Future of the NIP
9 important questions on Future of the NIP
What do you know about the original NIP (before 2007)?
- Focused on children
- Children's diseases: good immunity, also through vaccination
- Children targeted NIP: best chances of establishing a high vaccination coverage
- Preventive measures early in life lead to the most additions of QALYs
What were the changes in the NIP in 2007?
- Infection control at all ages
- children's diseases are also dseases ofa adolescents and adults (pertussis, HPV)
- Long-term protection (diphtheria, tetanus)
- Vaccination of the elderly (influenza, zoster)
- Vaccination against STDs (HPV, hepatitis B)
When is a serious infectious disease a public health problem?
- If infections take place in daily, public life
- If epidemic outbreaks cannot be well controlled
- If an epidemic may pose a threat to public life
- If individuals cannot 'simply' protect themselves
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What are the 3 levels for the NIP?
- Eradication (certain MO)
- Reach group or herd immunity (population level)
- Protect as many individuals as possible
What are the 7 assessment criteria?
- The infection is serious for individuals AND affects a sizeable group
- Vaccination is effective in reducing disease burden by preventing disease or reducing symptoms
- Adverse effects do not detract from the favorable health effects
- Inconveniences of vaccination are proportionate to health effects
- Inconveniences of the NIP as a whole are proportionate to health effects
- Cost-effectiveness ratio favorable
- Vaccination serves a (potentially) urgent prolem
What are the three scenarios of The Health Council recommendations?
- Scenario 1: programmatic vaccination in NIP
- Scenario 2: demand driven vaccination
- Scenario 3: travelers
- Scenario 4: emergency vaccinations
Can you give two examples of a scenario 1 recommendation of The Health Council?
- Meningococcal ACWY
- Rotavirus
Can you give an example of a scenario 2 recommendation of The Health Council?
Can you give an example of a scenario 4 recommendation of The Health Council?
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