Standardised multi-lingual personal EU immunisation cards could improve communication between vaccine service providers across Europe.

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1 Standardised multi-lingual personal EU immunisation cards could improve communication between vaccine service providers across Europe. Dr Antoon Gijsens Unit C3 - Health Threats Directorate C - Public Health and Risk Assessment Directorate-General for Health & Consumers 1

2 Children s mobility Overview Documentation vaccination status Existing examples of vaccination cards / passports for humans Commission stakeholder consultation on childhood immunisation (2009) Existing example of vaccination passport for pets Conclusions 2

3 Children s mobility ~100,000 children (0-14y) migrating within EU every year. 27 Member States, >27 different vaccination schedules Migrating children need to be adapted to the schedule of the new host country Adaptation to different schedule may have an impact on a child s immunisation course over several years cumulative effect 3

4 Children s mobility Some practical issues GPs / paediatricians may face: Need for international vaccination card? Need for scientific guidance for HCW? Undocumented vaccination status (e.g. parents remember some vaccinations, may not remember how many doses already received, etc) The child is in the middle of a course of a vaccine that is part of the schedule of country of origin but not of country of destination continue the course or stop it? The child has not had a vaccine (not part of schedule of country of origin) that is part of the schedule of country of distination catch up? The (combination) vaccine with which the child was primed is not on the market of country of destination 4

5 Documentation vaccination status Existing examples of vaccination cards / passports for humans WHO International Certificate of Vaccination or prophylaxis ( Yellow Card ), IHR (2005) Under IHR, countries may require proof of yellow fever vaccination for ports, airports and ground crossings Mainly used as traveller s vaccination passport (yellow fever, hepatitis A, ) Internationally agreed and recognised National / regional vaccination cards / passports Different levels of information Language difficulties 5

6 WHO 6

7 WHO 7

8 WHO 8

9 Luxembourg 9

10 Luxembourg 10

11 Belgium - Flanders 11

12 Documentation vaccination status Commission held stakeholder consultation on childhood immunisation in April-June questions on different aspects of childhood immunisation Included question to express opinion on following statement: There is a need for something like an EU immunisation passport (in analogy to what is already in place for pets) so that there is less uncertainty and confusion over the vaccination status of a vaccinee. Multiple choice answers: strongly agree / agree / disagree / strongly disagree / no opinion 12

13 Consultation on statement: There is a need for something like an EU immunisation passport (in analogy to what is already in place for pets) so that there is less uncertainty and confusion over the vaccination status of a vaccinee. 70,00% 60,00% 50,00% 40,00% 30,00% 20,00% Competent authorities national Competent authorities regional Competent authorities local Healthcare providers Industry Academia Other Anonymous 10,00% 0,00% Strongly agree Agree No opinion Disagree Strongly disagree 13

14 Documentation vaccination status Existing example of vaccination passport for pets EU model passport, established by Commission Decision 2003/803/EC Applies to dogs, cats and ferrets National authorities in every EU country are responsible for issuing the passport to the vets Vets issue it to every pet holder Makes veterinary checks easier and makes life easier for travelling pet owners 14

15 15

16 Documentation vaccination status More than a travelling document: all vaccines, not just rabies vaccination (obligatory for border crossings), are recorded 16

17 Documentation vaccination status Has greatly improved vaccination status and compliance with booster doses of dogs, cats and ferrets 17

18 Conclusions Standardised, multi-lingual, internationally agreed vaccination cards / passports have shown to: improve the vaccination documentation status improve communication between vaccine service providers across countries improve the vaccination status and compliance in countries where no national / regional card existed facilitate travelling Introduce an EU immunisation booklet / passport in analogy with EU pet passport? 18

19 Conclusions Not a burden on healthcare professionals if making use of peeloff stickers (example vet vaccines), which could also contain QR code (capacity of 4,296 alphanumeric characters!) for automated entry in an electronic immunisation registry. = Vaccine 'brand name A'. Diphtheria, tetanus, pertussis (acellular, component), hepatitis-b (rdna), poliomyelitis (inactivated) (IPV) and Haemophilus type b (Hib) conjugated vaccine (adsorbed). Lot number XXXX Epiry date XX/XX/XXXX Company name A personal vaccination card ( ~the immunisation registry held by the vaccinee ) complements, but does not replace an electronic immunisation registry held by public health authorities. 19

20 Thank you for your attention! Commission web page on immunisation: 20

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