Influenza vaccination situation in Middle-East and North Africa countries: Report of the 7th MENA Influenza Stakeholders Network (MENA-ISN)

Awaidi, Salah Al; Abusrewil, Suleiman; AbuHasan, Muslim; Akçay, Meral; Aksakal, Fatma Nur; Bashir, Uzma; Elahmer, Omar; Esteghamati, Abdoulreza; Gahwagi, Milad; Mirza, Yusuf Kamal; Grasso, Cindy; Kassianos, George; Khris, Moulud; Mardani, Masoud; Maltezou, Helena C.; Nourlil, Jalal; Oumzil, Hicham; Osterhaus, A. D. M. E.; Picot, Valentina; Pehlivan, Tamer; Saadatian‐Elahi, Mitra; Tali, İlham; Tarraf, Hesham; Ugur, Baris; Zaraket, Hassan

doi:10.1016/j.jiph.2018.07.003

Cited by 18 publications

(24 citation statements)

References 16 publications

(16 reference statements)

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“…A 2018 review of influenza surveillance and vaccination in the MENA region reported that out of 518 analyzed samples from cases with influenza like illness 28% had received the influenza vaccine. This is consistent with our findings of 1/3 of children being vaccinated although the report mentions unpublished data of higher vaccination coverage rates reaching 40–60% between 2009–2011 in one large medical center in Beirut area and a rate of 6% across the country inferred from vaccine dose distribution [ 19 ]. These vaccination rates are much lower than what is estimated by the WHO for other childhood immunizations (above 85% for conjugate pneumococcal vaccine and above 90% for DTP, polio, Hib and hepatitis B.…”

Section: Discussionsupporting

confidence: 93%

“…In this review awareness and previous encounters with influenza were the motivators for vaccination whereas fear of side effects, impression of ineffectiveness and lack of strong provider recommendation represented the major barriers to influenza vaccination in Lebanon [ 19 ]. This is consistent with our findings that reveal physician recommendation as the single most important factor in awareness and practice among Lebanese parents.…”

Section: Discussionmentioning

confidence: 99%

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Knowledge, attitude and practice of influenza vaccination among Lebanese parents: A cross-sectional survey from a developing country

et al. 2021

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Background A growing number of parents refuse vaccination due to concerns about side effects. Influenza vaccine is no exception and remains one of the most controversial vaccines. Data regarding influenza vaccine uptake and parental knowledge, attitude and practice towards vaccination in the Lebanese population is lacking. The aim of this study was to assess the rate of vaccination refusal and potential associated factors among Lebanese parents of school-aged children, in general and with a focus on influenza vaccine. Methods A parent questionnaire was distributed in randomly selected 2 public and 2 private schools from the greater Beirut area during the school year 2017–2018. Questionnaires covered knowledge, attitude (including themes of efficacy, hesitancy and trust), and practice of vaccination in general and influenza vaccine in particular. Results The response rate was 76.5% (306/400). Overall, 29.4% parents reported vaccinating their children against influenza (62.2% in private and 37.7% in public schools). Younger age, paternal employment and higher household income were associated with higher vaccination rates (p = 0.01, 0.02 and <0.0001 respectively). Lack of vaccine recommendation by the physician was the most common reason for not taking it (47%). Parents who accepted influenza vaccination had higher scores in efficacy, hesitancy and trust and were more compliant with other vaccinations. Conclusion One third of parents of school aged children in the greater Beirut area vaccinate their children against influenza. This rate is likely lower in rural remote areas. Physician’s recommendation is the single most important predictor of such vaccination. Future studies tackling physicians’ attitude and practice are needed to help improve influenza vaccination rates in the Lebanese population.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude and practice of influenza vaccination among Lebanese parents: A cross-sectional survey from a developing country

et al. 2021

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“…To gather more data on the availability of influenza vaccines and antiviral drugs in Africa as well as related national policies and guidelines, a survey was conducted by the CDC. However, the coauthors failed to find responding experts in Algeria …”

Section: Discussionmentioning

confidence: 99%

Influenza surveillance during the 2009‐2010, 2010‐2011, 2011‐2012, and 2012‐2013 seasons in Algeria

Derrar¹,

Voirin²,

Khanafer

et al. 2019

Journal of Medical Virology

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We report the activity and circulation of influenza viruses in Algeria during four influenza seasons, from a national surveillance study carried out from 2009-2010 to 2012-2013. A total of 2766 samples from in-and outpatients, with no age restriction, were collected. The overall proportion of specimens that tested influenza positive was 46.0%. Overall, 96.6% of influenza A viruses were subtyped, and A/H1 subtypes accounted for 57.3% of influenza A viruses. Influenza A/H1 and A/H3 virus subtypes cocirculated in

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“…Reasons for low vaccine coverage have been reported to include lack of influenza awareness, political and cost issues, and limited collaboration between private and governmental hospitals. 5,6 The importance for HCWs vaccination is not only to prevent them from becoming ill but also to avoid the spread of infection to the patients and the community. Vaccine coverage among HCWs is low, at approximately 30%, and declining in some European countries whereas, in the United States, vaccine coverage has been reported to be approximately 78%.…”

Section: Introductionmentioning

confidence: 99%

Barriers and beliefs among health-care workers regarding seasonal influenza vaccine in Al-Qassim region, Saudi Arabia

Alsuhaibani

2019

Human Vaccines & Immunotherapeutics

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This study aimed to assess the seasonal influenza vaccine (SIV) coverage rate, and to assess knowledge, attitudes, and practice of health-care workers (HCWs) concerning the SIV. In this multicenter crosssectional study conducted in Qassim region, Saudi Arabia, a validated questionnaire was distributed randomly among HCWs. Of 523 responses from HCWs across different institutions, 282 (53.9%) respondents were females and most respondents were aged between 30 and 39 years. Overall, 48.6% of participants had been regularly vaccinated with the SIV, and 70% were willing to be vaccinated in the coming season. Reasons for HCWs' non-adherence to the SIV included their having previously had influenza, which was not severe (20.7%), and that they were young and healthy (19.2%). Belief in the effectiveness of the SIV (72.3%) and knowledge that the SIV should be administered yearly (86.6%) was high among respondents. Less than 50% of respondents believed that vaccine safety concern is the main barrier preventing health-care institutions from providing the SIV to patients. Our study results showed suboptimal SIV coverage among HCWs in Qassim region. Educational programs and campaigns regarding the risk of influenza infection, as well as the provision of adequate information, and highlighting the importance of HCWs being vaccinated are essential. Easy access to and availability of the SIV in each region is crucial for improved vaccine coverage. Health-care institutions need to more actively encourage staff to undergo influenza vaccinations on a regular basis, especially during the influenza season.

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Influenza vaccination situation in Middle-East and North Africa countries: Report of the 7th MENA Influenza Stakeholders Network (MENA-ISN)

Cited by 18 publications

References 16 publications

Knowledge, attitude and practice of influenza vaccination among Lebanese parents: A cross-sectional survey from a developing country

Knowledge, attitude and practice of influenza vaccination among Lebanese parents: A cross-sectional survey from a developing country

Influenza surveillance during the 2009‐2010, 2010‐2011, 2011‐2012, and 2012‐2013 seasons in Algeria

Barriers and beliefs among health-care workers regarding seasonal influenza vaccine in Al-Qassim region, Saudi Arabia

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