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  • Childhood vaccinations

    Childhood vaccination is a classical prevention strategy which should be maintained to continue effective protection. In most countries the vaccination strategy includes vaccination against diphtheria, pertussis, tetanus, poliomyelitis, Hib, measles, mumps and rubella. Not all countries implement vaccination against tuberculosis and hepatitis B on a systematical basis.

      Status

        It has been internally edited.

          Data presentation

          9 December 2009
          Childhood vaccinations
          Figures, underlying data and maps

          Figures and Underlying Data

          TablePercentage of infants vaccinated against selected diseases in Iceland, Norway, Switzerland and the EU-27, in 2005 (except for mumps 2003 and rubella 2004)

          Trend tables

          TableTrend in percentage of infants vaccinated against diphtheria, pertussis and tetanus in Iceland, Norway, Switzerland and the EU-27, 1990-2005

          TableTrend in percentage of infants vaccinated against poliomyelitis in Iceland, Norway, Switzerland and the EU-27, 1990-2005

          TableTrend in percentage of infants vaccinated against Haemophilus influenzae type B in Iceland, Norway, Switzerland and the EU-27, 1990-2005

          TableTrend in percentage of infants vaccinated against hepatitis B in Iceland, Norway, Switzerland and the EU-27, 1990-2005

          TableTrend in percentage of infants vaccinated against tuberculosis in Iceland, Norway, Switzerland and the EU-27, 1990-2005

          TableTrend in percentage of infants vaccinated against mumps in Iceland, Norway, Switzerland and the EU-27, 1990-2003

          TableTrend in percentage of infants vaccinated against measles in Iceland, Norway, Switzerland and the EU-27, 1990-2005

          TableTrend in percentage of infants vaccinated against rubella in Iceland, Norway, Switzerland and the EU-27, 1990-2004

          Trend figures

          ChartTrend in percentage of infants vaccinated against diphtheria, pertussis and tetanus, in selected countries, 1990-2005 (interactive)

          ChartTrend in percentage of infants vaccinated against poliomyelitis, in selected countries, 1990-2005 (interactive)

          ChartTrend in percentage of infants vaccinated against Haemophilus influenzae type B, in selected countries, 1990-2005 (interactive)

          ChartTrend in percentage of infants vaccinated against hepatitis B, in selected countries, 1990-2005 (interactive)

          ChartTrend in percentage of infants vaccinated against tuberculosis, in selected countries, 1990-2005 (interactive)

          ChartTrend in percentage of infants vaccinated against mumps, in selected countries, 1990-2003 (interactive)

          ChartTrend in percentage of infants vaccinated against measles, in selected countries, 1990-2005 (interactive)

          ChartTrend in percentage of infants vaccinated against rubella, in selected countries, 1990-2004 (interactive)

          More data presentation on this topic can be found in healthindicators.eu.

          Maps

          11 February 2008
          Childhood vaccinations

          Percentage of infants vaccinated against selected diseases in Iceland, Norway, Switzerland and the EU-27, in 2005 (except for mumps 2003 and rubella 2004, or other year if indicated in footnote (source: WHO-HFA, 2007)

          Diphtheria, Pertussis and Tetanus

          Poliomyelitis

          Hib

          Hepatitis B

          Tuberculosis

          Mumps

          Measles

          Rubella

          trend figure

          trend figure

          trend figure

          trend figure

          trend figure

          trend figure

          trend figure

          trend figure

          trend table

          trend table

          trend table

          trend table

          trend table

          trend table

          trend table

          trend table

          Austria

          92

          92

          92

          92

          97 i

          79

          91

          74

          Belgium

          97

          97

          95

          1

          -

          82 e

          88

          82 e

          Bulgaria

          96

          97

          -

          96

          98

          96

          96

          93

          Cyprus

          98

          98

          58

          88

          -

          86

          86

          86 b

          Czech Republic

          97

          96

          97

          99

          99

          97

          97 a

          97

          Denmark

          93

          93

          93

          -

          85 j

          96

          95

          96

          Estonia

          96

          96

          37 a

          95

          99

          95

          96

          96

          Finland

          97

          97

          98

          -

          98

          96 c

          97

          97 b

          France

          97 a

          97 a

          86 a

          28 a

          85 a

          87

          86 a

          87 b

          Germany

          90

          94

          92

          84

          1 h

          91

          93

          90

          Greece

          88 a

          87 a

          88 a

          88 a

          88 a

          89 d

          88 a

          89 d

          Hungary

          100 a

          100 a

          100 a

          100 d

          100 a

          100

          100 a

          100

          Iceland

          95

          95

          95

          -

          -

          93

          90

          93

          Ireland

          90

          90

          90

          -

          93

          79

          84

          81

          Italy

          92

          92

          91

          92

          1 d

          80 c

          87

          83 b

          Latvia

          99

          99

          94

          98

          100

          94

          95

          97

          Lithuania

          94

          93

          61

          95

          99

          98

          97

          98

          Luxembourg

          100

          100

          98 b

          95

          21 b

          91 g

          95

          91 g

          Malta

          92

          94

          83

          78

          80 b

          49

          86

          49 b

          Netherlands

          98

          98

          98

          -

          -

          96 c

          96

          96

          Norway

          91

          91

          93

          -

          91 c

          89

          90

          88

          Poland

          99

          99

          22 b

          98

          94

          39

          98

          49

          Portugal

          93

          93

          93

          94

          89

          96

          93

          96 b

          Romania

          97 a

          97

          -

          99

          99

          -

          97

          91

          Slovakia

          99

          99

          99

          99

          98

          99

          98

          99

          Slovenia

          92 a

          93 a

          93 a

          95 b

          98 a

          87

          94 a

          87 b

          Spain

          96

          96

          96

          96

          -

          97 c

          97

          95 e

          Sweden

          99

          99

          99

          1

          17

          91 c

          95

          91 c

          Switzerland

          95

          95

          91

          5 f

          21 f

          81

          82

          81

          United Kingdom

          91

          91

          91

          -

          11 g

          80

          82

          81

          EU-15

          93

          94

          92

          73 a

          30 g

          88 c

          90

          87 b

          EU-27

          94

          95

          86

          78

          47 a

          84

          91

          85

          a: 2004, b: 2003, c: 2002, d: 2001, e: 1999, f: 1998, g: 1997, h: 1994, i: 1990, j: 1984

          - : no data available

          Remarks

          Diphtheria: percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against diphtheria (3 doses of DPT or DT). Data are reported annually to, and available from, the CD unit at WHO-Europe.

          Pertussis: percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against pertussis. Data are reported annually to, and available from, the CD unit at WHO-Europe.

          Tetanus: percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against tetanus. Data are reported annually to, and available from, the CD unit at WHO-Europe.

          Poliomyelitis: percentage of infants reaching their first birthday in the given calendar year who were fully vaccinated against poliomyelitis (3 doses). Data are reported annually to, and available from, the CD unit at WHO-Europe.

          Hib (Haemophilus influenzae type b): percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against Haemophilus influenzae type b. Data are reported annually to and available from the CD unit at WHO-Europe.

          Hepatitis B: percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against hepatitis B. Data are reported annually to and available from the CD unit at WHO-Europe.

          Tuberculosis: percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against tuberculosis (BCG, 1 dose). Data are reported annually to, and available from, the CD unit at WHO-Europe.

          Mumps: percentage of infants reaching their second birthday in the given calendar year who have been fully vaccinated against mumps. Data are reported annually to and available from the CD unit at WHO-Europe.

          Measles: percentage of children reaching their second birthday who have been fully vaccinated against measles (1 dose). Data are reported annually to, and available from, the CD unit at WHO-Europe.

          Rubella: percentage of infants reaching their second birthday in the given calendar year who have been fully vaccinated against rubella. Data are reported annually to and available from the CD unit at WHO-Europe.


          11 February 2008
          Childhood vaccinations

          Remarks

          Measles: percentage of children reaching their second birthday who have been fully vaccinated against measles (1 dose). Data are reported annually to, and available from, the CD unit at WHO-Europe.


          11 February 2008
          Childhood vaccination

          Remarks

          Mumps: percentage of infants reaching their second birthday in the given calendar year who have been fully vaccinated against mumps. Data are reported annually to and available from the CD unit at WHO-Europe.


          11 February 2008
          Childhood vaccinations

          Remarks

          Rubella: percentage of infants reaching their second birthday in the given calendar year who have been fully vaccinated against rubella. Data are reported annually to and available from the CD unit at WHO-Europe.


          11 February 2008
          Childhood vaccinations

          Remarks

          Poliomyelitis: percentage of infants reaching their first birthday in the given calendar year who were fully vaccinated against poliomyelitis (3 doses). Data are reported annually to, and available from, the CD unit at WHO-Europe.


          11 February 2008
          Childhood vaccinations

          Remarks

          Vaccins against diphtheria, pertussis and tetanus are combined in a cocktail, therefore percentages of infants vaccinated against diphtheria, pertussis and tetanus are the same (see WHO Vaccine Preventable Diseases Monitoring System for country specific vaccination schedules).

          Diphtheria: percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against diphtheria (3 doses of DPT or DT). Data are reported annually to, and available from, the CD unit at WHO-Europe.

          Pertussis: percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against pertussis. Data are reported annually to, and available from, the CD unit at WHO-Europe.

          Tetanus: percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against tetanus. Data are reported annually to, and available from, the CD unit at WHO-Europe.


          11 February 2008
          Childhood vaccinations

          Remarks

          Hepatitis B: percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against hepatitis B. Data are reported annually to and available from the CD unit at WHO-Europe.

          The number of countries with universal immunization of neonates and infants has increased. In 2003 Belgium, Bulgaria, Cyprus, Czech Republic, Estonia, France, Greece, Italy, Latvia, Lithouania, Malta, Poland, Portugal, Romania, Slovakia, Spain targeted newborn babies or infants.

          Austria, Hungary, Luxembourg (if not vaccinated as child) and Slovenia targeted older children or adolescents.

          Germany, Finland, Ireland, Netherlands, Norway, Sweden, UK, Iceland and Danmark have not introduced universal immunization against hepatitis B. These countries have very low endemicity and consider hepatitis B to be a limited public health problem, thus not justifying additional expense. These countries choose to provide hepatitis B vaccine only to well-defined risk groups, in addition to screening pregnant women to identify and immunize neonates exposed to hepatitis B infection (WHO Vaccine Preventable Diseases Monitoring System, 2007; WHO, 2006b).


          11 February 2008
          Childhood vaccinations

          Remarks

          Tuberculosis: percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against tuberculosis (BCG, 1 dose). Data are reported annually to, and available from, the CD unit at WHO-Europe.

          Not all EU-27 countries implement universal BCG vaccination of newborns. Bulgaria, Czech Republic, Estonia, Finland, Hungary, Ireland, Latvia, Lithuania, Poland, Portugal, Romania and Slovakia implement universal BCG vaccination of newborns (at birth or <12 months). Malta, France, Norway, United Kingdom and Greece implement BCG vaccination for children in older age groups. Sweden, Netherlands, Slovenia, Switzerland, Cyprus and Italy implement BCG vaccination only for certain risk groups (such as children born in or originating from countries with high prevalence). Austria, Belgium, Denmark, Germany, Luxembourg and Spain do not systematically use BCG vaccination (Infuso et al., 2006; WHO Vaccine Preventable Diseases Monitoring System, 2007).


          11 February 2008
          Childhood vaccinations

          Remarks

          Hib (Haemophilus influenzae type b): percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against Haemophilus influenzae type b. Data are reported annually to and available from the CD unit at WHO-Europe.


          11 February 2008
          Childhood vaccinations

          Trend in percentage of infants reaching their second birthday in the given year who have been fully vaccinated against measles in Iceland, Norway, Switzerland and the EU-27, 1990-2005 (source: WHO-HFA, 2007)

          1990

          1991

          1992

          1993

          1994

          1995

          1996

          1997

          1998

          1999

          2000

          2001

          2002

          2003

          2004

          2005

          Austria

          60

          60

          60

          60

          60

          60

          87

          90

          22

          65

          75

          79

          79

          79

          74

          91

          Belgium

          85

          67

          87

          70

          78

          85

          73

          76

          80

          82

          82

          82

          82

          82

          82

          88

          Bulgaria

          100

          98

          92

          88

          93

          94

          95

          93

          95

          97

          89

          90

          92

          96

          95

          96

          Cyprus

          77

          83

          83

          83

          83

          83

          83

          90

          90

          90

          85

          85

          85

          86

          86

          86

          Czech Republic

          98

          98

          97

          98

          97

          96

          97

          96

          95

          96

          98

          98

          99

          99

          97

          -

          Denmark

          84

          86

          85

          81

          88

          88

          85

          84

          91

          92

          100

          94

          100

          96

          96

          95

          Estonia

          82

          78

          75

          74

          76

          81

          86

          88

          89

          92

          93

          95

          95

          95

          96

          96

          Finland

          97

          97

          99

          99

          99

          98

          98

          98

          96

          96

          96

          96

          96

          97

          97

          97

          France

          67

          74

          76

          78

          80

          83

          84

          83

          83

          83

          84

          85

          85

          86

          86

          -

          Germany

          75

          75

          75

          89

          90

          92

          87

          88

          89

          90

          92

          91

          91

          92

          93

          93

          Greece

          76

          72

          72

          72

          70

          70

          90

          90

          89

          88

          88

          88

          88

          88

          88

          -

          Hungary

          99

          100

          100

          99

          99

          100

          100

          100

          100

          100

          100

          100

          100

          100

          100

          -

          Iceland

          95

          98

          98

          98

          98

          98

          100

          100

          100

          100

          90

          88

          91

          93

          93

          90

          Ireland

          78

          78

          78

          78

          78

          77

          77

          77

          77

          77

          79

          73

          73

          79

          81

          84

          Italy

          43

          50

          50

          50

          50

          50

          50

          55

          55

          70

          74

          77

          77

          83

          84

          87

          Latvia

          89

          96

          95

          80

          81

          96

          97

          97

          97

          97

          97

          98

          98

          99

          99

          95

          Lithuania

          89

          86

          89

          92

          93

          94

          96

          96

          97

          97

          97

          97

          98

          98

          98

          97

          Luxembourg

          80

          80

          80

          83

          86

          88

          91

          91

          91

          91

          91

          91

          95

          95

          95

          95

          Malta

          60

          76

          72

          76

          77

          78

          67

          92

          91

          88

          74

          65

          65

          90

          87

          86

          Netherlands

          94

          94

          94

          95

          94

          94

          94

          96

          96

          95

          95

          95

          96

          96

          96

          96

          Norway

          93

          94

          96

          93

          94

          92

          92

          93

          93

          88

          92

          93

          88

          84

          88

          90

          Poland

          95

          94

          95

          95

          96

          96

          97

          97

          97

          97

          97

          97

          98

          98

          97

          98

          Portugal

          85

          96

          99

          95

          91

          94

          99

          96

          100

          99

          87

          87

          92

          96

          95

          93

          Romania

          92

          92

          91

          93

          91

          93

          94

          97

          97

          98

          98

          98

          98

          97

          97

          97

          Slovakia

          99

          98

          96

          96

          97

          99

          99

          99

          99

          98

          98

          99

          99

          99

          98

          98

          Slovenia

          92

          90

          90

          89

          90

          93

          92

          95

          92

          96

          95

          94

          94

          87

          94

          -

          Spain

          99

          85

          83

          90

          90

          90

          90

          93

          93

          95

          94

          96

          97

          97

          97

          97

          Sweden

          95

          95

          96

          96

          96

          97

          97

          97

          96

          96

          94

          89

          91

          95

          95

          95

          Switzerland

          80

          83

          83

          83

          83

          83

          83

          83

          81

          81

          81

          82

          82

          82

          82

          82

          United Kingdom

          89

          90

          92

          92

          92

          92

          92

          91

          87

          88

          99

          99

          83

          80

          81

          82

          EU-15

          75

          76

          77

          81

          81

          83

          82

          84

          82

          86

          89

          89

          87

          88

          88

          90

          EU-27

          80

          80

          81

          84

          84

          85

          85

          87

          85

          88

          90

          91

          89

          90

          90

          91

          - : no data available

          Remarks

          Measles: percentage of children reaching their second birthday who have been fully vaccinated against measles (1 dose). Data are reported annually to, and available from, the CD-unit at WHO-Europe.


          11 February 2008
          Childhood vaccinations

          Trend in percentage of infants reaching their second birthday in the given year who have been fully vaccinated against rubella in Iceland, Norway, Switzerland and the EU-27, 1990-2004 (source: WHO-HFA, 2007)

          1990

          1991

          1992

          1993

          1994

          1995

          1996

          1997

          1998

          1999

          2000

          2001

          2002

          2003

          2004

          Austria

          -

          90

          90

          90

          90

          90

          87

          90

          22

          65

          75

          79

          79

          79

          74

          Belgium

          -

          67

          -

          70

          -

          85

          73

          64

          -

          82

          -

          -

          -

          -

          -

          Bulgaria

          -

          -

          91

          88

          93

          94

          95

          93

          95

          97

          89

          90

          92

          96

          93

          Cyprus

          -

          83

          83

          83

          83

          83

          83

          90

          90

          90

          85

          85

          85

          86

          -

          Czech Republic

          -

          96

          96

          97

          96

          95

          97

          96

          96

          96

          -

          97

          -

          97

          97

          Denmark

          -

          86

          85

          81

          88

          88

          85

          84

          88

          87

          91

          87

          100

          96

          96

          Estonia

          -

          -

          -

          15

          30

          67

          82

          87

          89

          92

          -

          95

          95

          95

          96

          Finland

          -

          97

          99

          99

          99

          98

          98

          98

          -

          98

          -

          -

          -

          97

          -

          France

          -

          74

          75

          76

          80

          82

          83

          83

          82

          82

          84

          84

          86

          87

          -

          Germany

          -

          70

          70

          70

          70

          70

          70

          70

          77

          81

          84

          86

          88

          90

          90

          Greece

          -

          40

          50

          50

          70

          70

          80

          80

          -

          -

          -

          89

          -

          -

          -

          Hungary

          -

          100

          100

          99

          99

          100

          100

          100

          100

          100

          -

          -

          100

          100

          100

          Iceland

          -

          99

          99

          99

          99

          99

          100

          100

          100

          100

          1

          88

          -

          93

          93

          Ireland

          -

          -

          -

          -

          -

          -

          -

          -

          77

          77

          79

          73

          73

          79

          81

          Italy

          -

          25

          25

          50

          50

          50

          50

          65

          -

          75

          -

          -

          80

          83

          -

          Latvia

          -

          -

          -

          75

          81

          83

          95

          96

          97

          96

          97

          98

          98

          94

          97

          Lithuania

          -

          -

          79

          44

          75

          89

          95

          94

          96

          97

          97

          97

          98

          98

          98

          Luxembourg

          -

          -

          -

          -

          -

          -

          -

          91

          -

          -

          -

          -

          -

          -

          -

          Malta

          -

          90

          92

          90

          -

          -

          51

          -

          86

          87

          85

          85

          65

          49

          -

          Netherlands

          -

          94

          94

          95

          94

          94

          94

          96

          96

          -

          96

          96

          96

          -

          96

          Norway

          -

          94

          96

          93

          -

          -

          92

          -

          87

          88

          -

          90

          90

          84

          88

          Poland

          -

          84

          88

          91

          93

          94

          96

          96

          97

          97

          24

          31

          36

          39

          49

          Portugal

          -

          96

          99

          95

          91

          94

          99

          -

          96

          -

          82

          88

          92

          96

          -

          Romania

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          91

          Slovakia

          99

          99

          98

          98

          97

          99

          99

          99

          99

          98

          98

          99

          99

          99

          99

          Slovenia

          92

          90

          90

          89

          90

          93

          92

          95

          92

          96

          95

          94

          94

          87

          -

          Spain

          -

          85

          83

          90

          90

          90

          90

          93

          93

          95

          -

          -

          -

          -

          -

          Sweden

          95

          95

          96

          96

          96

          97

          97

          97

          96

          96

          94

          89

          91

          -

          -

          Switzerland

          -

          80

          80

          80

          80

          80

          80

          80

          79

          79

          79

          81

          81

          81

          81

          United Kingdom

          -

          90

          92

          92

          92

          -

          92

          -

          91

          88

          88

          85

          83

          80

          81

          EU-15

          -

          71

          72

          76

          78

          78

          78

          81

          82

          84

          85

          86

          87

          87

          -

          EU-27

          -

          74

          75

          79

          80

          81

          82

          84

          85

          86

          81

          82

          83

          84

          85

          - : no data available

          Remarks

          Rubella: percentage of infants reaching their second birthday in the given calendar year who have been fully vaccinated against rubella. Data are reported annually to and available from the CD-unit at WHO-Europe.


          11 February 2008
          Childhood vaccinations

          Trend in percentage of infants reaching their second birthday in the given year who have been fully vaccinated against mumps in Iceland, Norway, Switzerland and the EU-27, 1990-2003 (source: WHO-HFA, 2007)

          1990

          1991

          1992

          1993

          1994

          1995

          1996

          1997

          1998

          1999

          2000

          2001

          2002

          2003

          Austria

          -

          60

          60

          60

          60

          60

          87

          90

          22

          65

          75

          79

          79

          79

          Belgium

          -

          67

          -

          70

          -

          85

          73

          -

          -

          82

          -

          -

          -

          -

          Bulgaria

          -

          47

          91

          88

          93

          94

          95

          93

          95

          97

          89

          90

          92

          96

          Cyprus

          -

          83

          83

          83

          83

          83

          83

          90

          90

          90

          85

          85

          85

          86

          Czech Republic

          -

          98

          97

          98

          97

          96

          97

          96

          96

          97

          -

          97

          -

          97

          Denmark

          -

          86

          85

          81

          88

          88

          85

          84

          88

          87

          -

          -

          100

          96

          Estonia

          -

          47

          47

          37

          24

          73

          85

          87

          89

          92

          -

          95

          -

          95

          Finland

          -

          97

          99

          99

          99

          98

          98

          98

          -

          98

          -

          -

          96

          -

          France

          -

          64

          65

          62

          -

          -

          -

          84

          -

          81

          83

          84

          86

          87

          Germany

          -

          70

          75

          75

          75

          75

          75

          75

          -

          -

          -

          -

          91

          91

          Greece

          -

          -

          -

          70

          70

          70

          80

          80

          -

          -

          -

          89

          -

          -

          Hungary

          -

          100

          100

          99

          99

          100

          100

          100

          100

          100

          -

          -

          100

          100

          Iceland

          -

          99

          99

          99

          99

          99

          100

          100

          100

          100

          -

          -

          -

          93

          Ireland

          -

          -

          -

          -

          -

          -

          -

          -

          77

          77

          79

          73

          73

          79

          Italy

          -

          -

          -

          50

          50

          50

          50

          69

          -

          75

          -

          -

          80

          -

          Latvia

          -

          88

          85

          78

          78

          87

          96

          96

          97

          94

          -

          98

          98

          94

          Lithuania

          -

          74

          76

          54

          79

          77

          93

          95

          97

          97

          97

          97

          98

          98

          Luxembourg

          -

          -

          -

          -

          -

          -

          -

          91

          -

          -

          -

          -

          -

          -

          Malta

          -

          90

          75

          -

          -

          -

          50

          -

          86

          87

          -

          0

          65

          49

          Netherlands

          -

          94

          94

          95

          94

          94

          94

          96

          96

          -

          -

          -

          96

          -

          Norway

          -

          94

          96

          93

          -

          -

          92

          -

          87

          88

          -

          90

          88

          89

          Poland

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          36

          39

          Portugal

          -

          96

          99

          95

          91

          94

          99

          -

          96

          -

          -

          87

          92

          96

          Slovakia

          99

          98

          96

          96

          97

          99

          99

          99

          99

          99

          98

          99

          99

          99

          Slovenia

          92

          90

          90

          89

          90

          93

          92

          95

          92

          96

          95

          94

          94

          87

          Spain

          -

          85

          83

          90

          90

          90

          90

          93

          93

          95

          -

          -

          97

          -

          Sweden

          95

          95

          96

          96

          96

          97

          97

          97

          96

          96

          94

          89

          91

          -

          Switzerland

          -

          80

          80

          80

          80

          80

          80

          80

          79

          79

          79

          81

          81

          81

          United Kingdom

          -

          90

          92

          92

          92

          -

          92

          -

          91

          88

          -

          85

          83

          80

          EU-15

          -

          73

          75

          75

          76

          77

          79

          83

          82

          84

          85

          86

          88

          -

          EU-27

          -

          71

          73

          73

          74

          75

          77

          80

          80

          81

          82

          83

          84

          84

          - : no data available

          Countries for which data are not available are not shown.

          Remarks

          Mumps: percentage of infants reaching their second birthday in the given calendar year who have been fully vaccinated against mumps. Data are reported annually to and available from the CD-unit at WHO-Europe.


          11 February 2008
          Childhood vaccinations

          Trend in percentage of infants reaching their first birthday in the given year who have been fully vaccinated against poliomyelitis, in Iceland, Norway, Switzerland and the EU-27, 1990-2005 (source: WHO-HFA, 2007)

          1990

          1991

          1992

          1993

          1994

          1995

          1996

          1997

          1998

          1999

          2000

          2001

          2002

          2003

          2004

          2005

          Austria

          90

          90

          90

          90

          90

          90

          95

          95

          87

          5

          71

          83

          83

          84

          83

          92

          Belgium

          95

          93

          94

          94

          93

          92

          94

          94

          94

          96

          96

          96

          96

          96

          96

          97

          Bulgaria

          100

          81

          99

          97

          94

          97

          95

          96

          97

          97

          94

          94

          94

          96

          94

          97

          Cyprus

          94

          94

          95

          95

          96

          96

          98

          98

          98

          97

          97

          97

          98

          98

          98

          98

          Czech Republic

          99

          99

          99

          99

          98

          98

          98

          97

          97

          98

          97

          97

          97

          97

          96

          96

          Denmark

          97

          99

          98

          95

          99

          99

          99

          99

          99

          96

          95

          97

          98

          96

          95

          93

          Estonia

          68

          84

          84

          84

          87

          87

          93

          94

          94

          91

          93

          97

          94

          95

          95

          96

          Finland

          90

          97

          99

          99

          98

          99

          99

          95

          95

          95

          96

          96

          95

          96

          96

          97

          France

          95

          95

          95

          95

          97

          97

          97

          97

          97

          98

          98

          98

          98

          97

          97

          -

          Germany

          80

          80

          80

          95

          95

          95

          95

          95

          95

          95

          95

          95

          95

          94

          94

          94

          Greece

          96

          77

          95

          95

          95

          95

          95

          95

          91

          87

          87

          87

          87

          87

          87

          -

          Hungary

          99

          98

          99

          99

          99

          99

          99

          99

          99

          100

          100

          100

          100

          100

          100

          -

          Iceland

          99

          99

          94

          99

          99

          99

          99

          99

          98

          96

          95

          91

          94

          97

          99

          95

          Ireland

          81

          80

          80

          79

          78

          77

          77

          76

          84

          86

          86

          84

          83

          86

          89

          90

          Italy

          98

          98

          97

          97

          98

          98

          97

          98

          96

          99

          99

          99

          99

          97

          97

          92

          Latvia

          86

          91

          95

          83

          98

          98

          93

          92

          94

          95

          96

          97

          98

          98

          97

          99

          Lithuania

          77

          80

          88

          86

          88

          89

          93

          95

          88

          89

          90

          91

          97

          91

          90

          93

          Luxembourg

          90

          90

          90

          92

          94

          96

          98

          98

          98

          98

          98

          98

          98

          98

          98

          100

          Malta

          86

          86

          81

          83

          78

          92

          92

          92

          92

          96

          94

          70

          95

          95

          55

          94

          Netherlands

          97

          97

          97

          97

          97

          97

          97

          95

          97

          97

          97

          97

          98

          98

          98

          98

          Norway

          84

          93

          98

          92

          93

          92

          92

          91

          91

          91

          96

          95

          91

          90

          91

          91

          Poland

          96

          94

          94

          95

          95

          96

          97

          98

          98

          98

          98

          98

          98

          98

          99

          99

          Portugal

          89

          95

          93

          92

          96

          96

          95

          93

          96

          95

          96

          98

          94

          96

          95

          93

          Romania

          92

          90

          92

          91

          94

          94

          97

          97

          98

          98

          99

          99

          99

          97

          97

          97

          Slovakia

          99

          99

          99

          99

          98

          98

          98

          98

          98

          98

          98

          99

          98

          98

          99

          99

          Slovenia

          95

          96

          96

          97

          96

          97

          97

          91

          90

          93

          93

          93

          93

          88

          93

          -

          Spain

          94

          88

          85

          88

          88

          88

          91

          94

          94

          95

          95

          95

          96

          98

          97

          96

          Sweden

          99

          99

          99

          99

          99

          99

          99

          99

          99

          99

          99

          99

          99

          99

          99

          99

          Switzerland

          95

          95

          95

          95

          95

          95

          95

          95

          92

          92

          92

          95

          95

          95

          95

          95

          United Kingdom

          92

          93

          95

          95

          95

          96

          96

          96

          95

          95

          95

          94

          91

          91

          91

          91

          EU-15

          91

          91

          91

          94

          95

          95

          95

          96

          95

          94

          95

          96

          95

          95

          95

          94

          EU-27

          92

          91

          92

          94

          95

          95

          96

          96

          96

          95

          96

          96

          96

          95

          95

          95

          - : no data available

          Remarks

          Poliomyelitis: percentage of infants reaching their first birthday in the given calendar year who were fully vaccinated against poliomyelitis (3 doses). Data are reported annually to, and available from, the CD-unit at WHO-Europe.


          11 February 2008
          Childhood vaccinations

          Trend in percentage of infants reaching their first birthday in the given year who have been fully vaccinated against diphtheria, pertussis and tetanus in Iceland, Norway, Switzerland and the EU-27, 1990-2005 (source: WHO-HFA, 2007)

          1990

          1991

          1992

          1993

          1994

          1995

          1996

          1997

          1998

          1999

          2000

          2001

          2002

          2003

          2004

          2005

          Austria

          90

          90

          90

          90

          90

          90

          93

          90

          18

          74

          81

          84

          83

          84

          83

          92

          Belgium

          93

          92

          95

          97

          96

          94

          95

          62

          79

          97

          95

          95

          95

          90

          95

          97

          Bulgaria

          100

          99

          98

          98

          93

          96

          95

          94

          95

          96

          93

          94

          93

          96

          95

          96

          Cyprus

          93

          94

          94

          94

          95

          95

          95

          98

          98

          98

          97

          97

          97

          98

          98

          98

          Czech Republic

          99

          99

          99

          99

          98

          96

          97

          98

          98

          98

          98

          98

          98

          97

          98

          97

          Denmark

          99

          98

          98

          96

          100

          97

          100

          78

          99

          99

          97

          97

          98

          96

          95

          93

          Estonia

          67

          71

          70

          71

          77

          82

          87

          87

          88

          91

          92

          94

          94

          95

          94

          96

          Finland

          67

          95

          99

          99

          99

          99

          99

          99

          99

          99

          99

          98

          98

          98

          98

          97

          France

          96

          94

          96

          95

          97

          97

          97

          98

          97

          98

          98

          98

          98

          97

          97

          -

          Germany

          80

          80

          85

          62

          73

          78

          94

          95

          97

          97

          97

          96

          97

          97

          97

          90

          Greece

          81

          85

          89

          89

          90

          90

          90

          90

          89

          90

          88

          88

          88

          88

          88

          -

          Hungary

          100

          100

          100

          99

          99

          100

          100

          100

          100

          100

          100

          100

          100

          100

          100

          -

          Iceland

          88

          99

          99

          99

          99

          99

          100

          100

          100

          93

          98

          92

          95

          97

          99

          95

          Ireland

          99

          100

          100

          99

          99

          100

          100

          76

          84

          86

          86

          84

          83

          86

          89

          90

          Italy

          80

          80

          80

          82

          83

          84

          84

          85

          86

          87

          87

          93

          97

          96

          96

          92

          Latvia

          90

          89

          87

          80

          97

          96

          93

          92

          94

          95

          96

          97

          97

          98

          98

          99

          Lithuania

          76

          73

          78

          83

          83

          89

          91

          90

          93

          93

          94

          95

          95

          94

          94

          94

          Luxembourg

          90

          91

          93

          94

          95

          97

          98

          98

          98

          98

          98

          98

          100

          98

          100

          100

          Malta

          71

          64

          67

          98

          93

          94

          95

          96

          94

          96

          94

          95

          95

          94

          55

          92

          Netherlands

          87

          97

          97

          97

          97

          97

          97

          95

          97

          97

          97

          97

          98

          96

          98

          98

          Norway

          94

          96

          98

          94

          93

          97

          97

          95

          94

          89

          95

          95

          91

          90

          91

          91

          Poland

          96

          95

          95

          95

          96

          96

          97

          98

          98

          98

          98

          98

          99

          99

          99

          99

          Portugal

          97

          96

          94

          93

          97

          95

          94

          97

          98

          94

          96

          98

          94

          99

          95

          93

          Romania

          93

          98

          98

          91

          98

          98

          98

          97

          98

          97

          99

          99

          99

          97

          97

          -

          Slovakia

          96

          100

          99

          99

          98

          99

          99

          99

          99

          99

          99

          99

          99

          99

          99

          99

          Slovenia

          95

          95

          95

          97

          95

          96

          96

          92

          90

          92

          91

          92

          93

          88

          92

          -

          Spain

          86

          86

          84

          87

          88

          90

          90

          94

          95

          95

          95

          96

          96

          98

          96

          96

          Sweden

          99

          99

          99

          99

          99

          99

          99

          99

          99

          99

          99

          99

          98

          99

          99

          99

          Switzerland

          95

          95

          95

          95

          95

          95

          95

          95

          94

          94

          94

          95

          95

          95

          95

          95

          United Kingdom

          77

          88

          90

          90

          91

          92

          92

          92

          91

          92

          99

          99

          91

          91

          90

          91

          EU-15

          85

          87

          89

          84

          87

          89

          93

          92

          92

          94

          95

          96

          95

          95

          95

          93

          EU-27

          87

          89

          90

          86

          89

          91

          94

          93

          93

          95

          96

          96

          96

          96

          96

          94

          - : no data available

          Remarks

          Vaccins against diphtheria, pertussis and tetanus are combined in a cocktail, therefore percentages of infants vaccinated against diphtheria, pertussis and tetanus are the same.

          Diphtheria: percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against diphtheria (3 doses of DPT or DT). Data are reported annually to, and available from, the CD-unit at WHO-Europe.

          Pertussis: percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against pertussis. Data are reported annually to, and available from, the CD unit at WHO-Europe.

          Tetanus: percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against tetanus. Data are reported annually to, and available from, the CD unit at WHO-Europe.


          11 February 2008
          Childhood vaccinations

          Trend in percentage of infants reaching their first birthday in the given year who have been fully vaccinated against hepatitis B in Iceland, Norway, Switzerland and the EU-27, 1990-2005 (source: WHO-HFA, 2007)

          1990

          1991

          1992

          1993

          1994

          1995

          1996

          1997

          1998

          1999

          2000

          2001

          2002

          2003

          2004

          2005

          Austria

          -

          -

          -

          -

          -

          -

          -

          -

          3

          34

          33

          44

          81

          83

          83

          92

          Belgium

          -

          -

          -

          -

          -

          -

          -

          2

          31

          49

          60

          60

          60

          65

          65

          1

          Bulgaria

          -

          92

          71

          96

          94

          95

          94

          77

          97

          97

          94

          93

          88

          96

          94

          96

          Cyprus

          -

          20

          20

          20

          68

          68

          68

          88

          88

          88

          89

          89

          89

          88

          88

          88

          Czech Republic

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          86

          67

          98

          99

          Estonia

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          0

          90

          34

          96

          90

          95

          France

          -

          -

          -

          -

          -

          -

          -

          -

          28

          24

          26

          28

          29

          28

          28

          -

          Germany

          -

          -

          -

          15

          32

          45

          8

          11

          15

          32

          45

          57

          71

          81

          81

          84

          Greece

          -

          10

          15

          2

          2

          12

          12

          50

          69

          88

          88

          88

          88

          88

          88

          -

          Hungary

          -

          -

          -

          -

          -

          -

          -

          -

          -

          99

          100

          100

          -

          -

          -

          -

          Italy

          50

          95

          95

          95

          95

          95

          95

          95

          95

          94

          94

          94

          97

          97

          95

          92

          Latvia

          -

          -

          -

          -

          -

          -

          10

          6

          9

          94

          95

          96

          98

          98

          100

          98

          Lithuania

          -

          -

          -

          -

          -

          -

          -

          -

          9

          98

          99

          95

          94

          95

          94

          95

          Luxembourg

          -

          -

          -

          -

          -

          -

          -

          49

          49

          49

          49

          49

          49

          49

          49

          95

          Malta

          -

          -

          -

          -

          90

          -

          75

          -

          78

          82

          3

          3

          72

          70

          8

          78

          Poland

          -

          1

          1

          1

          4

          23

          56

          97

          99

          99

          99

          95

          98

          98

          98

          98

          Portugal

          -

          -

          -

          -

          -

          6

          34

          49

          64

          64

          58

          98

          97

          94

          94

          94

          Romania

          -

          -

          -

          -

          97

          -

          99

          99

          99

          99

          98

          98

          99

          99

          99

          99

          Slovakia

          -

          -

          -

          -

          -

          -

          -

          -

          -

          99

          99

          99

          99

          99

          99

          99

          Slovenia

          -

          -

          -

          -

          -

          -

          -

          -

          -

          95

          97

          97

          95

          95

          -

          -

          Spain

          -

          -

          -

          -

          -

          -

          82

          84

          81

          80

          77

          83

          83

          83

          97

          96

          Sweden

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          1

          1

          1

          Switzerland

          -

          -

          -

          -

          -

          -

          -

          -

          5

          -

          -

          -

          -

          -

          -

          -

          EU-15

          -

          -

          -

          -

          -

          -

          -

          -

          46

          52

          56

          63

          68

          71

          73

          -

          EU-27

          -

          -

          -

          -

          -

          -

          -

          -

          58

          64

          67

          71

          75

          77

          79

          78

          - : no data available

          Countries for which data are not available are not shown.

          Remarks

          Hepatitis B: percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against hepatitis B. Data are reported annually to and available from the CD-unit at WHO-Europe.

          The number of countries with universal immunization of neonates and infants has increased. In 2003 Belgium, Bulgaria, Cyprus, Czech Republic, Estonia, France, Greece, Italy, Latvia, Lithouania, Malta, Poland, Portugal, Romania, Slovakia, Spain targeted newborn babies or infants.

          Austria, Hungary, Luxembourg (if not vaccinated as child) and Slovenia targeted older children or adolescents.

          Germany, Finland, Ireland, Netherlands, Norway, Sweden, UK, Iceland and Danmark have not introduced universal immunization against hepatitis B. These countries have very low endemicity and consider hepatitis B to be a limited public health problem, thus not justifying additional expense. These countries choose to provide hepatitis B vaccine only to well-defined risk groups, in addition to screening pregnant women to identify and immunize neonates exposed to hepatitis B infection (WHO Vaccine Preventable Diseases Monitoring System, 2007; WHO, 2006b).


          11 February 2008
          Childhood vaccinations

          Trend in percentage of infants reaching their first birthday in the given year who have been fully vaccinated against tuberculosis in Iceland, Norway, Switzerland and the EU-27, 1990-2005 (source: WHO-HFA, 2007)

          1990

          1991

          1992

          1993

          1994

          1995

          1996

          1997

          1998

          1999

          2000

          2001

          2002

          2003

          2004

          2005

          Austria

          97

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          Bulgaria

          100

          100

          99

          99

          98

          99

          98

          97

          98

          99

          99

          98

          98

          98

          98

          98

          Czech Republic

          98

          98

          98

          98

          95

          95

          96

          97

          99

          98

          99

          99

          97

          99

          99

          99

          Estonia

          93

          98

          98

          98

          98

          99

          99

          99

          100

          99

          100

          100

          99

          100

          99

          99

          Finland

          91

          99

          99

          99

          99

          99

          99

          99

          99

          98

          99

          99

          99

          98

          98

          98

          France

          74

          78

          77

          79

          81

          83

          84

          84

          84

          84

          84

          84

          83

          85

          85

          -

          Germany

          -

          -

          -

          1

          1

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          Greece

          86

          90

          76

          65

          50

          50

          70

          70

          79

          88

          88

          88

          88

          88

          88

          -

          Hungary

          100

          100

          100

          100

          100

          100

          100

          100

          100

          100

          100

          100

          100

          100

          100

          -

          Ireland

          84

          84

          85

          86

          86

          87

          88

          89

          89

          90

          90

          90

          90

          89

          91

          93

          Italy

          5

          5

          5

          5

          4

          4

          3

          2

          1

          1

          1

          1

          -

          -

          -

          -

          Latvia

          95

          89

          93

          91

          95

          100

          100

          100

          100

          100

          100

          100

          100

          100

          100

          100

          Lithuania

          93

          87

          94

          98

          96

          97

          98

          98

          99

          99

          99

          99

          99

          99

          99

          99

          Luxembourg

          50

          -

          50

          -

          -

          -

          59

          59

          -

          -

          -

          -

          -

          21

          -

          -

          Malta

          77

          87

          79

          77

          77

          92

          96

          -

          -

          -

          -

          -

          -

          80

          -

          -

          Norway

          -

          95

          99

          99

          99

          98

          98

          98

          88

          90

          98

          92

          91

          -

          -

          -

          Poland

          97

          94

          95

          95

          94

          98

          97

          96

          96

          96

          96

          95

          95

          94

          94

          94

          Portugal

          89

          89

          92

          91

          87

          94

          88

          87

          87

          91

          79

          80

          84

          81

          83

          89

          Romania

          90

          99

          99

          99

          100

          100

          100

          98

          100

          100

          100

          100

          100

          100

          99

          99

          Slovakia

          98

          90

          91

          97

          100

          92

          89

          95

          92

          96

          94

          93

          98

          98

          98

          98

          Slovenia

          94

          86

          93

          99

          99

          99

          96

          97

          98

          97

          98

          97

          97

          97

          98

          -

          Sweden

          14

          13

          13

          12

          13

          13

          13

          14

          14

          15

          16

          16

          16

          16

          16

          17

          Switzerland

          -

          -

          -

          -

          -

          -

          -

          -

          21

          -

          -

          -

          -

          -

          -

          -

          United Kingdom

          5

          5

          7

          7

          8

          9

          10

          11

          -

          -

          -

          -

          -

          -

          -

          -

          EU-15

          41

          38

          33

          29

          28

          29

          30

          30

          -

          -

          -

          -

          -

          -

          -

          -

          EU-27

          55

          52

          49

          46

          45

          46

          47

          47

          47

          47

          47

          47

          47

          47

          47

          -

          - : no data available

          Countries for which data are not available are not shown.

          Remarks

          Tuberculosis: percentage of infants reaching their first birthday in the given calendar year who have been fully vaccinated against tuberculosis (BCG, 1 dose). Data are reported annually to, and available from, the CD-unit at WHO-Europe.

          Not all EU-27 countries implement universal BCG vaccination of newborns. Bulgaria, Czech Republic, Estonia, Finland, Hungary, Ireland, Latvia, Lithuania, Poland, Portugal, Romania and Slovakia implement universal BCG vaccination of newborns (at birth or <12 months). Malta, France, Norway, United Kingdom and Greece implement BCG vaccination for children in older age groups. Sweden, Netherlands, Slovenia, Switzerland, Cyprus and Italy implement BCG vaccination only for certain risk groups (such as children born in or originating from countries with high prevalence). Austria, Belgium, Denmark, Germany, Luxembourg and Spain do not systematically use BCG vaccination (Infuso et al., 2006; WHO Vaccine Preventable Diseases Monitoring System, 2007).


          11 February 2008
          Childhood vaccinations

          Trend in percentage of infants reaching their first birthday in the given year who have been fully vaccinated against Hib in Iceland, Norway, Switzerland and the EU-27, 1990-2005 (source: WHO-HFA, 2007)

          1990

          1991

          1992

          1993

          1994

          1995

          1996

          1997

          1998

          1999

          2000

          2001

          2002

          2003

          2004

          2005

          Austria

          -

          -

          -

          -

          -

          -

          -

          -

          18

          74

          72

          74

          82

          84

          83

          92

          Belgium

          -

          -

          -

          20

          -

          -

          -

          6

          -

          -

          86

          86

          86

          90

          95

          95

          Cyprus

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          32

          32

          32

          58

          58

          58

          Czech Republic

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          -

          95

          97

          98

          97

          Denmark

          -

          -

          -

          82

          88

          78

          93

          100

          97

          95

          95

          95

          86

          96

          95

          93

          Estonia

          -

          -

          -

          17

          -

          -

          -

          -

          -

          -

          -

          -

          -

          27

          37

          -

          Finland

          96

          -

          97

          97

          93

          -

          98

          98

          -

          98

          96

          96

          96

          96

          96

          98

          France

          -

          97

          -

          -

          -

          -

          -

          -

          79

          85

          86

          86

          86

          86

          86

          -

          Germany

          -

          60

          65

          65

          65

          70

          55

          75

          74

          80

          82

          85

          88

          89

          90

          92

          Greece

          -

          -

          -

          -

          3

          19

          36

          54

          71

          88

          88

          78