Childhood Vaccination Against Seasonal Influenza to Reduce the Overall Burden of Disease: Ethical Perspectives.
Identifieur interne : 000022 ( Main/Exploration ); précédent : 000021; suivant : 000023Childhood Vaccination Against Seasonal Influenza to Reduce the Overall Burden of Disease: Ethical Perspectives.
Auteurs : Kyriakos Martakis ; Kruthika Thangavelu ; Peter Schröder-B Ck [Allemagne]Source :
- Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) [ 1439-4421 ] ; 2019.
Descripteurs français
- KwdFr :
- MESH :
- administration et posologie : Vaccins antigrippaux.
- prévention et contrôle : Grippe humaine.
- éthique : Vaccination.
- Allemagne, Coûts indirects de la maladie, Enfant, Humains, Saisons.
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- MESH :
- chemical , administration & dosage : Influenza Vaccines.
- geographic : Germany.
- ethics : Vaccination.
- prevention & control : Influenza, Human.
- Child, Cost of Illness, Humans, Seasons.
Abstract
INTRODUCTION
Childhood immunisation against seasonal influenza promises to reduce the burden of disease through herd immunity. The option of intranasal vaccination seemed to offer a more acceptable vaccination for children, as they are perceived to be less invasive. Yet, intranasal vaccines have been recently proven not to be as effective as presumed. In Germany, contradictory recommendations of the Standing Committee on Vaccination (STIKO) first, to use and then, in October 2016, not use these vaccines have been issued for the 2016-2017 season, whereas recommendations not to use them were already issued in the USA (CDC, ACIP). This controversy spurs the discussion of immunisation programmes for children again. Despite studies discussing the effectiveness of a comprehensive immunisation programme targeting children also in the German and wider European context, an accompanying ethical discussion is missing.
METHODOLOGY
We discuss several policy options from different key ethical perspectives that are widely used in public health: if seasonal influenza vaccination should be intensively offered to or even made mandatory for children to decrease the societal burden of the disease.
RESULTS
Various ethical perspectives reflect the question how to balance individual autonomy, personal benefit and population benefit differently.
DISCUSSION
A convincing justification for suggestions on immunisation policies has to balance norms anchored in different ethical theories. There are good reasons to offer immunisation programmes against seasonal influenza to children, using a voluntary, possibly incentive-based approach.
DOI: 10.1055/s-0043-111235
PubMed: 28697522
Affiliations:
Links toward previous steps (curation, corpus...)
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Köln.</nlm:affiliation><wicri:noCountry code="subField">Köln</wicri:noCountry></affiliation></author><author><name sortKey="Thangavelu, Kruthika" sort="Thangavelu, Kruthika" uniqKey="Thangavelu K" first="Kruthika" last="Thangavelu">Kruthika Thangavelu</name><affiliation><nlm:affiliation>Department of International Health, School CAPHRI (Care and Public Health Research Institute), Maastricht University, Niederlande.</nlm:affiliation><wicri:noCountry code="subField">Niederlande</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Klinik für Hals-Nassen und Ohrenheilkunde, Universitätsklinikum Essen, Essen.</nlm:affiliation><wicri:noCountry code="subField">Essen</wicri:noCountry></affiliation></author><author><name sortKey="Schroder B Ck, Peter" sort="Schroder B Ck, Peter" uniqKey="Schroder B Ck P" first="Peter" last="Schröder-B Ck">Peter Schröder-B Ck</name><affiliation><nlm:affiliation>Department of International Health, School CAPHRI (Care and Public Health Research Institute), Maastricht University, Niederlande.</nlm:affiliation><wicri:noCountry code="subField">Niederlande</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:affiliation>Fachbereich Human- und Gesundheitswissenschaften, Universität Bremen, Deutschland.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Fachbereich Human- und Gesundheitswissenschaften, Universität Bremen</wicri:regionArea><wicri:noRegion>Universität Bremen</wicri:noRegion><wicri:noRegion>Universität Bremen</wicri:noRegion><wicri:noRegion>Universität Bremen</wicri:noRegion></affiliation></author></analytic><series><title level="j">Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))</title><idno type="eISSN">1439-4421</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Child (MeSH)</term><term>Cost of Illness (MeSH)</term><term>Germany (MeSH)</term><term>Humans (MeSH)</term><term>Influenza Vaccines (administration & dosage)</term><term>Influenza, Human (prevention & control)</term><term>Seasons (MeSH)</term><term>Vaccination (ethics)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Allemagne (MeSH)</term><term>Coûts indirects de la maladie (MeSH)</term><term>Enfant (MeSH)</term><term>Grippe humaine (prévention et contrôle)</term><term>Humains (MeSH)</term><term>Saisons (MeSH)</term><term>Vaccination (éthique)</term><term>Vaccins antigrippaux (administration et posologie)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Influenza Vaccines</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Germany</term></keywords><keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Vaccins antigrippaux</term></keywords><keywords scheme="MESH" qualifier="ethics" xml:lang="en"><term>Vaccination</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Grippe humaine</term></keywords><keywords scheme="MESH" qualifier="éthique" xml:lang="fr"><term>Vaccination</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Child</term><term>Cost of Illness</term><term>Humans</term><term>Seasons</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Allemagne</term><term>Coûts indirects de la maladie</term><term>Enfant</term><term>Humains</term><term>Saisons</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Allemagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>Childhood immunisation against seasonal influenza promises to reduce the burden of disease through herd immunity. The option of intranasal vaccination seemed to offer a more acceptable vaccination for children, as they are perceived to be less invasive. Yet, intranasal vaccines have been recently proven not to be as effective as presumed. In Germany, contradictory recommendations of the Standing Committee on Vaccination (STIKO) first, to use and then, in October 2016, not use these vaccines have been issued for the 2016-2017 season, whereas recommendations not to use them were already issued in the USA (CDC, ACIP). This controversy spurs the discussion of immunisation programmes for children again. Despite studies discussing the effectiveness of a comprehensive immunisation programme targeting children also in the German and wider European context, an accompanying ethical discussion is missing.</p></div><div type="abstract" xml:lang="en"><p><b>METHODOLOGY</b></p><p>We discuss several policy options from different key ethical perspectives that are widely used in public health: if seasonal influenza vaccination should be intensively offered to or even made mandatory for children to decrease the societal burden of the disease.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Various ethical perspectives reflect the question how to balance individual autonomy, personal benefit and population benefit differently.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>A convincing justification for suggestions on immunisation policies has to balance norms anchored in different ethical theories. There are good reasons to offer immunisation programmes against seasonal influenza to children, using a voluntary, possibly incentive-based approach.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">28697522</PMID><DateCompleted><Year>2019</Year><Month>09</Month><Day>16</Day></DateCompleted><DateRevised><Year>2019</Year><Month>09</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1439-4421</ISSN><JournalIssue CitedMedium="Internet"><Volume>81</Volume><Issue>7</Issue><PubDate><Year>2019</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))</Title><ISOAbbreviation>Gesundheitswesen</ISOAbbreviation></Journal><ArticleTitle>Childhood Vaccination Against Seasonal Influenza to Reduce the Overall Burden of Disease: Ethical Perspectives.</ArticleTitle><Pagination><MedlinePgn>e121-e126</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1055/s-0043-111235</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Childhood immunisation against seasonal influenza promises to reduce the burden of disease through herd immunity. The option of intranasal vaccination seemed to offer a more acceptable vaccination for children, as they are perceived to be less invasive. Yet, intranasal vaccines have been recently proven not to be as effective as presumed. In Germany, contradictory recommendations of the Standing Committee on Vaccination (STIKO) first, to use and then, in October 2016, not use these vaccines have been issued for the 2016-2017 season, whereas recommendations not to use them were already issued in the USA (CDC, ACIP). This controversy spurs the discussion of immunisation programmes for children again. Despite studies discussing the effectiveness of a comprehensive immunisation programme targeting children also in the German and wider European context, an accompanying ethical discussion is missing.</AbstractText><AbstractText Label="METHODOLOGY" NlmCategory="METHODS">We discuss several policy options from different key ethical perspectives that are widely used in public health: if seasonal influenza vaccination should be intensively offered to or even made mandatory for children to decrease the societal burden of the disease.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Various ethical perspectives reflect the question how to balance individual autonomy, personal benefit and population benefit differently.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">A convincing justification for suggestions on immunisation policies has to balance norms anchored in different ethical theories. There are good reasons to offer immunisation programmes against seasonal influenza to children, using a voluntary, possibly incentive-based approach.</AbstractText><CopyrightInformation>© Georg Thieme Verlag KG Stuttgart · New York.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y" EqualContrib="N"><LastName>Martakis</LastName><ForeName>Kyriakos</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of International Health, School CAPHRI (Care and Public Health Research Institute), Maastricht University, Niederlande.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Klinik und Poliklinik für Kinder- und Jugendmedizin, Uniklinik Köln, Köln.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>UniReha GmbH, Zentrum für Prävention und Rehabilitation der Uniklinik Köln, Köln.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="N"><LastName>Thangavelu</LastName><ForeName>Kruthika</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of International Health, School CAPHRI (Care and Public Health Research Institute), Maastricht University, Niederlande.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Klinik für Hals-Nassen und Ohrenheilkunde, Universitätsklinikum Essen, Essen.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="N"><LastName>Schröder-Bäck</LastName><ForeName>Peter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of International Health, School CAPHRI (Care and Public Health Research Institute), Maastricht University, Niederlande.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Fachbereich Human- und Gesundheitswissenschaften, Universität Bremen, Deutschland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><VernacularTitle>Impfung gegen saisonale Influenza im Kindesalter zur Reduktion der allgemeinen Krankheitslast – Ethische Perspektiven.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2017</Year><Month>07</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Gesundheitswesen</MedlineTA><NlmUniqueID>9204210</NlmUniqueID><ISSNLinking>0941-3790</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D007252">Influenza Vaccines</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017281" MajorTopicYN="N">Cost of Illness</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N" Type="Geographic">Germany</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007252" MajorTopicYN="Y">Influenza Vaccines</DescriptorName><QualifierName UI="Q000008" MajorTopicYN="N">administration & dosage</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="Y">Influenza, Human</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012621" MajorTopicYN="N">Seasons</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014611" MajorTopicYN="N">Vaccination</DescriptorName><QualifierName UI="Q000941" MajorTopicYN="N">ethics</QualifierName></MeshHeading></MeshHeadingList><OtherAbstract Type="Publisher" Language="ger"><AbstractText Label="ZIEL DER STUDIE" NlmCategory="UNASSIGNED">Die Impfung von Kindern gegen saisonale Influenza um möglichst Herdimmunität zu erreichen, könnte die allgemeine Krankheitslast verringern und wird international diskutiert. Nasale Impfstoffe bieten eine neue Methode, die als sanfter empfunden werden könnte und somit potenziell akzeptabler für Kinder und Eltern erscheinen könnte. Allerdings haben sich diese Impfstoffe in jüngster Zeit als nicht so effektiv herausgestellt, wie erhofft. So gab es für die Grippe-Impfsaison 2016/2017 von der STIKO schon 2 verschiedene Empfehlungen, zuerst, die Impfung mit dem nasalen Impfstoff durchzuführen und, ab Oktober 2016, sie doch nicht fortzuführen. Die aktuellen Entwicklungen befördern Diskussionen von Kinder-Impfprogrammen. Obwohl einzelne Studien die Effektivität umfassender Impfprogramme gegen saisonale Influenza bei Kindern in Deutschland und Europa diskutieren, fehlt die ethische Betrachtung des Themas.</AbstractText><AbstractText Label="METHODIK" NlmCategory="UNASSIGNED">Wir diskutieren aus ethischer Sicht mit Rückgriff auf zentrale und weithin im Bereich Public Health benutzte ethische Positionen, ob eine saisonale Influenzaimmunisierung im Kindesalter verstärkt angeboten werden oder sogar verpflichtend sein sollte, um die allgemeine Krankheitslast zu reduzieren.</AbstractText><AbstractText Label="ERGEBNISSE" NlmCategory="UNASSIGNED">Bei der Anwendung diverser ethischer Perspektiven wird die Frage verschiedentlich beantwortet, wie man individuelle Autonomie, persönlichen und gesellschaftlichen Nutzen abwägen sollte.</AbstractText><AbstractText Label="SCHLUSSFOLGERUNGEN" NlmCategory="UNASSIGNED">Eine überzeugende und plausible Rechtfertigung von Impfpolitiken muss verschiedene ethische Normen berücksichtigen und abwägen. Es gibt gute Gründe, Kindern gezielt Impfprogramme zur saisonalen Influenzaprävention anzubieten. Die Impfungen sollten allerdings freiwillig bleiben. Gleichwohl könnte man Anreiz-orientierte Ansätze erwägen.</AbstractText></OtherAbstract><CoiStatement>Peter Schröder-Bäck spoke on invitation by the European Public Health Association (EUPHA) at the Pre-Conference: “Childhood vaccination – tackling the societal burden of disease of seasonal influenza’” on the topic “Views from ethics in public health” (Glasgow, 20.11.2014). Hotel and flight costs were reimbursed by EUPHA, no honorarium was paid. This preconference was supported with an unrestricted grant from AstraZeneca to EUPHA. The authors declare that they have no other competing interests.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>7</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>9</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>7</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28697522</ArticleId><ArticleId IdType="doi">10.1055/s-0043-111235</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country></list><tree><noCountry><name sortKey="Martakis, Kyriakos" sort="Martakis, Kyriakos" uniqKey="Martakis K" first="Kyriakos" last="Martakis">Kyriakos Martakis</name><name sortKey="Thangavelu, Kruthika" sort="Thangavelu, Kruthika" uniqKey="Thangavelu K" first="Kruthika" last="Thangavelu">Kruthika Thangavelu</name></noCountry><country name="Allemagne"><noRegion><name sortKey="Schroder B Ck, Peter" sort="Schroder B Ck, Peter" uniqKey="Schroder B Ck P" first="Peter" last="Schröder-B Ck">Peter Schröder-B Ck</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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