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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
Nagy K. FEAM 2006., Brussels
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:
Nagy K. FEAM 2006., Brussels
Pre-school immunization
3, 6 yearsInfranix IPV vaccineDiphteria, tetanus,pertussis, polio
When to immunizeVaccine givenDiseases protected against
influenza prevention from 3 years (Fluval AB vaccine)
Compulsory vaccination:
Available vaccination:
Nagy K. FEAM 2006., Brussels
Teenage immunization
14 yearsbooster: +1 month
+6 month
Engerix B vaccineHepatitis B
11 yearsPriorix vaccineMeasles, mumps, rubella
11 yearsDiTe vaccineDiphteria, tetanus
When to immunizeVaccine givenDiseases protected against
Compulsory vaccinations
Nagy K. FEAM 2006., Brussels
•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
Nagy K. FEAM 2006., Brussels
•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
Nagy K. FEAM 2006., Brussels
• Enteric fever• Tick transmitted encephalitis• Hepatitis A• Hepatitis B• Rabies• Diphtheria• Tetanus• Meningococcus meningitis
Compulsory vaccinations linked to different occupations
Nagy K. FEAM 2006., Brussels
• 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
Nagy K. FEAM 2006., Brussels
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
Nagy K. FEAM 2006., Brussels
• 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:
Nagy K. FEAM 2006., Brussels
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
Nagy K. FEAM 2006., Brussels
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
Nagy K. FEAM 2006., Brussels
The number of infectious diseases preventable by newly recommended vaccinations in Hungary between 2000-2005
526085213239486402884217943728Varicella
329613494338512393903385035080Enteritis infectiosa
200520042003200220012000Disease
Nagy K. FEAM 2006., Brussels
• 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
Nagy K. FEAM 2006., Brussels
Minorities and immigration in Hungary
Nagy K. FEAM 2006., Brussels
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
Nagy K. FEAM 2006., Brussels
TiszadadaTiszadobTiszalök
FIELD STUDY
Forrás:KSH 2002
Distribution of Gipsy population in Hungary
Nagy K. FEAM 2006., Brussels
Taking a blood sample in aGipsy family of North-EastHungary
Nagy K. FEAM 2006., Brussels
• 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
Nagy K. FEAM 2006., Brussels
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
Nagy K. FEAM 2006., Brussels
• TBC• Malaria• HIV/AIDS
Most frequent infectious diseases linked to immigration to Hungary
Nagy K. FEAM 2006., Brussels
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
Nagy K. FEAM 2006., Brussels
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
(OFFICIAL WEBSITE OF THE HUNGARIAN GOVERNMENT)