SciELO - Scientific Electronic Library Online

vol.83 issue5Evolution of measles, rubella and mumps from the Third Seroepidemiological Survey in the Autonomous Region of Madrid, SpainSeroepidemiological surveys of non vaccine-preventable diseases and their interest in public health author indexsubject indexarticles search
Home Page  

Services on Demand




Related links


Revista Española de Salud Pública

On-line version ISSN 2173-9110Print version ISSN 1135-5727


VARELA, Mª Carmen. Vaccination programmes. Rev. Esp. Salud Publica [online]. 2009, vol.83, n.5, pp.639-643. ISSN 2173-9110.

Immunization is a highly cost-effective intervention that saves many lives. Its objective is to control and eliminate vaccine-preventable diseases (when the characteristics of the disease and the vaccine make it possible), resulting in improvements in the health of the population. In Spain, the first vaccination schedule was introduced in 1975 and currently coverages > 95% are achieved in children aged < 2 years of age. Before deciding to introduce a vaccination programme in a community or country, a series of aspects should be considered, including the disease burden in the population, the effectiveness and safety of the vaccine, the changes in the dynamics of the infection when the vaccine is introduced, the cost-effectiveness of the vaccine, the theoretical potential of elimination/eradication of the disease and the existence of other preventive or therapeutic measures. Once the programme has been introduced it should be subject to evaluation, considering aspects such as the coverage, effectiveness, safety and the impact on the population. This work defines different vaccination strategies for three diseases for which efficacious and safe vaccines are available: hepatitis A, influenza and varicella.

Keywords : Vaccination; Mass Immunization.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )