群。 2014年共计380万人移民（欧盟），其中包括160万名非欧盟国民。疫苗显着降低了疾病的传播，疫苗的疫苗簇具有持续消除或受控疾病的快速传播。移民对主持国家公共卫生疫苗接种计划构成了特别挑战。他们祖国的战争可能会有中断的疫苗接种计划，文件可能无法使用或不可靠，难民可能会出现由于在运输过程中的卫生和食物不佳而存在健康问题。此外，移民往往是在目的地国家进入医疗保健，或可能面临财务或语言障碍。因此，预防性医疗保健需求可能会禁用，并与临床医生的第一次接触是紧急情况。公平获取急性和预防保健和服务，包括免疫免疫，不论个人的移民身份，都应优先欧洲地区。可以通过普遍的欧洲区域免疫计划来实现适当和及时的移民接种疫苗。应优先考虑高度传播的VPD，如麻疹，腮腺炎，风疹，百日咳，白喉，水痘和脊髓灰质炎。

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