Journal Article

How close are countries of the WHO European Region to achieving the goal of vaccinating 75% of key risk groups against influenza? Results from national surveys on seasonal influenza vaccination programmes, 2008/2009 to 2014/2015

Jorgensen, Pernille, Cotter, Suzanne, Mereckiene, Jolita, Brown, Caroline, Johansen, Kari, Tsolova, Svetla

2018

Overview

Influenza vaccination is recommended especially for persons at risk of complications. In 2003, the World Health Assembly urged Member States (MS) to increase vaccination coverage to 75% among older persons by 2010. To assess progress towards the 2010 vaccination goal and describe seasonal influenza vaccination recommendations in the World Health Organization (WHO) European Region. Data on seasonal influenza vaccine recommendations, dose distribution, and target group coverage were obtained from two sources: European Union and European Economic Area MS data were extracted from influenza vaccination surveys covering seven seasons (2008/2009–2014/2015) published by the Vaccine European New Integrated Collaboration Effort and European Centre for Disease Prevention and Control. For the remaining WHO European MS, a separate survey on policies and uptake for all seasons (2008/2009–2014/2015) was distributed to national immunization programmes in 2015. Data was available from 49 of 53 MS. All but two had a national influenza vaccination policy. High-income countries distributed considerably higher number of vaccines per capita (median; 139.2 per 1000 population) compared to lower-middle-income countries (median; 6.1 per 1000 population). Most countries recommended vaccination for older persons, individuals with chronic disease, healthcare workers, and pregnant women. Children were included in < 50% of national policies. Only one country reached 75% coverage in older persons (2014/2015), while a number of countries reported declining vaccination uptake. Coverage of target groups was overall low, but with large variations between countries. Vaccination coverage was not monitored for several groups. Despite policy recommendations, influenza vaccination uptake remains suboptimal. Low levels of vaccination is not only a missed opportunity for preventing influenza in vulnerable groups, but could negatively affect pandemic preparedness. Improved understanding of barriers to influenza vaccination is needed to increase uptake and reverse negative trends. Furthermore, implementation of vaccination coverage monitoring is critical for assessing performance and impact of the programmes.

• Publisher: Elsevier Ltd,Elsevier Limited,Elsevier Science
• Subject: Age Factors / Allergy and Immunology / At risk populations / at-risk population / Children / chronic diseases / Chronic illnesses / developed countries / Disease control / Disease prevention / elderly / Europe / Europe - epidemiology / European Union / Female / Geography, Medical / health care workers / Health Personnel / Health Policy / History, 21st Century / Humans / Immunization / Immunization programmes / Immunization Programs / Income / Influenza / influenza vaccination / Influenza vaccines / Influenza Vaccines - administration & dosage / Influenza Vaccines - immunology / Influenza, Human - epidemiology / Influenza, Human - history / Influenza, Human - prevention & control / issues and policy / Male / Medical personnel / monitoring / Mortality / national surveys / Older people / pandemic / Pandemics / Performance assessment / Policies / Polls & surveys / Population Surveillance / Pregnancy / pregnant women / Public Health Surveillance / risk / Risk groups / Seasons / Systematic review / Target groups / Underserved populations / Vaccination / Vaccination Coverage / Vaccines / Workers / World Health Organization