UA points in hospitals, not just pediatricians, could also vaccinate Ukrainian children

Children coming from Ukraine are entitled to the same vaccines as those recommended according to the Czech vaccination schedule. The examination of the vaccination record must take place during the next medical visit, whether it takes place in a general practitioner’s office for children and adolescents or in one of the UA points of the hospitals. Similarly, subsequent vaccination (until) could take place in both places, even in cases where it is not possible to reliably prove previous vaccination.

Vaccination is one of the primary care priorities for people coming to the Czech Republic because of the war in Ukraine. However, ensuring it from a practical point of view is a challenge, simply because around a quarter of a million Ukrainian children are likely to live in our country and it is not within the capacity of practitioners from childhood to take care of everyone. One possible solution is to extend care to UA points in hospitals. Vaccinations of children could also take place here, whether as part of compulsory or voluntary vaccination. Already, these low-threshold clinics are offering vaccinations for children and adolescents against covid-19.

The option of vaccinating children outside the practice of pediatric practitioners has long been operating abroad. Israel is an example of a country that performs childhood vaccinations outside pediatric outpatient clinics. Czechia has also tried to vaccinate children outside GP surgeries for children and adolescents, while vaccinating children against covid-19. Vaccination centers have even vaccinated most children against this infection. Conversely, in the case of children aged 5 to 11 years, only a small proportion of pediatric practitioners were involved in vaccination because they encountered a number of logistical and communication complications. “From the point of view of vaccination, it does not matter whether the vaccination of children takes place in a general pediatrician’s office or in a vaccination center where a pediatrician is available. The difference is more psychological, parents can turn to their pediatrician with more confidence, or it may be easier for them to visit him,” commented Professor Jan Lebl, who has worked at the pediatric clinic at Charles University’s 2nd Medical School in the past. . and the Motol University Hospital, indicating that it is crucial that the child undergoes the necessary vaccinations.

Ukrainian children are vaccinated according to the Czech vaccination schedule

The actual vaccination of Ukrainian children has been underway in the Czech Republic for several weeks, based on the recommendations of the Czech Vaccine Society ČLS JEP. “The vaccination, which the child has already completed, is mainly checked, the parents have to prove it. Based on this inspection, the Czech Republic’s vaccination schedule continues, mainly mandatory vaccinations that cannot be postponed” , explains Alena Šebková, president of the Professional Society of General Practitioners of the Czech Medical Association JEP.

In practice, this means ensuring a sufficient quantity of vaccines, which the European Commission has promised to help the Czech Republic. The next step is logistics, which according to Šebková means, among other things, informing incoming parents already in the centers, where they register and process the necessary documents, that it will be necessary to document the child’s previous vaccination at doctor. “As a professional company, we have also created a questionnaire in which we ask about the child’s current health, allergies, etc. If his parents accompany him on the first visit to the doctor, this will certainly make his task easier,” adds the doctor.

The own expert recommendation of the JSC JEP of the Czech Republic has already been updated and it is possible that it will be adjusted in the future depending on the development of the situation. “The main reason for the update was the need to deal with the situation where parents of Ukrainian children do not have a vaccination card and therefore no documentation of previous vaccinations is available. According to the previous recommendation, these children should have been fully vaccinated, as if they had never been vaccinated in the past,” says Daniel Dražan, a pediatrician and board member of the professional society. “Although relevant arguments can still be found for this procedure , for several reasons this procedure would be very difficult to implement in practice. ČVS has created a simple guide to vaccinating children whose documentation is not available, “concludes the doctor.

In practice, this means that if the child’s parents or other accompanying persons do not provide documents or a copy of the vaccine and affirm that the vaccination has taken place, the child will receive at least one dose of the mumps vaccine. , measles and rubella, a booster dose of the combined vaccine against diphtheria, tetanus, pertussis, hepatitis B, poliomyelitis and diseases caused by Haemophilus influenzae b, or a combined vaccine against diphtheria, tetanus , whooping cough and poliomyelitis. The vaccines can then be administered simultaneously and separately. “Currently, the necessary vaccines are available and in my limited experience there is no problem with revaccination of children from Ukraine, so that it corresponds at least to the compulsory vaccination in the Czech Republic. I believe that general practitioners for children and adolescents can do this,” says Dražan.

So far, AU children have only vaccinated Ukrainian children against covid-19

However, the first place Ukrainian parents come to with their children is often UA points in hospitals. That is why they could become a place where parents will also be offered vaccinations for their children. “At the children’s reception of the general hospital, we treat 10-20 Ukrainian children daily, and we hospitalize some of them as needed. The UA point of the children’s clinic is one of the busiest”, describes Marie Heřmánková , spokesperson for the University General Hospital in Prague. Vaccination of children does not take place in the Department of Pediatrics and Inherited Metabolic Disorders at Charles University First Medical School and General Hospital. “We will see if this obligation passes to hospitals. For the moment, it should be taken care of by pediatricians, ”he adds.

Pilsen University Hospital is also awaiting instructions from the Ministry of Health regarding the vaccination of Ukrainian children, where UA Point also functions as a low-threshold ambulance for refugees. “In the case of Ukrainian children visiting the UA point, we offer vaccinations against covid-19 and as part of our anamnesis, we ask about other vaccinations,” explains Gabriela Levorová, spokesperson for the hospital. The situation is different at the University Hospital of Olomouc, as there is also a general practice for children and adolescents within the children’s clinic. “Children of the wave of Ukrainian refugees are vaccinated in the same position as children of Czech nationality. PLDD surgery, which is part of the children’s clinic of the University Hospital of Olomouc, provides the same services as the other PLDD, including childhood vaccinations,” says hospital spokesman Adam Fritscher.

The Professional Society of General Practitioners for Children and Adolescents considers the possible expansion of places that provide vaccinations to Ukrainian children as UA points a topic of discussion. “I don’t see vaccination itself as a burden, I don’t think it should be the focus of UA points. These should mainly provide acute care or assistance with initial examinations, especially when the “influx of children is higher and / or the capacity of PLDD is exhausted. It may be a modified site from the site and it is definitely a good communication between the subjects concerned”, concludes Šebkova.

Ludmila Hamplova

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