RIVM rapport 210021003/2005 Vaccinatietoestand Nederland per 1 januari 2004 F. Abbink, P.J. Oomen1, S.L.N. Zwakhals, H.E. de Melker, A. Ambler-Huiskes2 1 Landelijke Vereniging van Entadministraties 2 Inspectie voor de Gezondheidszorg contact: F. Abbink Centrum voor Infectieziekten Epidemiologie Tel.: (030)2743398 E-mail:
[email protected] Dit onderzoek werd verricht in opdracht en ten laste van Ministerie van VWS, in het kader van project V210021, evaluatie en advisering RVP, mijlpaal 3.16.3. RIVM, Postbus 1, 3720 BA Bilthoven, telefoon: 030 - 274 91 11; fax: 030 - 274 29 71 pag. 2 van 89 RIVM rapport 210021003 Abstract Immunization coverage in the Netherlands as at 1 january 2004 This report describes the progress of the National Immunization Programme (NIP) in the Netherlands. Immunization coverage figures as at 1 january 2004 are presented for all vaccines used in the NIP for agecohorts born in 1993, 1998 and 2001. For years national immunization coverage in the Netherlands has been excellent. For 2004 national coverage levels for all vaccines used increased and exceeded 95% for the first time. The slow but steady decrease in coverage for infants reported since 1996 has been restored to a level of coverage exceeding 97%. Although high national immunization coverage can mask variations within country, regional and municipal immunization coverage also improved over the past year. All provinces reported over 90% immunization coverage for all vaccines used and municipal immunization coverage levels below 60%, previously observed each year, were not reported. Areas with low immunization coverage are - once again - concentrated in the so called ‘Bible-belt’ where groups of orthodox reformed people live who refuse vaccination for religious reasons.