

There are gaps in children, especially with measles, rubella , Whooping cough and hepatitis B. Not only the need for national vaccination plan, but also the role model function of the medical profession was warned in Stuttgart.
Vaccination research is facing paradigm shift. The rapid gain in knowledge from basic research is constantly opening up new possibilities for the genetic engineering of vaccines that no longer contain complete pathogen, but only some of its antigens. This development, which affects both prophylactic and therapeutic vaccine candidates, is reflected in the manufacturers' pipeline.
"For example, vaccines for the prophylaxis of malaria, staphylococcal and meningococcal C- Infections as well as therapeutically against malignant melanoma and bronchial carcinoma ”, said the Minister of Health of Baden-Württemberg, Dr. med. Monika Stolz, as host of the 2nd National Vaccination Conference in Stuttgart. With all the optimism for the new developments, however, the “old vaccinations” should not be forgotten in their view.
Because both children and adults in Germany are inadequately vaccinated against infectious diseases. It is true that the vaccination rates for school starters have risen continuously in recent years. According to Prof. Dr. med. Reinhard Burger, President of the Robert Koch Institute (RKI), significant improvements are still necessary - especially with measles, mumps, rubella, whooping cough and hepatitis B. The vaccination protection is often incomplete, or vaccinations are too late, warned Burger. In 2008, the RKI recorded vaccination rate of 95.9 percent for the first measles vaccination, but only 89 percent for the second.
“To eliminate measles, we need vaccination rate of 95 percent for one two vaccinations, "said Dr. med. Ole Wichmann (RKI). Only this high rate guarantees herd protection for infants who, due to their age, cannot yet be vaccinated but are particularly susceptible to measles-associated complications.
The vaccination reduced the number of measles deaths worldwide by more than 75 percent between 2000 and 2008. In the Americas, this infectious disease has even been considered eliminated since 2002. The situation in Europe is different: Since the World Health Organization's goal of eliminating measles and rubella by 2010 was not achieved due to repeated outbreaks and transmission chains, the time frame for this goal had to be extended to 2015.

There are gaps in children, especially with measles, rubella , Whooping cough and hepatitis B. Not only the need for national vaccination plan, but also the role model function of the medical profession was warned in Stuttgart.
Vaccination research is facing paradigm shift. The rapid gain in knowledge from basic research is constantly opening up new possibilities for the genetic engineering of vaccines that no longer contain complete pathogen, but only some of its antigens. This development, which affects both prophylactic and therapeutic vaccine candidates, is reflected in the manufacturers' pipeline.
"For example, vaccines for the prophylaxis of malaria, staphylococcal and meningococcal C- Infections as well as therapeutically against malignant melanoma and bronchial carcinoma ”, said the Minister of Health of Baden-Württemberg, Dr. med. Monika Stolz, as host of the 2nd National Vaccination Conference in Stuttgart. With all the optimism for the new developments, however, the “old vaccinations” should not be forgotten in their view.
Because both children and adults in Germany are inadequately vaccinated against infectious diseases. It is true that the vaccination rates for school starters have risen continuously in recent years. According to Prof. Dr. med. Reinhard Burger, President of the Robert Koch Institute (RKI), significant improvements are still necessary - especially with measles, mumps, rubella, whooping cough and hepatitis B. The vaccination protection is often incomplete, or vaccinations are too late, warned Burger. In 2008, the RKI recorded vaccination rate of 95.9 percent for the first measles vaccination, but only 89 percent for the second.
“To eliminate measles, we need vaccination rate of 95 percent for one two vaccinations, "said Dr. med. Ole Wichmann (RKI). Only this high rate guarantees herd protection for infants who, due to their age, cannot yet be vaccinated but are particularly susceptible to measles-associated complications.
The vaccination reduced the number of measles deaths worldwide by more than 75 percent between 2000 and 2008. In the Americas, this infectious disease has even been considered eliminated since 2002. The situation in Europe is different: Since the World Health Organization's goal of eliminating measles and rubella by 2010 was not achieved due to repeated outbreaks and transmission chains, the time frame for this goal had to be extended to 2015.

Conversation with the doctor is the most important source of information
For Peter Lang from the Federal Center for Health Education (BZgA) there is an improvement The vaccination rate is linked to in-depth information and education. A survey of 3,000 parents of children up to the age of 13 showed that around 35 percent of those questioned had reservations about vaccination. Almost half of them thought individual vaccinations were unnecessary for the danger of vaccine-preventable diseases decreases, at the same time rare complications of vaccinations are perceived more clearly, "added RKI President Burger.
Doctors play central role in communicating about benefits and risks, such as the BZgA- Survey shows: For more than 90 percent of all parents, talking to the doctor has been the most important source of information up to now, and in future 98 percent of all parents would like to have personal conversation with the A. be informed by doctor. But - the BZgA survey also shows - of the vaccine-skeptical parents who have already rejected individual vaccinations, 41 percent said that their doctor advised them against it. "Further evaluations of the study should clarify this issue in more detail," explained Wichmann and announced that the BZgA would in future direct its educational measures particularly to the group of vaccine-skeptical parents.
Burger urged the role model function of the medical profession. Because, according to an examination of his house of 1,590 doctors in private practice, only 60 percent get vaccinated regularly against influenza. 23 percent of the general practitioners surveyed said they had never vaccinated against the flu. The reasons for not doing this varied: the vast majority (78 percent) consider the vaccination “not necessary”, 28 percent “forgot” it, 15 percent consider it “not effective” and 13 percent have “safety concerns”.
The conference participants agreed on the need for defined vaccination goals, for the implementation of which those responsible must be named. A national vaccination plan, which is available as draft at the Federal Ministry of Health and has to be coordinated between the federal and state governments, is expected to significantly improve the vaccination concept.
Dr. med. Vera Zylka-Menhorn