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Influenza in The Netherlands.

J A Knottnerus1

  • 1Department of General Practice University of Limburg, Maastricht, The Netherlands.

Pharmacoeconomics
|December 9, 1995
PubMed
Summary

Influenza incidence in the community is significantly underestimated by general practice data. Influenza vaccination effectively prevents approximately 50% of cases, highlighting its importance for public health.

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Area of Science:

  • Epidemiology
  • Public Health
  • Vaccinology

Background:

  • Influenza poses a significant public health burden in The Netherlands, with community incidence far exceeding general practice observations.
  • A substantial number of hospital admissions and deaths, particularly among the elderly, are attributable to influenza annually.

Purpose of the Study:

  • To report on influenza occurrence and illness burden in The Netherlands.
  • To evaluate influenza vaccination effectiveness and national strategies for increasing vaccination rates in at-risk populations.

Main Methods:

  • Community-based incidence estimation compared to general practice data.
  • Analysis of vaccination rates and trends in at-risk groups.
  • Review of national vaccination strategies and recommendations.

Main Results:

  • Community influenza incidence is 3-6 times higher than that observed in general practice.
  • Annual influenza-related hospital admissions range from 15,000-30,000, with 2,000-2,200 deaths.
  • Influenza vaccination demonstrates approximately 50% effectiveness in preventing cases.
  • Vaccination rates among risk groups increased from 28% to 43% between 1991 and 1994 due to an active campaign.

Conclusions:

  • Influenza's true impact is underestimated by primary care surveillance alone.
  • Vaccination is a key strategy for mitigating influenza's burden, with ongoing efforts to increase uptake in risk groups.
  • The Dutch Health Council recommends influenza vaccination for individuals aged 65 and older.

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