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Vaccination in the 21st century


Vaccinations are among the most important and effective preventative measures that medicine can provide. As a rule, everyone who is given one is protected against that particular illness. A sustained high level of vaccination coverage can also eliminate illnesses that are only transmitted from person to person (polio, hepatitis B, measles etc).

The medical obligation begins with the primary immunisation of infants and toddlers, however it is also crucial to administer the required booster vaccinations, ensuring protection by vaccination at all ages.

The UN Convention on the Rights of the Child states that children have the right to the best health care. This also includes protection against illnesses that can be avoided by immunisation.

Contraindications for vaccination:

Anyone suffering from an acute infection should not be vaccinated until they have recovered from the infection. However, everyday infections with a temperature below 38 degrees (subfebrile) are not a contraindication, although existing allergies to ingredients of the vaccine can be a reason for vaccinations not to be administered. A specialist must be consulted for people with immunodeficiencies and the success of the vaccination must be monitored serologically (using a blood test).

Reactions to vaccination:

Localised reactions such as reddening, swelling and tenderness around the injection site or general reactions such as fever, headache and muscle pains can occur within the first 72 hours after vaccination.

Severe undesirable reactions to vaccination are extremely rare.

The following applies for long-haul journeys or extended stays abroad:
  • Always follow specific advice not received wisdom!
  • Travel medicine is subject to constant alterations and updates (epidemics, developing resistances) that apply on a temporary basis. Malaria was a topical subject in Jamaica at the start of last year but the general recommendations now apply again.
  • You must contact your GP or the local Institute of Tropical Medicine 4-6 weeks before your intended stay abroad so that you can take all necessary preventative measures.


Vaccination schedule from the Robert Koch Institut in Germany


Vaccine
Age in months
Age in years

Birth
2
3
4
11-14
15-23
5-6
9-17
18 and over
>60











Tetanus
Dose
1st
2nd
3rd
4th

B
B
B every 10 years

Diphtheria
Dose 1st
2nd
3rd
4th

B
B
B every 10 years
Pertussis
Dose 1st 2nd 3rd 4th
B
B


Haemophilus influenza
Dose 1st 2nd 3rd 4th




Poliomyelitis
Dose 1st 2nd 3rd 4th




Hepatitis B
*******
1st 2nd 3rd 4th
Primary immunisation if not previously administered
Pneumococci
Dose
1st 2nd 3rd 4th



Senior Citizens
Meningococci
From 12 months (1st)




Measles mumps rubella




1st 2nd



Varicella




1st 2nd



Influenza









Senior Citizens
Human papilloma virus






Young girls

B = Booster Vaccination