1887
Perspective Open Access
Like 0

Abstract

On 4 December 2017, French parliamentarians passed a law extending the vaccination mandates for children up to 2 years of age from three vaccinations (against diphtheria, tetanus and poliomyelitis) to 11 by adding vaccinations against pertussis, (Hib), hepatitis B, pneumococcal diseases, meningococcal C diseases, measles, mumps and rubella. This vote follows a recommendation made by the Steering Committee of the Citizen Consultation on Vaccination that took place in 2016. The law applies to all children born after 1 January 2018. Parents who do not fulfil the mandate will not be fined but non-vaccinated children will not be admitted to any collective child services such as nurseries or schools. No exemption other than for medical reasons will be considered. Here we describe the historical background of this evolution and its main epidemiological, sociological and policy drivers. They mainly refer to insufficient vaccine coverage, persistence of a preventable burden for some diseases and growing vaccine hesitancy in the French population. We also discuss some of the challenges and conditions of success.

Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2018.23.17.18-00048
2018-04-26
2024-12-22
/content/10.2807/1560-7917.ES.2018.23.17.18-00048
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/23/17/eurosurv-23-17-3.html?itemId=/content/10.2807/1560-7917.ES.2018.23.17.18-00048&mimeType=html&fmt=ahah

References

  1. French High Council on Public Health (HCSP). Avis relatif à la politique vaccinale et à l’obligation vaccinale en population générale. [Statement on the vaccination policy and mandatory vaccinations in the general public]. Paris: HCSP. [Accessed 22 Nov 2017]. French. Available from: https://www.hcsp.fr/explore.cgi/avisrapportsdomaine?clefr=455
  2. French Ministry of Health. Programme national d’amélioration de la politique vaccinale 2012-2017. [National programme for strengthening of the vaccination policy.] Paris: Ministry of Health. [Accessed 22 Nov 2017]. French. Available from: http://solidarites-sante.gouv.fr/IMG/pdf/programme_national_d_amelioration_de_la_politique_vaccinale_2012-2017_2_.pdf
  3. Hurel S. Rapport sur la politique vaccinale. [Report on the vaccination policy]. Paris: French Ministry of Health. [Accessed 22 Nov 2017]. French. Available from: http://solidarites-sante.gouv.fr/IMG/pdf/rapport_sur_la_politique_vaccinale_janvier_2016_.pdf
  4. Steering Committee of the Citizen Consultation on Vaccination. Comité d’orientation de la concertation citoyenne sur la vaccination. Rapport sur la vaccination. [Report on vaccination]. Paris: Steering Committee of the Citizen Consultation on Vaccination. [Accessed 22 Nov 2017]. French. Available from: http://concertation-vaccination.fr/wp-content/uploads/2016/11/Rapport-de-la-concertation-citoyenne-sur-la-vaccination.pdf
  5. Legifrance. Loi n° 2002-303 du 4 mars 2002 relative aux droits des malades et à la qualité du système de santé. [Law n° 2002-303 4 March 2002 on patient rights and quality of the healthcare system]. Paris: Legifrance; 2002. French. Available from: https://www.legifrance.gouv.fr/affichTexte.do?cidTexte=JORFTEXT000000227015
  6. Balinska MA, Leon C. [Perceptions of hepatitis B vaccination in France. Analysis of three surveys]. Rev Epidemiol Sante Publique. 2006 Jul;54 Spec No 1:1S95-1S101. PMID: 17073136. French.
  7. Sante Publique France. Couverture vaccinale. [Vacccine coverage data]. Saint-Maurice: Santé publique France. [Accessed 22 Nov 2017]. French. Available from: http://invs.santepubliquefrance.fr/Dossiers-thematiques/Maladies-infectieuses/Maladies-a-prevention-vaccinale/Couverture-vaccinale/Donnees
  8. Antona D, Lévy-Bruhl D, Baudon C, Freymuth F, Lamy M, Maine C, et al. Measles elimination efforts and 2008-2011 outbreak, France. Emerg Infect Dis. 2013;19(3):357-64.  https://doi.org/10.3201/eid1903.121360  PMID: 23618523 
  9. Lepoutre A, Antona D, Fonteneau L, Halftermeyer Zhou F, Baudon C, Dorleans F, et al. Séroprévalence des maladies à prévention vaccinale et de cinq autres maladies infectieuses en France. Résultats de deux enquêtes nationales 2008-2010. [Seroprevalence of vaccine-preventable diseases and five other infectious diseases in France. Results of two national surveys 2008-2010]. Bull Epidemiol Hebd (Paris). 2013;41-42:526-34. French. Available from: http://invs.santepubliquefrance.fr/beh/2013/41-42/pdf/2013_41-42.pdf
  10. Levy Bruhl D, Maccario J, Richardson S, Guerin N. Modélisation de la rougeole en France et conséquences pour l’âge d’administration de la seconde vaccination rougeole-oreillons-rubéole. [Modelling of measles in France and consequences for age of administration of the second dose of Measles-Mumps-Rubella vaccine]. Bull Epidemiol Hebd (Paris). 1997; (29):133-5. French. Available from: http://invs.santepubliquefrance.fr/publications/journees/1/levybruhl/index.html
  11. Bijlsma MW, Brouwer MC, Spanjaard L, van de Beek D, van der Ende A. A decade of herd protection after introduction of meningococcal serogroup C conjugate vaccination. Clin Infect Dis. 2014;59(9):1216-21.  https://doi.org/10.1093/cid/ciu601  PMID: 25069869 
  12. Peretti-Watel P, Verger P, Raude J, Constant A, Gautier A, Jestin C, et al. Dramatic change in public attitudes towards vaccination during the 2009 influenza A(H1N1) pandemic in France. Euro Surveill. 2013;18(44):20623.  https://doi.org/10.2807/1560-7917.ES2013.18.44.20623  PMID: 24176658 
  13. Gautier A, Chemlal K, Jestin C. Adhésion à la vaccination en France: résultats du Baromètre santé 2016. Vaccination des jeunes enfants: des données pour mieux comprendre l'action publique. [Vaccination of young children: Data for a better understanding of public action]. Bull Epidemiol Hebd (Paris). 19 Oct 2017(HS):21-7. French. Available from: http://invs.santepubliquefrance.fr/Publications-et-outils/BEH-Bulletin-epidemiologique-hebdomadaire/Archives/2017/BEH-hors-serie-Vaccination-des-jeunes-enfants-des-donnees-pour-mieux-comprendre-l-action-publique
  14. Humez M, Le Lay E, Jestin C, Perrey C. Obligation vaccinale: résultats d'une étude qualitative sur les connaissances et perceptions de la population générale en France. Vaccination des jeunes enfants: des données pour mieux comprendre l'action publique. [Mandatory vaccination: results of a qualitative study on knowledge and perceptions in the general population in France]. Bull Epidemiol Hebd (Paris). 2017(HS):12-20. French. Available from: http://invs.santepubliquefrance.fr/Publications-et-outils/BEH-Bulletin-epidemiologique-hebdomadaire/Archives/2017/BEH-hors-serie-Vaccination-des-jeunes-enfants-des-donnees-pour-mieux-comprendre-l-action-publique
  15. Legifrance. Décret n° 2018-42 du 25 janvier 2018 relatif à la vaccination obligatoire. [Decree n° 2018-42 of 25 January 2018 regarding mandatory vaccination]. Official journal of the French Republic. 26 Jan 2018. French. Available from: https://www.legifrance.gouv.fr/eli/decret/2018/1/25/SSAP1732098D/jo/texte
  16. Delamater PL, Leslie TF, Yang YT. Change in medical exemptions from immunization in California after elimination of personal belief exemptions. JAMA. 2017;318(9):863-4.  https://doi.org/10.1001/jama.2017.9242  PMID: 28873152 
  17. Wang E, Clymer J, Davis-Hayes C, Buttenheim A. Nonmedical exemptions from school immunization requirements: a systematic review. Am J Public Health. 2014;104(11):e62-84.  https://doi.org/10.2105/AJPH.2014.302190  PMID: 25211732 
  18. Yang YT, Studdert DM. Linking immunization status and eligibility for welfare and benefits payments: The Australian "No Jab, No Pay" Legislation. JAMA. 2017;317(8):803-4. PMID: 28245331 
  19. Ward JK, Colgrove J, Verger P. France’s risky vaccine mandates. Science. 2017;358(6362):458-9. PMID: 29074762 
  20. Laws are not the only way to boost immunization. Nature. 2018;553(7688):249-50.  https://doi.org/10.1038/d41586-018-00660-y  PMID: 29345647 
  21. Nicolay N, Lévy-Bruhl D, Gautier A, Jestin C, Jauffret-Roustide M. Mandatory immunization: the point of view of the French general population and practitioners. Vaccine. 2008;26(43):5484-93.  https://doi.org/10.1016/j.vaccine.2008.07.058  PMID: 18703109 
  22. Christensen H, May M, Bowen L, Hickman M, Trotter CL. Meningococcal carriage by age: a systematic review and meta-analysis. Lancet Infect Dis. 2010;10(12):853-61.  https://doi.org/10.1016/S1473-3099(10)70251-6  PMID: 21075057 
  23. Communique de presse 20/6/2017. [Press release 20 Jun 2017]. French. Available from: http://www.sfi-immunologie.com.fr/UserFiles/file/actualites/Communique%CC%81%20de%20Presse%2020%20juin%202017.pdf
  24. Corey KC, Noymer A. A ‘post-honeymoon’ measles epidemic in Burundi: mathematical model-based analysis and implications for vaccination timing. PeerJ. 2016;4:e2476.  https://doi.org/10.7717/peerj.2476  PMID: 27672515 
/content/10.2807/1560-7917.ES.2018.23.17.18-00048
Loading

Data & Media loading...

Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error