Vaccination: mandatory or recommended preventive act?
Non-vaccination of children generates huge hospitalization costs
Pro Immunization Association in partnership with Romanian Microbiology Society and with the support of the Romanian Bureau of the World Health Organization (WHO) they organized the fourth edition of the World Health Organization. STOP GRIPA National Forum, a debate on the topic "Vaccination in Romania: mandatory or recommended prevention act?"
Medical professionals, health officials and civil society representatives have discussed the need for a legislative framework to regulate the vaccination process and have presented the dangers that may arise in the absence of a coherent vaccination program.
Also, at the beginning of a new influenza season, the recommendations of the World Health Organization regarding circulating viruses and the composition of the influenza vaccine were presented, and the Ministry of Health announced the start of the free flu vaccination campaign starting in October, with no gaps generated by the vaccine procurement process.
Conclusions - the law of vaccination
- "From the point of view of the Ministry of Health, we wish we could have a vaccination law as it exists in other European states. All children should be vaccinated properly, so that we do not have public health problems anymore, "said Dr. Amalia Serban, Deputy General Manager, General Directorate of Medical Assistance and Public Health, Ministry of Health.
- "The essence of vaccination law is to provide vaccine, information and responsibility. In Romania, 500,000 people get the flu shot, but the need is 3 million doses, ”said Prof. Univ. Dr. Alexandru Rafila, President of the Romanian Society of Microbiology, Member of the Standing Committee of the Regional Office of the World Health Organization in Europe.
- "In the 2013-2014 influenza season, the medical system paid 10 million euros for influenza cases," said Dr. Adriana Pistol, Director of the National Center for Communicable Disease Surveillance and Control.
- "According to the World Health Organization, 2.1 million deaths are preventable annually, which can be prevented by vaccination. I cannot help but wonder what the fate of these children would have been if they had been immunized," said Dr. Anca Draganescu, President Pro Immunization Association.
Only 500,000 doses of influenza vaccine purchased by the Ministry of Health for 2015
Prevention remains a basic medical act in maintaining health, and influenza is an extremely contagious disease that should not be underestimated.
"The decrease in the number of doses of influenza vaccine purchased by the Ministry of Health in the last seven to eight years, from 2.7 million doses of vaccine, to only 500,000 doses, does not reflect the lack of interest of the Ministry, but it shows the decrease of interest in what For a country with about 20 million inhabitants like Romania, a minimum required dose of vaccine, to protect in case of an epidemic, is 3 million doses, "said Prof. Univ. Dr. Alexandru Rafila.
2014 Statistics - Influenza is not a trivial disease!
According to statistics, the Director of the National Center for Surveillance and Control of Communicable Diseases, Dr. Adriana Pistol, has drawn attention to increasing the incidence of influenza cases from one year to the next, while the percentage of vaccination is steadily decreasing. Last year, most cases of influenza were registered in the age group 15 - 49 years, respectively 42%, representing active young people and healthy adults. 38% of influenza cases were hospitalized, this percentage being an indicator of the severity of the disease and the costs resulting from hospitalization.
"The influenza virus is playful and does not let us get bored. Last year it was a quiet one from the point of view of national impact. The acceptance rate of vaccination is not an encouraging one and it will be difficult for us to control at some point an evolution. epidemic. Our role is to encourage vaccination. Last year, there were 4,500 flu cases, 3.5 times more than last season, "said Dr. Adriana Pistol.
Influenza season 2015 - 20016
According to the recommendations of the World Health Organization (WHO), the flu vaccine composition for the 2015 - 2016 season is: A / California / 7/2009 (H1N1) - same strain as last year -, A / Switzerland / 9715293/2013 (H3N2) - new strain and B / Phuket / 3073/2013 - new strain.
"It is important to realize that influenza vaccination is essential for at-risk categories. Diabetes patients have an increased risk of influenza complications, with between 10,000 and 30,000 deaths from influenza-associated pneumonia being recorded annually. The death rate in diabetics increases with 5-15% during influenza outbreaks. Influenza is also associated with severe cardio-vascular complications: acute myocardial infarction (AMA), stroke (stroke) and sudden death, "said Prof. Dr. Victoria Arama, physician primary infectious diseases at INBI "Prof. Dr. Matei Bals".
Vaccination of pregnant women remains a priority
Last year, 40 deaths from influenza were recorded, with 20% being young people, among them pregnant women. "These deaths could have been avoided. Pregnant women are at risk and provided free vaccination by the state. Influenza is not a common disease, it can be the cause of death in young people, previously healthy. Gynecologists should strongly recommend vaccination during pregnancy, I refer to the influenza vaccine and the diphtheria-tetanus pertussis vaccine, ”said Univ. Dr. Daniela Pitigoi, INBI "Prof. Dr. Matei Bals".
Non-vaccination of children generates huge hospitalization costs
Conf. Dr. Monica Luminos, Infectious diseases primary physician, INBI “Prof. Dr. Matei Balş ”, head of the intensive care section for children, emphasized that, in the face of the flu, children are the most vulnerable category, and the costs resulting from the hospitalization of unvaccinated children should not be ignored. "Last year we had about 100 hospitalized flu cases, some of which were treated in intensive care. The cost was 1,500 - 2,000 euros for a day of hospitalization. And I had situations where hospitalization lasted 30 days. I think it is more effective, from all points of view, to vaccinate children, ”said Conf. Dr. Monica Luminos. This year they were hospitalized at INBI Matei Bals three cases of tetanus, and the costs for seven days of hospitalization for a child diagnosed with tetanus and treated in an intensive care unit amounted to 10,000 euros.
Children have the right to life and survival
To identify the best pro-vaccination solutions, specialists were joined by representatives of civil society, Dr. Cornelia Scarlatescu Paraschiv, Health Programs Manager, World Vision Romania Foundation and George Roman, Program Director, Save the Children Organization.
"It is very difficult to ruin a wrong mentality, if you do not do it through the law. Save the Children considers that there is a need for a law that brings more clarity and parental authority. The right to life and survival is absolute, and children they have the right to life and survival, and these things can be ensured through vaccination and medical care, "said George Roman.
"Half of the children of Romania have been in the country. For 25 years World Vision programs have supported rural communities, intervening especially in poor communities. 28 counties in Romania have been included in programs aimed at children's health." The parents' school is a program that targeted more than 4,000 mothers, who were educated and informed about the health and education of the children, following which a change of mentality was observed and the acceptance of vaccination in rural areas was observed, "said Dr. Cornelia Scarlatescu Paraschiv.
The special guest of this event, Prof. Univ. Dr. Manolis Galanakis, Head of the Department of Pediatrics at Heraklion University Hospital, spoke about the Greek vaccination model and the need for immunization of medical personnel, between legal obligation and ethical responsibility.
Family doctor - the main vaccinator
"In any health system that respects the patient, the family doctor is the primary interface and the main vaccinator. The family doctor's office is the place where the family is advised. 55.7% of the family doctors have experienced total or partial interruption National vaccination scheme Unauthorized sources of information are the main cause of the decreased vaccination rate, "said Dr. Gindrovel Dumitra, Coordinator of the Vaccinology Group of the National Family Medicine Society (SNMF).
For more references and the full movie of the Stop Gripa Forum, go to www.stopgripa.ro, www.proimunizare.ro, //www.who.int/en