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Immunization coverage among refugee children in BerlinBackground The Tempelhof refugee camp offers in-camp immunizations.Other camps, like Neukölln, rely on a centralized immunization system.We aimed to determine the impact of conflict on immunization rates of Syrian children and to measure the efficacy of in-camp immunization services.Methods Families with children aged 1-5 in Tempelhof and Neukölln camps were surveyed.Surveys included siblings under the age of 18. Differences were compared using χ 2 test.Results Data on 179 children at Tempelhof and 40 children at Neukölln were collected.At Tempelhof, amongst Syrian children, 27.8% under the age of 5 were "fully immunized-memory," in contrast to 73.7% over the age of 5 (P = 0.005).This difference in immunization rates by memory between the age groups was not observed in Afghani children (P = 0.34) or in Iraqi children (P = 0.10).Furthermore, compared to the 27.8% of Syrian children, 75% of Afghani children under the age of 5 were "fully vaccinated-memory" (P = 0.0009).Compared to Tempelhof, more children at Neukölln were partially immunized (93%) or had no immunizations (5%) (P < 0.001).Conclusion These data suggest that conflict adversely affected immunization rates of Syrian children, and that offering in-camp immunization services may be a solution to increasing immunization rates.
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