Vaccinations against infectious diseases HUNGARY Karoly Nagy, M.D., PhD, Director, Institute of Medical Microbiology Semmelweis University, Budapest, HUNGARY

Nagy K. FEAM 2006., Brussels Childhood immunization Childhood immunization Pre-school immunization Pre-school immunization Teenage immunization Teenage immunization Calendars of compulsory and available vaccinations in Hungary 2006

Nagy K. FEAM 2006., Brussels Childhood immunization 15 monthPriorix vaccineMeasles, mumps, rubella 2-, 3-, 4-, 18 monthInfanrix IPV+ Hib vaccine Diphteria, tetanus, pertussis, polio, Haemophilus influenza type B (Hib) 0-6 weekBCG vaccineTuberculosis When to immunizeVaccine givenDiseases protected against  varicella prevention between 10 month – 14 year (Varilrix vaccine)  influenza prevention between 2 month – 36 month (Fluarix vaccine) Compulsory vaccination: Available vaccination:

Nagy K. FEAM 2006., Brussels Pre-school immunization 3, 6 yearsInfranix IPV vaccineDiphteria, tetanus, pertussis, polio When to immunizeVaccine givenDiseases protected against  influenza prevention from 3 years (Fluval AB vaccine) Compulsory vaccination: Available vaccination:

Nagy K. FEAM 2006., Brussels Teenage immunization 14 years booster: +1 month +6 month Engerix B vaccineHepatitis B 11 yearsPriorix vaccineMeasles, mumps, rubella 11 yearsDiTe vaccineDiphteria, tetanus When to immunizeVaccine givenDiseases protected against Compulsory vaccinations

Nagy K. FEAM 2006., Brussels Enteric fever Diphtheria Pertussis Measles Mumps Rubella Tetanus Rabies Hepatitis B (HBsAg positive mother’s newborn) post exposure Compulsory vaccinations given at risk for infectious diseases

Nagy K. FEAM 2006., Brussels Tetanus Influenza Hepatitis B contact persons, medical students, surgeons, dentists, sexual partners, patients receiving multiple transfusions or dialysis) Recommended vaccinations given to avoid risk for infectious diseases

Nagy K. FEAM 2006., Brussels Enteric fever Tick transmitted encephalitis Hepatitis A Hepatitis B Rabies Diphtheria Tetanus Meningococcus meningitis Compulsory vaccinations linked to different occupations

Nagy K. FEAM 2006., Brussels Yellow fever Hepatitis A Hepatitis B Rabies Cholera Enteric fever Meningococcus meningitis Poliomyelitis Tetanus Measles, Mumps, Rubella Varicella Influenza Pneumococcus infection Compulsory or recommended vaccinations related to traveling to foreign countries

Nagy K. FEAM 2006., Brussels Calendar of booster vaccinations in Hungary yearMMPV 14 yearHepatitis B 11 yearDiTe 6 yearInfanrix IPV 3 yearInfanrix IPV 18 monthInfanrix IPV * + Hib When toVaccine given * pertussis, Diphtheria, Tetanus, inactivated Polio

Nagy K. FEAM 2006., Brussels Anthrax Brucellosis Lyssa Wound (suspected lyssa) Avian influenza Malleus Trichinellosis Tuberculosis Tularaemia Animal infectious diseases transmittable to man Suffer from any of the following diseases, or suspected to be infected from animal:

Nagy K. FEAM 2006., Brussels Calendar and execution ratio of the compulsory vaccination in Hungary between ,9Hepatitis B III 99,7 Hepatitis B II 99,699,8Hepatitis B I 99,499,7MMR II 99,499,6Dt 99,9 DPT III + OPV 99,9 DPT II + OPV 99,899,9MMR I + OPV + Hib II 99,8 DPT I/c + OPV + Hib I/c 99,9 DPT I/b + OPV + Hib I/b 99,9100DPT I/a + IPV 100 Hib I/a 100 BCG Vaccine’s execution ratio (%) Vaccine given From 1998 – Hib

Nagy K. FEAM 2006., Brussels The number of infectious diseases preventable by compulsory vaccinations in Hungary between # : imported cases included; *: imported cases; N/A: No data Tetanus 23255N/AHaemophilus meningitis Parotitis epidemica Rubella 2*---20 # 1*Measles Pertussis Diphtheria Poliomyelitis anterior acuta N/AHepatitis B Disease

Nagy K. FEAM 2006., Brussels The number of infectious diseases preventable by newly recommended vaccinations in Hungary between Varicella Enteritis infectiosa Disease

Nagy K. FEAM 2006., Brussels Members of the Professional military forces Students of cadet schools and military academy DiTe Enteric fever Hepatitis A and B Measles, Mumps, Rubella Meningococcus meningitis A, C Participants of NATO Missions Compulsory vaccinations linked to military forces

Nagy K. FEAM 2006., Brussels Minorities and immigration in Hungary

Nagy K. FEAM 2006., Brussels Hungarian minorities, 2001* Minorities Mother languagenationality cultural speak in family _________________________________________________________________________ Gipsies Germans Croats Slovakians Rumanians *Source: Central Statistical Office

Nagy K. FEAM 2006., Brussels Tiszadada Tiszadob Tiszalök FIELD STUDY Forrás:KSH 2002 Distribution of Gipsy population in Hungary

Nagy K. FEAM 2006., Brussels Taking a blood sample in a Gipsy family of North-East Hungary

Nagy K. FEAM 2006., Brussels 250 million new cases of STIs annually (WHO) 175 million migrants globally Hungary is a target of legal and illegal immigrants: Illegal immigration, Hungary 1990 – from 164 countries of the world. 88% of them are from 13 countries (romanians, turkish kurds, kosovonians, afghans, iraquis, pakistanis, indians, sri lankans, sierra leonians, somalians, etc.) Immigration

Nagy K. FEAM 2006., Brussels

TBC Malaria HIV/AIDS Most frequent infectious diseases linked to immigration to Hungary

Nagy K. FEAM 2006., Brussels HIV infection in refugee camps in Hungary Nyírbátor, refugee from 18 countries 1 HIV positive

Nagy K. FEAM 2006., Brussels EUROPE IS HERE ! STARTING POINT OF EUROPEAN CHRONOLOGY: MAY 1, H MAY 1, H (OFFICIAL WEBSITE OF THE HUNGARIAN GOVERNMENT)