For Effective Vaccination Policies in Europe PROTECTING HEALTH, SAVING LIVES EU Cooperation Against Vaccine-Preventable Diseases
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November 2019 - n°60 EUROPE & VACCINES For effective vaccination policies in Europe PROTECTING HEALTH, SAVING LIVES EU cooperation against vaccine-preventable diseases 2.7 million Worldwide MEASLES vaccines million 2 NEONATAL prevent TETANUS every year 1 million PERTUSSIS VACCINATION IN THE EU INFECTIOUS DISEASES ON THE RISE Influenza vaccination coverage rates V More than 14 000 measles & among people aged 65+ 696 rubella cases in 2017 UK 71% RO - 5 608 measles NL 67% IT - 5 098 measles EU 34% DE - 929 measles BG 2% GR - 967 measles EE 2% EU ACTION DISTRUST IN VACCINES Ensure ACCESS to vaccines for all 0% Control all vaccines to ensure HIGHEST SAFETY STANDARDS Share CLEAR, INDEPENDENT 45.5% and TRANSPARENT information “ I think vaccines More RESEARCH to develop new vaccines are not safe” Confidence Project Sources: ECDC; Eurostat; WHO; The Vaccine European Commission: ec.europa.eu/health/vaccination/overview_en European Centre for Disease Prevention and Control: ecdc.europa.eu @EU_Health #EUvaccines Health and Food Safety E UROP E & V ACCIN E S - F OR effe CTI ve V ACCINATION POLICI E S IN E UROP E | T HE E UROPEAN F ILES | 3 EDITORIAL EUROPE & VACCINES accination is the primary instrument interest of vaccination should be more clearly vaccination programmes. The Commission is for prevention in public health. Thanks highlighted. Providing reliable information considering the creation of a European virtual V to vaccination programmes, life to the general public and dispelling myths data warehouse on vaccine needs, which expectancy in the world is one of humanity’s about vaccines and vaccination through the could facilitate the voluntary exchange of greatest achievements. According to the exchange of good practices is key to ensure information on available supplies. This would WHO, vaccination can prevent between 2 and effective public health. ensure that the necessary measures are in 3 million deaths per year worldwide. place in the event of a pandemic. For several years now, the sub-optimal Nowadays, several European and neigh- vaccination coverage observed in Europe Vaccination policies fall within the purview bouring countries are facing the return of has led the European Commission to step of national authorities. However, the EU some epidemics thought to be long forgotten, up its vaccination efforts by working closely must ensure fair access to vaccines for all EU the resurgence of which is mainly due to a lack with Member States. In December 2018, citizens through free distribution in order to of vaccination coverage. the Council adopted a recommendation to remove major financial barriers, combat dis- strengthen EU cooperation against vaccine- information and build confidence in vaccines, In an increasingly digitalized and intro- preventable diseases. Subsequently, it estab- facilitating a vaccination pathway from an Vverted society, misinformation is on the rise, lished a roadmap to ensure better cooperation early age. social media pose a new challenge when it between Member States. A feasibility study on comes to maintaining confidence in immu- the development of a common EU vaccination Vaccination is first and foremost about nization. However, the use of digital tools map was launched this year. A draft common education for all of us. In this issue of The would facilitate and improve vaccination vaccination document, which could help EU European Files, we capture the responses of programmes throughout Europe, using citizens to continue their vaccination in the our institutions and hope to encourage a interoperability of systems, monitoring data, Member States, is expected to be completed public discussion faithful to the greater good. procurement and a real-time supply status, in 2022. preventing waste, all as a way of fighting fire Editor-in-Chief with fire. Europe plays an important role in the pro- LAURENT ULMANN duction of these vaccines. Several European Our policies and scientists must have a clear countries have experienced a shortage of and unambiguous narrative about the need vaccine production and supply which has for vaccination and its coverage. The collective hampered the implementation of their Management: The European Files / Les Dossiers Européens - 19 rue Lincoln, 1180 Brussels www.europeanfiles.eu - ISSN 1636-6085 - email: [email protected] Publication Director and Editor-in-Chief: Laurent ULMANN Layout & printing: VAN RUYS PRINTING Copyright: Shutterstock, European Commission 4 | T HE E UROPEAN F ILES | E UROP E & V ACCIN E S - F OR effe CTI ve V ACCINATION POLICI E S IN E UROP E Europe & Vaccines TABLE OF CONTENTS For effective vaccination policies in Europe The benefits of digital tools for improving Sustain vaccination programmes through a healthier immunisation programmes 6 vaccine ecosystem in an interconnected Europe 16 Krista Kiuru, Finnish Minister for Family Affairs and Social Corinne Bardone, Pharm D, Head of Global Vaccines Public Services Affairs, for Polio, Pertussis and Hib containing Vaccines, Sanofi Pasteur To eliminate measles in Germany: The Measles Protection Christina Klein, Manager, Global Vaccine Public Affairs, Act. Requirement for all children entering school or Sanofi Pasteur kindergarten to have both measles vaccinations 7 Jens Spahn, Germany’s Federal Health Minister Florence Baron-Papillon, Pharm D, Head of Public Affairs Europe for Vaccines, Sanofi Pasteur Place vaccination at the forefront of the public space 8 Agnès Buzyn, French Minister for Solidarity and Health, Looking ahead to the next decade for Extract from the article in European immunisation week immunization in Europe 19 Dr. Siddhartha Datta, Programme Manager, Vaccine- Dedicated supra-structural vaccination organizations: preventable Diseases and Immunization programme, WHO the driver of a successful vaccination schemes 10 Regional Office for Europe Maggie De Block, Belgian Minister of Social Affairs and Public Ms. Catharina de Kat, Communications, Web and Health and Asylum Policy and Migration Information Officer, Vaccine-preventable Diseases and Immunization programme, WHO Regional Office for Europe Promote vaccination, particularly the childhood immunisation programme and the HPV vaccine Securing a robust vaccine sector in Europe 20 for both girls and boys 11 Magdalena Rodriguez de Azero, Executive Director, Simon Harris, Irish Minister for Health Vaccines Europe European Commission roadmap on vaccination 12 Harnessing the power of partnerships to Anne Bucher, Director-General DG SANTE, European develop life-saving vaccines 22 Commission Dr. Pierre Meulien, Executive Director, Innovative Medicines Initiative (IMI) A cancer vaccine: how to eradicate virus-related cancers in Europe? 13 Vaccination, Population Health, and Véronique Trillet-Lenoir, Oncologist and MEP, Renew European Leadership 24 Europe, France, Member of the ENVI Committee David E. Bloom, Harvard T.H. Chan School of Public Health Boston, Massachusetts USA Clinical Evaluation of vaccines 14 Daniel Cadarette, Harvard T.H. Chan School of Public Health Director Executif of EMA Prof. Guido Rasi, Boston, Massachusetts USA Improving pan-european collaboration in tackling Raising awareness about the importance of vaccine-preventable diseases 15 vaccination in Europe for public health 25 ECDC Director Andrea Ammon, Monika Beňová, MEP (S&D Group), Member of the ENVI Committee E UROP E & V ACCIN E S - F OR effe CTI ve V ACCINATION POLICI E S IN E UROP E | T HE E UROPEAN F ILES | 5 Europe & Vaccines For effective vaccination policies in Europe Is Europe Prepared for the Future of Vaccines - The educational and preventive role 37 Vaccines Innovation? 26 Sara Cerdas, MEP (S&D Group), Member of the ENVI Dr. Emmanuel Hanon, Senior Vice President, Head of R&D, Committee GSK Vaccines Dr. Rino Rappuoli, Chief Scientist, GSK Vaccines The EU research programmes in support to vaccine Research & Innovation 38 Dr. Philippe Denoel, Head of External R&D, GSK Vaccines Irene Norstedt, Acting Director, People Directorate, Directorate-General for Research and Innovation, European Vaccination for patients with chronic conditions 28 Commission Marco Greco, President of European Patients’ Forum (EPF) Alessandra Martini, Policy officer, Directorate-General for Research and Innovation, European Commission Vaccine hesitancy: public health emergency 29 Rory Palmer, MEP (S&D Group), Member of the ENVI Julia Molto Lopez, Programme assistant EU policies, Committee Directorate-General for Research and Innovation, European Commission Resilient immunisation systems: looking Barbara Kerstiëns, Head of Unit Combatting diseases, beyond high vaccination rates 30 Directorate-General for Research and Innovation, European Sibilia Quilici, Public Policy Director, MSD Commission Raising awareness about the key role of health Vaccination in Europe – the crucial role of professionals - The role of physicians in vaccination 32 the health care provider 40 Prof. Dr Frank Ulrich Montgomery, President of the Pierre Van Damme, MD, PhD, vice-dean faculty of Medicine Standing Committee of European Doctors (CPME) and Health Sciences, director Centre for the Evaluation of Vaccination, University of Antwerp, Belgium. Vaccination in Pharmacies 33 Michał Byliniak, President of PGEU (The Pharmaceutical Maternal vaccination: A new and highly Group of the European Union) effective policy to improve European pertussis immunisation programmes 42 Independent control contributes to Benoit Soubeyrand Md, Blossom Vaccinology, Lyon, France ensuring vaccine quality 34 Susanne Keitel, Director of the EDQM,