Vaccinations against infectious diseases HUNGARY Karoly Nagy, M.D., PhD, Director, Institute of...

Vaccinations against infectious diseasesVaccinations against infectious diseases

HUNGARYHUNGARY

Karoly Nagy, M.D., PhD,Karoly Nagy, M.D., PhD,

Director, Institute of Medical MicrobiologySemmelweis University, Budapest, HUNGARY

Nagy K. FEAM 2006., Brussels

• Childhood immunizationChildhood immunization• Pre-school immunizationPre-school immunization• Teenage immunizationTeenage immunization

Calendars of compulsory and available vaccinations in Hungary 2006


Childhood immunization

15 monthPriorix vaccineMeasles, mumps, rubella

2-, 3-, 4-, 18 monthInfanrix IPV+ Hib vaccine

Diphteria, tetanus, pertussis, polio,Haemophilus influenza type B (Hib)

0-6 weekBCG vaccineTuberculosis

When to immunizeVaccine givenDiseases protected against

varicella prevention between 10 month – 14 year (Varilrix vaccine) influenza prevention between 2 month – 36 month (Fluarix vaccine)

Compulsory vaccination:

Available vaccination:


Pre-school immunization

3, 6 yearsInfranix IPV vaccineDiphteria, tetanus,pertussis, polio


influenza prevention from 3 years (Fluval AB vaccine)

Compulsory vaccination:

Available vaccination:


Teenage immunization

14 yearsbooster: +1 month

+6 month

Engerix B vaccineHepatitis B

11 yearsPriorix vaccineMeasles, mumps, rubella

11 yearsDiTe vaccineDiphteria, tetanus


Compulsory vaccinations


•Enteric fever•Diphtheria•Pertussis•Measles•Mumps•Rubella•Tetanus•Rabies •Hepatitis B (HBsAg positive mother’s newborn)

post exposure

Compulsory vaccinations given at risk for infectious diseases


•Tetanus•Influenza•Hepatitis B

•contact persons,•medical students,•surgeons,•dentists,•sexual partners,•patients receiving multiple transfusions or dialysis)

Recommended vaccinations given to avoid risk for infectious diseases


• Enteric fever• Tick transmitted encephalitis• Hepatitis A• Hepatitis B• Rabies• Diphtheria• Tetanus• Meningococcus meningitis

Compulsory vaccinations linked to different occupations


• Yellow fever• Hepatitis A• Hepatitis B• Rabies• Cholera• Enteric fever• Meningococcus meningitis• Poliomyelitis• Tetanus• Measles, Mumps, Rubella• Varicella• Influenza• Pneumococcus infection

Compulsory or recommended vaccinationsrelated to traveling to foreign countries


Calendar of booster vaccinations in Hungary 2006

11 yearMMPV

14 yearHepatitis B

11 yearDiTe

6 yearInfanrix IPV

3 yearInfanrix IPV

18 monthInfanrix IPV* + Hib

When toVaccine given

* pertussis, Diphtheria, Tetanus, inactivated Polio


• Anthrax• Brucellosis• Lyssa• Wound (suspected lyssa)• Avian influenza• Malleus• Trichinellosis• Tuberculosis• Tularaemia

Animal infectious diseases transmittable to man

Suffer from any of the following diseases, or suspected to be infected from animal:


Calendar and execution ratio of the compulsory vaccinationin Hungary between 1998-2005

--99,9Hepatitis B III99,799,7Hepatitis B II99,699,8Hepatitis B I99,499,7MMR II99,499,6Dt99,999,9DPT III + OPV99,999,9DPT II + OPV99,899,9MMR I + OPV + Hib II99,899,8DPT I/c + OPV + Hib I/c99,999,9DPT I/b + OPV + Hib I/b99,9100DPT I/a + IPV100100Hib I/a100100BCG

20052004Vaccine’s execution ratio (%)

Vaccine given

From 1998 – Hib


The number of infectious diseases preventable by compulsory vaccinations in Hungary between 2000-2005

#: imported cases included; *: imported cases; N/A: No data

3145810Tetanus

23255N/AHaemophilus meningitis

7210010898183223Parotitis epidemica

3236474265107Rubella

2*---20#1*Measles

223129611Pertussis

------Diphtheria

------Poliomyelitis anterior acuta

119131143159159N/AHepatitis B

200520042003200220012000Disease


The number of infectious diseases preventable by newly recommended vaccinations in Hungary between 2000-2005

526085213239486402884217943728Varicella

329613494338512393903385035080Enteritis infectiosa

200520042003200220012000Disease


• Members of the Professional military forces• Students of cadet schools and military academy

• DiTe• Enteric fever• Hepatitis A and B• Measles, Mumps, Rubella• Meningococcus meningitis A, C

• Participants of NATO Missions

Compulsory vaccinations linked to military forces


Minorities and immigration in Hungary


Hungarian minorities , 2001*

Minorities Mother languageMinorities Mother language nationality cultural nationality cultural speak in familyspeak in family _________________________________________________________________________

Gipsies 48.685 190.046 129.259 53.323

Germans 33.792 62.233 88.416 53.040

Croats 14.345 15.620 19.71514.788

Slovakians 11.816 17.692 26.63118.056

Rumanians 8.482 7.995 9.162 8.215

*Source: Central Statistical Office


TiszadadaTiszadobTiszalök

FIELD STUDY

Forrás:KSH 2002

Distribution of Gipsy population in Hungary


Taking a blood sample in aGipsy family of North-EastHungary


• 250 million new cases of STIs annually (WHO)

• 175 million migrants globally

• Hungary is a target of legal and illegal immigrants:

Illegal immigration, Hungary

1990 – 1997 6.934

1997 - 2001 25.893

from 164 countries of the world. 88% of them are from 13 countries

(romanians, turkish kurds, kosovonians, afghans, iraquis,

pakistanis, indians, sri lankans, sierra leonians, somalians, etc.)

Immigration


8121

6327

4910

5040

1495

50

349

0 2000 4000 6000 8000 10000

Yearly influx of illegal refugees in Hungary

1995

1996

1997

1998

1999

2000

2001

Source: Immigration Office, Internal Ministry


• TBC• Malaria• HIV/AIDS

Most frequent infectious diseases linked to immigration to Hungary


A v ilá g o r s z á g a iB o s z lo p s z e r in t

1 (9 )2 (3 )1 0 (2 )1 4 (1 )1 7 (1 )2 1 (1 )1 1 2 (1 )5 0 0 (1 )

112112

2117

10

10

HIV infection in refugee camps in Hungary

Nyírbátor, 2001 204 refugee from 18 countries 1 HIV positive


EUROPE IS HERE !EUROPE IS HERE !STARTING POINT OF EUROPEAN CHRONOLOGY:STARTING POINT OF EUROPEAN CHRONOLOGY: MAY 1, 2004 0.00 HMAY 1, 2004 0.00 H

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