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?

  1. Eradication (certain MO)
  2. Reach group or herd immunity (population level)
  3. Protect as many individuals as possible

What are the 7 assessment criteria?

  1. The infection is  serious for individuals AND affects a sizeable group
  2. Vaccination is effective in reducing disease burden by preventing disease or reducing symptoms
  3. Adverse effects do not detract from the favorable health effects
  4. Inconveniences of vaccination are proportionate to health effects
  5. Inconveniences of the NIP as a whole are proportionate to health effects
  6. Cost-effectiveness ratio favorable
  7. 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?

Herpes zoster (shingles)

Can you give an example of a scenario 4 recommendation of The Health Council?

COVID-19

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