EUR 1.4 billion, the statutory health insurance funds in each year for the Vaccination. But how many citizens have the Vaccination, the Standing Committee on vaccination (STIKO) recommends for you? Only about children, there is already no longer really comprehensive information. How high the vaccination rates of the respective vintages are, for all mandatory school entrance examinations. A Central Register for all vaccinations there is not.
it doesn’t need to, says Lothar Wieler, President of the Robert Koch Institute (RKI). “We can take advantage of in the sense of the data economy, data that is there already.” If you want to know how many adults over 60 years, the recommendations of the STIKO following, in each year against the flu get vaccinated, or how well, the since 2004 the STIKO recommended Vaccination against chickenpox was adopted from the families, you can rely on anonymised payroll data from the physicians ‘ associations (kvs).
the entire outpatient services collect, Insured for by law, so for 85 percent of the population. Since 2004, the information to Impfleistungen be Insured by law from the 17 panel doctor’s associations under the direction of the RKI in the project “Impfsurveillance” brought together and made accessible to research.
Processed on the platform VacMap.de make the data transparent, as in each of the districts will be vaccinated. “There are district administrators who are nervous, if you click on the map and realize that you have a measles vaccination Coverage is only 85 percent,” said Wieler at a recent event of the RKI and the Central research Institute of ambulatory health care in Berlin.
Booster also eliminate risks
In the case of measles, immunization Coverage should be at least 95 percent, thus a few people are protected against the disease and its complications, which may not be vaccinated and in order to achieve the important health policy target, the exclusively human – to-human transmissible disease. It is far: in 2014 to 32,000 children with two years were not vaccinated (yet), and more than 187,000 is not complete. Many children will, however, be “revaccinated”. The show – other than that allowed to date the documentation of the school-entrance examinations – the KV data.
“It is often vaccinated too late,” said Anette Siedler, Deputy field Director Impfprävention at the RKI. The particularly sensitive to the Smallest have unnecessarily long were not Vaccinated. Delayed Seeding can even be dangerous: After vaccination against rotavirus, recommended for 2013 for infants and no later than twelve weeks should start, it comes in slightly older babies, in rare cases, in the first week after the first vaccination to Invaginations of the intestinal section that need to be addressed. Also how often is this happening, is known: in one to two out of 100,000 cases.
Not smallpox against the wind and the measles at the same time to inoculate
For young families, there are a number of Impfterminen. As in 2004, the chicken pox were on the list, doubt many of the parents in the sense of the vaccination against the childhood disease with the “harmless” Image. As the STIKO recommended in 2011 that vaccination against the chicken pox separated from the measles, Mumps and rubella (known as MMR), feared experts, the vaccination Coverage could drop dramatically. “In fact, they increased in the years between 2008 and 2014, but,” said the settlers. “However, there is the 2010 Vintage, should get the vaccination in 2011, a Dent.” Against the chicken pox, but that will not revaccinated later. Your recommendation is the chicken pox vaccine to the MMR vaccination on time, can decouple the experts, by the way, also with KV-data walls: it’s not better, if it follows too close to the measles vaccination. What to know: it works in the long term.
But what about the side effects? Even if a causal connection is a coincidence in time, not proved, must be reported to severe symptoms, which occur shortly after a vaccination, the Doctors. The KV-Surveillance provides additional security: “it is a complementary tool for the classification of suspected adverse reactions,” the Doctor said Wiebe Külper by the RKI.
Large need for information in the population
This is particularly important if a vaccine is newly introduced. Against the shingles, for an Inactivated vaccine in may, 2018 is approved and, Recently, by the STIKO for persons over 60 years is recommended. The concerns are about a new additive, an adjuvant, to enhance the effect. The question is whether it also diseases could be mediated by the immune system. In the studies that were done prior to admission, there were no instructions. But on the basis of the data of the kvs can be used to determine whether certain diseases in the elderly occur after vaccination more frequently. There are so many data are collected that “even rare events can discover,” said Külper.
That such evaluations take place continuously, it is in the Public seems to be largely unknown. A representative survey of 700 citizens in Thuringia, conducted by researchers at the University of Erfurt, showed a high need for information in terms of Seeding. The respondents expressed a great willingness to protect the behaviour of others.
“This community protection should be taken as an Argument for the Vaccination approach”, recommends Julia Neufeind from the RKI. To advertise about the annual flu vaccination. It is recommended, among other things, for over 60 Years, but in the past few years, has decided only about a third of this target group. That much Persuasion is needed, shows the result of a vaccination campaign, which was launched in 2017/2018 in Thuringia: it resulted in a knowledge increase, the rate of the Vaccinated remained the same in the KV-Impfsurveillance but still.
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