Skills building seminar: How to improve vaccination coverage in the European Union?

Abstract

Abstract In recent years, the European Union (EU) has been facing several serious outbreaks of vaccine-preventable diseases, including measles. Vaccination coverage rates for the first dose of the vaccine against measles vary from 85% in Italy to 99% in Luxembourg and Hungary, with the average for the EU (93.6%) falling below what is required to ensure herd immunity. Similar variations can be seen for other vaccinations, including influenza immunization programmes targeting older adults who are at greater risk of severe complications. Of particular concern is that in a number of EU countries anti-vaccine groups, aided by social and mainstream media, and sometimes populist politicians, are gaining traction and have started to influence public and health worker attitudes towards the safety and effectiveness of vaccinations. The EU has started to respond to these developments in a number of ways. In his 2017 State of the Union address, Jean-Claude Juncker, the President of the European Commission, has called for action to increase vaccination coverage and to ensure that everyone in the EU has access to vaccines. This was followed by a number of new policy and research activities initiated by the European Commission. The workshop provides an overview of some of these activities. It starts with an introductory presentation on recent initiatives of the European Commission to support national vaccination efforts. This is followed by a presentation on the work of the Expert Panel on effective ways of investing in Health and their report on vaccination programmes and health systems in EU countries. A third presentation presents EU-funded research on vaccine hesitancy in EU member states, based on the largest ever study on attitudes to vaccines and vaccination in the EU. A final presentation explores a study undertaken for the European Commission by the European Observatory on Health Systems and Policies on the organization and delivery of vaccination programmes in EU member states, based on detailed country fiches. The workshop will provide opportunity for the audience to comment on and discuss presentations and to consider current policy options in Europe to address vaccine hesitancy and improve vaccination coverage through health system interventions. It will be of interest to public health researchers, practitioners and policy-makers from across Europe. Key messages The workshop provides a forum for discussing European initiatives to overcome vaccine hesitancy and improve vaccination coverage. It explores policy options at the European and national level.