[Vaccination in Germany - Recommendations of STIKO]

The epidemiological effect of vaccination is that it primarily reduces the incidence and prevalence of infectious agents and diseases, providing ideal conditions (also from an economic point of view) for prevention. Goal of vaccination is first the individual protection. Other goals may be "herd immunity", regional repression and global extinction. The STIKO provides recommendations for the implementation of vaccinations and for the implementation of other measures for the specific prevention of communicable diseases and develops criteria for the differentiation of a customary vaccination reaction and damage to health beyond the usual extent of a vaccination reaction. Earlier vaccination recommendations based on "expert opinion" but today are based on the best available evidence. Current STIKO recommendations include vaccination against seasonal influenza, vaccination against HPV, Tdap booster, tetanus PEP, and vaccine management in practice and among migrants. For the success of the vaccination recommendations, it is first and foremost crucial that the medical profession complies with the obligation to inform about vaccination options and needs vis-à-vis patients or guardians.