[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-449205-105":59,"doc-detail-449205-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","varicella-vaccination-strategies-for-refugees-systematic-or-targeted-approaches-abstract-citation-id-ckaf180346","Varicella vaccination strategies for refugees - systematic or targeted approaches - Abstract citation ID ckaf180.346","","Varicella-zoster virus (VZV) can lead to severe complications in non-immune adults, including varicella pneumonia, and vaccination access remains a major public health challenge among migrants. In Geneva, the Swiss plan recommends vaccination for adults under 40 without prior clinical varicella, but refugees often lack reliable vaccination and infection histories. The study targeted women of childbearing age given pregnancy-related fetal risks and evaluated systematic screening versus targeted serologic testing and vaccination to optimize care.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/varicella-vaccination-strategies-for-refugees-systematic-or-targeted-approaches-abstract-citation-id-ckaf180346/449205/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/varicella-vaccination-strategies-for-refugees-systematic-or-targeted-approaches-abstract-citation-id-ckaf180346/449205.png","ImageObject",300,407,{"name":92,"@type":93},"Aran","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why was the vaccination strategy focused on women of childbearing age?","Question",{"text":113,"@type":114},"Because varicella infection during pregnancy can create significant fetal risks, and hospital admissions for varicella-related complications were considered rare among refugees.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What was the approach used between June 2021 and December 2024?",{"text":118,"@type":114},"A total of 249 women aged 18–40 underwent systematic anti-VZV IgG screening before vaccination, followed by descriptive serologic analysis and an economic evaluation comparing testing costs with systematic vaccination using Varilrix (two doses).",{"name":120,"@type":111,"acceptedAnswer":121},"What did the study find about VZV immunity and seronegativity?",{"text":122,"@type":114},"VZV immunity was confirmed in 231 women (92.8%), while 7.2% were seronegative. Seronegativity rates were consistent across all geographic origins.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},449205,1790767222,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":81,"preview_page_count":4},137455076865,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","2nd World Congress on Migration, Ethnicity, Race & Health Abstract Book vi125  \nAbstract citation ID: ckaf180 .346  \n391 “Varicella vaccination strategies for refugees:  \nsystematic or targeted approaches?”  \nPierre-David Kamoun1, Pawan Prasad1, Elsa Brinkley1,  \nSophie Durieux-Paillard1  \n1H^opitaux Universitaires de Genve, Geneve, Suisse  \nEP2.1, e-Poster Terminal 2, September 3, 2025, 10:35-11:00  \nAims: The varicella-zoster virus (VZV) can cause severe complications in non-immune adults, including varicella pneumonia. Among migrant populations, access to preventive care, such as vaccination, remains a public health challenge. The Swiss vaccination plan recommends that adults under 40 years of age without a clinical history of varicella be vaccinated. However, refugees are often unaware of their vaccination status or past infections, as varicella is typically acquired in childhood. Our unit, part of the Geneva University Hospitals (HUG), is responsible for vaccinating refugees assigned to the canton of Geneva. Since hospital admissions for varicellarelated complications appear to be rare among refugees, we focused our VZV vaccination strategy on women of childbearing age due to the significant fetal risks associated with varicella infection during pregnancy.  \nMethods: Between June 2021 and December 2024, 249 women aged 18–40 years underwent systematic anti-VZV IgG screening before vaccination. A descriptive analysis of serological data was performed, along with an economic evaluation comparing the costs of serological testing (37.80 CHF/test) with systematic vaccination using the Varilrix vaccine (two doses, 62.50 CHF/dose) .  \nResults: Among the participants, 29% were from Turkey, 23% from Afghanistan, and the remaining individuals came from 30 different countries. Immunity to VZV was confirmed in 231 women (92.8%), while 7.2% were seronegative. Seronegativity rates were consistent across all origins.  \nConclusion: These findings support a targeted VZV vaccination strategy in the refugee population, preventing unnecessary vaccinations and reducing healthcare costs while maintaining personalized care. The absence of significant serological differences between geographic origins justifies a universal approach for this group. This strategy underscores the value of precision medicine in public health, ensuring efficient resource allocation, minimizing unnecessary interventions, and better addressing the needs of vulnerable populations.","cbCaipkX1NsfFi7E","https://ap.wps.com/l/cbCaipkX1NsfFi7E","pdf",47248,"English","# Aims\n# Methods\n# Results\n# Conclusion","[{\"question\":\"Why was the vaccination strategy focused on women of childbearing age?\",\"answer\":\"Because varicella infection during pregnancy can create significant fetal risks, and hospital admissions for varicella-related complications were considered rare among refugees.\"},{\"question\":\"What was the approach used between June 2021 and December 2024?\",\"answer\":\"A total of 249 women aged 18–40 underwent systematic anti-VZV IgG screening before vaccination, followed by descriptive serologic analysis and an economic evaluation comparing testing costs with systematic vaccination using Varilrix (two doses).\"},{\"question\":\"What did the study find about VZV immunity and seronegativity?\",\"answer\":\"VZV immunity was confirmed in 231 women (92.8%), while 7.2% were seronegative. Seronegativity rates were consistent across all geographic origins.\"}]","Varicella vaccination strategies for refugees - systematic or targeted approaches - Abstract citation ID ckaf180.346 | PDF",1790729535]