Dutch national immunization program

8 important questions on Dutch national immunization program

Which vaccines are included in the NIP?

  • Polio (1957)
  • Diphteria, pertussis, tetanus (DTP) (1957)
  • Mumps, measles, and rubella (MMR) (1987 for all)
  • Haemophilus Influenzae type b (1993)
  • Meningococcal C (2002), W, Y disease (2018)
  • Pneumococcal disease (2006)
  • HPV (for girls) (2009)
  • Hepatitis B (2011)

What is important to keep in mind about the goal of the NIP?

The goal in itself is not preventing disease, rather the complications of disease: death, disability and other sequelae, hospital stay, hospital/ER visits, GP visits, costs for society, other costs (i.e. Absence of work).

What is important in the programmatic approach of the NIP in the Netherlands?

  • Equal access
  • Central coordination
  • Expediency (cost-effectiveness, advantages of scale)
  • Higher grades + faster learning
  • Never study anything twice
  • 100% sure, 100% understanding
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What is the daily routine of the NIP?

  • Quality control
  • Vaccine distribution
  • Registration

Why is it hard to really measure the benefits of the NIP?

  • Disease number? --> Not the aim of the NIP to reduce disease number
  • Child mortality? --> had already been declining before implementing the NIP, for example, due to drinking water, sewage, the better quality of life.

What did Maarten van Wijhe study with regards to the measurements of the benefits of the NIP?

He looked at mortality of a certain disease before the implementation of the NIP and then he calculated the effect of the nip.

Can you explain the sentence: 'herd immunity is not the same as vaccination coverage'?

You can be immune but not vaccinated and at the same time, you can be vaccinated but not immune.

What is meant by the paradox of vaccinations?

The more successful a program, the less visible the disease (and thus the program) is.

The question on the page originate from the summary of the following study material:

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