{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T15:52:27Z","timestamp":1792684347416,"version":"4.5.0"},"reference-count":114,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T00:00:00Z","timestamp":1709164800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["NIHR300072"],"award-info":[{"award-number":["NIHR300072"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Health Service"},{"DOI":"10.13039\/100006662","name":"NIHR","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006662","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000276","name":"Department of Health and Social Care","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000276","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Ensuring vaccination coverage reaches established herd immunity thresholds (HITs) is the cornerstone of any vaccination programme. Diverse migrant populations in European countries have been associated with cases of vaccine-preventable diseases (VPDs) and outbreaks, yet it is not clear to what extent they are an under-immunized group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We did a systematic review and meta-analysis to synthesize peer-reviewed published primary research reporting data on the immune status of migrants in EU\/EEA countries, the UK and Switzerland, calculating their pooled immunity coverage for measles, mumps, rubella and diphtheria using random-effects models. We searched on Web of Science, Embase, Global Health and MEDLINE (1 January 2000 to 10 June 2022), with no language restrictions. The protocol is registered with PROSPERO (CRD42018103666).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Of 1103 abstracts screened, 62 met eligibility criteria, of which 39 were included in the meta-analysis. The meta-analysis included 75\u2009089 migrants, predominantly from outside Europe. Pooled immunity coverage among migrant populations was well below the recommended HIT for diphtheria (n\u00a0=\u20097, 57.4% [95% confidence interval (CI): 43.1\u201371.7%] I2\u00a0=\u200999% vs HIT 83\u201386%), measles (n\u00a0=\u200921, 83.7% [95% CI: 79.2\u201388.2] I2\u00a0=\u200999% vs HIT 93\u201395%) and mumps (n\u00a0=\u20098, 67.1% [95% CI: 50.6\u201383.6] I2\u00a0=\u200999% vs HIT 88\u201393%) and midway for rubella (n\u00a0=\u200929, 85.6% [95% CI: 83.1\u201388.1%] I2\u00a0=\u200999% vs HIT 83\u201394%), with high heterogeneity across studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>Migrants in Europe are an under-immunized group for a range of important VPDs, with this study reinforcing the importance of engaging children, adolescents and adults in \u2018catch-up\u2019 vaccination initiatives on arrival for vaccines, doses and boosters they may have missed in their home countries. Co-designing strategies to strengthen catch-up vaccination across the life course in under-immunized groups is an important next step if we are to meet European and global targets for VPD elimination and control and ensure vaccine equity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jtm\/taae033","type":"journal-article","created":{"date-parts":[[2024,2,26]],"date-time":"2024-02-26T16:44:59Z","timestamp":1708965899000},"source":"Crossref","is-referenced-by-count":26,"title":["The immune status of migrant populations in Europe and implications for vaccine-preventable disease control: a systematic review and meta-analysis"],"prefix":"10.1093","volume":"31","author":[{"given":"Zeinab","family":"Cherri","sequence":"first","affiliation":[{"name":"The Migrant Health Research Group, Institute for Infection and Immunity, St Georges, University of London , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7486-3250","authenticated-orcid":false,"given":"Karen","family":"Lau","sequence":"additional","affiliation":[{"name":"The Migrant Health Research Group, Institute for Infection and Immunity, St Georges, University of London , London , UK"},{"name":"Department of Global Health and Development , Faculty of Public Health and Policy, , London , UK"},{"name":"London School of Hygiene and Tropical Medicine , Faculty of Public Health and Policy, , London , UK"},{"name":"Lancet Migration European Regional Hub"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura B","family":"Nellums","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Heath Sciences, University of Nottingham , Nottingham , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Himmels","sequence":"additional","affiliation":[{"name":"The Migrant Health Research Group, Institute for Infection and Immunity, St Georges, University of London , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Deal","sequence":"additional","affiliation":[{"name":"The Migrant Health Research Group, Institute for Infection and Immunity, St Georges, University of London , London , UK"},{"name":"Department of Global Health and Development , Faculty of Public Health and Policy, , London , UK"},{"name":"London School of Hygiene and Tropical Medicine , Faculty of Public Health and Policy, , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"McGuire","sequence":"additional","affiliation":[{"name":"The Migrant Health Research Group, Institute for Infection and Immunity, St Georges, University of London , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Mounier-Jack","sequence":"additional","affiliation":[{"name":"Department of Global Health and Development , Faculty of Public Health and Policy, , London , UK"},{"name":"London School of Hygiene and Tropical Medicine , Faculty of Public Health and Policy, , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Norredam","sequence":"additional","affiliation":[{"name":"Danish Research Centre for Migration , Ethnicity and Health, Section of Health Services Research, Department of Public Health, , Denmark"},{"name":"University of Copenhagen , Ethnicity and Health, Section of Health Services Research, Department of Public Health, , Denmark"},{"name":"Department of Infectious Diseases, Hvidovre Hospital, University of Copenhagen , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0450-7258","authenticated-orcid":false,"given":"Alison","family":"Crawshaw","sequence":"additional","affiliation":[{"name":"The Migrant Health Research Group, Institute for Infection and Immunity, St Georges, University of London , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Carter","sequence":"additional","affiliation":[{"name":"The Migrant Health Research Group, Institute for Infection and Immunity, St Georges, University of London , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farah","family":"Seedat","sequence":"additional","affiliation":[{"name":"The Migrant Health Research Group, Institute for Infection and Immunity, St Georges, University of London , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuria Sanchez","family":"Clemente","sequence":"additional","affiliation":[{"name":"The Migrant Health Research Group, Institute for Infection and Immunity, St Georges, University of London , London , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oumnia","family":"Bouaddi","sequence":"additional","affiliation":[{"name":"Lancet Migration European Regional 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