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Data from the National Immunization Program of the Ministry of Health are of concern to the authorities in the region. Indeed, vaccination of children under 1 year had its lowest coverage rate in 16 years. Over the past two years, the target of 95% of the protected target population has not been reached in the country, which is not different in the region. The decline in demand for the free service warns of the risk of returning diseases that have not yet been eradicated, such as poliomyelitis (childhood paralysis) and measles.
Last year, only the BCG vaccine (against tuberculosis) had a satisfactory national index, with a coverage of 91.4%. In the region, however, only Santo André and São Bernardo reached the target of 95% of the target population, with 89.57% and 81.74% of vaccinated children, respectively. In São Caetano, vaccination reached 79.62%; Diadema, 76.81%; and in Ribeirão Pires, the index was even lower: 55.31%.
In the Andorran city, the polio vaccine, whose immunization coverage of children in 2001 was 84.76%, in 2017 fell to 72.52%. In addition, last year, combined vaccination against meningococcal C, which prevents one of the most serious forms of bacterial meningitis, only reached 71.9% of children in the city .
São Bernardo has data from 2006 and, compared to last year, the vaccine that registered the largest decline was against polio, from 99.3% to 84.41%. In S. Caetano, the lowest adhesion in 2017 was the meningococcal C vaccine, with a coverage of 73.11%.
Diadema provided data for 2013. In this year's comparison until 2017, the most significant decreases were in vaccination. viral mumps (measles, measles, rubella), from 104.31% to 83.26%; polio, from 99.86% to 82.91%; and meningococcal conjugate C, from 100.84% to 83.81%. In Ribeirão Pires, the most common immunization in the last two years has been meningitis – from 87.25% to 82.05%.
Renato Kfouri, vice president of SBIM (Brazilian Vaccination Society) setting turns on alert. "Many of the diseases that we were able to control and eliminate were due to high immunization coverage, but as the world has not all been eradicated – there is polio in Africa, measles in Venezuela, for example – there is a risk ) are reintroduced by individuals who travel, arrive here patients and find a fertile field, being able again to have the circulation of the agents ", underlines it.
For the specialist, low compliance is due to the fact that the new generation of parents has not experienced the problems caused by these diseases. "They have not seen diphtheria, measles, infantile paralysis.They end up not recognizing the dangers and risks and do not understand that the situation to control the epidemic is much more difficult than the Preventive actions, "he says Concerned about the reality of vaccination coverage, the prefectures of the region claim that they have intensified the search for those who do not have the portfolio of vaccinations in a timely manner. [19659008]
In Santo André, the administration says that among the outreach work, there is the partnership with the daycares to monitor the children's vaccine booklets and the dissemination in social networks on the importance of the issue for disease prevention
São Bernardo informs that the UBS (Basic Health Units) have been asked to update the booklets.
Regina Maura Zetone, secretary at the Health City of São Caetano, points out that the campaigns were reinforced by social networks and by the application Portal Health 24h, which contains all the guidelines on the subject. "The family health strategy emphasizes the importance of vaccination," he adds.
The Executive of Diadema says that the issue has been discussed in all cases and that the BHU have stepped up the active research and community outreach activities.
In Ribeirão Pires, sensitization is mainly held in health units and municipal day-care centers.
The Ministry of Health emphasizes that it is necessary to "demystify the idea that vaccination is harmful". "Vaccines are safe and go through a strict validation process.It is in the moment of lull, when there are no outbreaks of diseases, that the population must be vaccinated" , says Pasta.
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