Vaccination Programs for Adults in Europe, 2019
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Published on: October 30, 2018
Dimitrios C Cassimos1, Evgnosia Effraimidou1, Snezana Medic2,3
1Department of Pediatrics, Democritus University of Thrace, 68100 Alexandroupolis, Greece.
Background:
While all European countries implement vaccination programs for children, there are gaps in terms of vaccination programs for adults.
Methods:
We studied the 2019 vaccination policies for adults in 42 European countries.
Results:
Vaccination programs for adults were in place in all countries. However, there were considerable differences between countries in terms of number of vaccinations, target populations and frame of implementation (recommended or mandatory vaccinations). In particular the following vaccination policies were in place: influenza (42 countries), tetanus (31), diphtheria (30), pneumococcus (29), hepatitis B (20), pertussis (18), measles (14), human papilloma virus (14), meningococcus tetravalent A,C,W,Y (14), rubella (13), hepatitis A (11), mumps (11), poliomyelitis (10), herpes zoster (9), varicella (8), tick-born encephalitis (8), meningococcus B (6), rabies (6), Haemophilus influenzae type b (5), tuberculosis (3), typhoid fever (3), meningococcus C (2), and yellow fever (1). Seventeen countries implement mandatory vaccinations, mainly against diphtheria, tetanus and hepatitis B.
Conclusions:
There are significant differences in vaccination programs for adults in Europe. Routine vaccination programs for adults need to be strengthened. A consensus-based vaccination program is needed.
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