Pediatric Department, Democritus University of Thrace, Alexandroupolis, Greece.
Department of Epidemiology, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia.
J Child Health Care. 2023 Sep;27(3):336-350. doi: 10.1177/13674935211055294. Epub 2021 Nov 29.
Although all European countries have vaccination policies for children, there are no comprehensive studies of pediatric vaccination programs in Europe. We studied vaccination programs for children in Europe. Vaccinations against diphtheria, tetanus, pertussis, poliomyelitis, type b, hepatitis B, measles, mumps, rubella, and influenza existed in 42 countries, against human papilloma virus in 41 countries, and against pneumococcus in 40 countries. In addition, the following vaccinations existed: against tuberculosis (35 countries), hepatitis A (33), meningococcus A, C, W, Y (30), rotavirus and varicella (28 countries each), meningococcus B (24), tick-born encephalitis (22), and meningococcus C (16). Mandatory vaccinations are implemented in 21 countries, mainly against diphtheria, tetanus, pertussis, poliomyelitis, type b, hepatitis B, measles, mumps, rubella, tuberculosis, and pneumococcus. There are significant differences among pediatric vaccination programs in Europe regarding number, schedules, indications, and regulatory frame (recommended or mandatory vaccinations). A consensus-based vaccination program for all children is needed.
尽管所有欧洲国家都有为儿童制定疫苗接种政策,但欧洲并没有针对儿科疫苗接种计划的综合研究。我们研究了欧洲的儿童疫苗接种计划。42 个国家为儿童接种白喉、破伤风、百日咳、脊髓灰质炎、乙型肝炎、乙型肝炎、麻疹、腮腺炎、风疹和流感疫苗,41 个国家接种人乳头瘤病毒疫苗,40 个国家接种肺炎球菌疫苗。此外,还存在以下疫苗:针对结核病(35 个国家)、甲型肝炎(33 个)、脑膜炎球菌 A、C、W、Y(30 个)、轮状病毒和水痘(28 个国家)、脑膜炎球菌 B(24 个)、蜱传脑炎(22 个)和脑膜炎球菌 C(16 个)。21 个国家实施了强制性疫苗接种,主要针对白喉、破伤风、百日咳、脊髓灰质炎、乙型肝炎、乙型肝炎、麻疹、腮腺炎、风疹、结核病和肺炎球菌。欧洲儿科疫苗接种计划在数量、时间表、适应证和监管框架(推荐或强制性疫苗接种)方面存在显著差异。需要为所有儿童制定基于共识的疫苗接种计划。