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Table 4 Characteristics of included studies

From: Reducing burden from respiratory infections in refugees and immigrants: a systematic review of interventions in OECD, EU, EEA and EU-applicant countries

Author, country, year

Title

Study design

Type of intervention

Allocation of intervention

Outcome (measure)

Claimed vaccination strategy (if applicable)

Type of intervention and control group

N

Population included

Setting (refugee camp, city etc.)

% a&r

Mean age, % children

Country of origin/flight route

De vallière et al., Switzerland, 2011

[69]

Comparison of two strategies to prevent varicella outbreaks in housing facilities for asylum seekers

Non-randomised intervention study of cohort type

Vaccination of all individuals aged 15–39 years without contraindications

Allocated by date of arrival

Varicella outbreak-prevention (number of infected secondary cases)

All refugees without contraindication aged 15–39 years

Arrived 02/2009 to 05/2010

966

Recently arrived refugees

Refugee reception centre in Switzerland

100% asylum seekers

Unclear

Various countries

Serotesting all exposed and vaccination of seronegative individuals

All exposed and tested seronegative

Arrived 05/2008 to 01/2009

858 (exposed: 248)

No outbreak-response-strategy

No response strategy

Arrived before 05/2008

126

Pallasch et al., germany, 2005

[67]

Improvement of protection given by vaccination for socially underprivileged groups on the basis of "key persons approach"[German]

Non-randomised intervention study of cohort type

Door-to-door MMR-vaccination campaign based on “keyperson’’-principle

Allocated by residency

MMR-vaccination (children with at least one dose (%) and with two doses (%) of MMR-vaccine)

All children aged 15 months to 10 years

Children under 10 years (measured only school children at preterm examination: 39.8%)

344 (measured: 129)

Refugees and other inhabitants of hard-to-reach-neighbourhoods

German hard-to-reach and refugee neighbourhood ”Altländer-Viertel’’ in the city of Stade

About 30%

100% children under 10 years

Many diverse countries of origin

Pre-intervention

Brockman et al., germany, 2016

[68]

Ögd-initiative zur verbes-serung

Der durch-impfung bei

Asylsuch-enden

Non-randomised intervention study of cohort type

Housing based MMR and DPPT vaccination concept

Allocated by residency

Persons with at least one vaccination (%)

All asylum seekers in community housings

Community housing included in campaign

2256

Refugees and asylum seekers in community housings

German community housings for asylum seekers in the district of Reutlingen

100%

Unclear

Various countries

Community housings excluded from campaign

 

Koop et al.,

Macedonia, 2001

[66]

Results of the expanded program on immunization in the Macedonia refugee camps

Non-randomised intervention study of cohort type

Two consecutive vaccination campaigns for DPPT and BCG in stable and unstable population

No allocation, comparison of two refugee camps

Measles-, DPPT- and BCG -vaccination (vaccination coverage (%) after each campaign)

All children under 4 years of age (10% of overall study population)

Unstable population, high turnover

46,600 (included: 4660)

Albanian Kosovoar refugees

Macedonian refugee camp, “Brazda’’

100%

Included: 100% children aged under 4 years

Kosovo

Stable population, low turnover

73,300 (included: 7330)

Macedonian refugee camp “Cegrane’’

Coady et al., USA, 2008

[58]

A multilevel community-based intervention to increase influenza vaccination rates among hard-to-reach populations in New York city

Non-randomised intervention study of cohort type

Provision of informational materials concerning influenza on different levels and vaccination by nurses and physicians

Allocated by residency and revenue

Influenza vaccination (proportion of people with interest in getting vaccinated against influenza (%))

All residents with indication

Post-intervention

3082

Immigrant and hard-to-reach

Hard-to-reach neighbourhoods of east Harlem and the Bronx (New York)

Unclear

41 y.o

70% hispanic, 16% undocumented

Pre-intervention

3744

Hoppe et al., USA, 2011

[60]

Achieving high coverage of h1n1 influenza vaccine in an ethnically diverse obstetric population

Non-randomised intervention study of cohort type

Informational and vaccination campaign for influenza

Allocated by enrolment in the birth clinic

Influenza vaccination (vaccination coverage against influenza (%))

All pregnant women

Pregnant women at birth clinic in Seattle

157

Ethnically diverse pregnant women

Birth clinic in Seattle

Unclear

Unclear

Unclear

Cited data (10 states from pregnancy

Risk assessment monitoring system

(prams))

6255

Pregnant women from cited data

Pregnant women in USA

Unclear

Rodriguez-Rieiro et al., Spain, 2011

[59]

Vaccination against 2008/2009 and 2009/2010 seasonal influenza in Spain

Non-randomised intervention study of cohort type

Spanish national influenza vaccination campaign

Allocated by residency

Influenza vaccination

(vaccination coverage against influenza (%))

All residents with indication

Post-intervention (after 2009/2010)

51,666 (immigrants: 3426)

National cohort of Spanish citizens concerned by national influenza-vaccination campaign (with 6,6% immigrant population)

Spain

Unclear

Unclear

Unclear

Pre-intervention (before 2009/2010)

Larson et al., USA, 2009

[56]

Effect of intensive education on knowledge, attitudes, and practices regarding upper respiratory infections among urban Latinos

Non-randomised intervention study of cohort type

Door-to-door informational campaigns concerning (prevention from) influenza

Allocated by residency

Influenza vaccination

(proportion of households with at least one vaccinated member against influenza (%))

All residents with indication

Post-intervention

422

Heads of hard-to-reach and immigrant households

Hard-to-reach-neighbourhood upper Manhattan (New York)

Unclear

Unclear

97% Latino ethnicity, 90% foreign-born

Pre-intervention

422

Larson et al., USA, 2010

[57]

Impact of non-pharmaceutical interventions on URIS and influenza in crowded, urban households

Randomised controlled trial

Door-to-door informational campaign and provision of face masks and/or alcohol based hand sanitiser

Allocated by residency, random sampling

Influenza vaccination, prevention of URI, ILI and influenza (vaccination coverage against influenza after intervention period (%), incidence of URI, ILI and influenza (n/1000 person-weeks) during intervention period

All residents with indication

Group e only provided with information material

904

Immigrant and hard-to-reach

Hard-to-reach-neighbourhood upper Manhattan (New York)

Unclear

Unclear

90% Latino ethnicity, 50% foreign-born

Group 1 additionally provided with hand sanitiser

946

Group 2 additionally provided with face masks and hand sanitiser

938