Vaccinatieprogramma’s in Nederland ; Quantifying the impact of mass vaccination programmes on notified cases in the Netherlands
OBJECTIVE: To quantify the impact of long-standing vaccination programmes on notified cases in the Netherlands. DESIGN: Estimates based on model projections of historical morbidity data. METHOD: We collected and digitised previously unavailable monthly case notifications of diphtheria, poliomyelitis, mumps and rubella in the Netherlands over the period 1919-2015. Poisson regression models accounting for seasonality, multi-year cycles, secular trends and auto-correlation were fit to pre-vaccination periods. Cases averted were calculated as the difference between observed and expected cases base... Mehr ...
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Dokumenttyp: | Artikel |
Erscheinungsdatum: | 2018 |
Reihe/Periodikum: | Tulen , A D , van Wijhe , M , Korthals Altes , H , McDonald , S A , de Melker , H E , Postma , M J & Wallinga , J 2018 , ' Vaccinatieprogramma’s in Nederland ' , Nederlands Tijdschrift voor Geneeskunde , vol. 162 . |
Sprache: | Niederländisch |
Permalink: | https://search.fid-benelux.de/Record/base-27601926 |
Datenquelle: | BASE; Originalkatalog |
Powered By: | BASE |
Link(s) : | https://hdl.handle.net/11370/bff62599-9938-4615-893e-0cffa9d571e9 |
OBJECTIVE: To quantify the impact of long-standing vaccination programmes on notified cases in the Netherlands. DESIGN: Estimates based on model projections of historical morbidity data. METHOD: We collected and digitised previously unavailable monthly case notifications of diphtheria, poliomyelitis, mumps and rubella in the Netherlands over the period 1919-2015. Poisson regression models accounting for seasonality, multi-year cycles, secular trends and auto-correlation were fit to pre-vaccination periods. Cases averted were calculated as the difference between observed and expected cases based on model projections. RESULTS: In the first 13 years of mass vaccinations, case notifications declined rapidly with 18,900 (95%-CI: 12,000-28,600) notified cases of diphtheria averted, 5100 (95%-CI: 2200-13,500) cases of poliomyelitis, and 1800 (95%-CI: 1000-3200) cases of mumps. Vaccination of 11-year-old girls against rubella averted 13700 (95%-CI: 1400-38,300) cases, while universal rubella vaccination averted 700 (95%-CI: 80-2300) cases. CONCLUSION: These findings show that vaccination programmes have contributed substantially to the reduction of infectious diseases in the Netherlands.