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

2. 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

3. 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:

4. 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:

5. 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

6. 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

7. 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

8. 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

9. 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

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

11. 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:

12. Nagy K. FEAM 2006., Brussels Calendar and execution ratio of the compulsory vaccination in Hungary between 1998-2005 --99,9Hepatitis 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 20052004 Vaccine’s execution ratio (%) Vaccine given From 1998 – Hib

13. Nagy K. FEAM 2006., Brussels The number of infectious diseases preventable by compulsory vaccinations in Hungary between 2000-2005 # : imported cases included; *: imported cases; N/A: No data 3145810Tetanus 23255N/AHaemophilus meningitis 7210010898183223Parotitis epidemica 3236474265107Rubella 2*---20 # 1*Measles 223129611Pertussis ------Diphtheria ------Poliomyelitis anterior acuta 119131143159 N/AHepatitis B 200520042003200220012000Disease

14. Nagy K. FEAM 2006., Brussels The number of infectious diseases preventable by newly recommended vaccinations in Hungary between 2000-2005 526085213239486402884217943728Varicella 329613494338512393903385035080Enteritis infectiosa 200520042003200220012000Disease

15. 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

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

17. Nagy K. FEAM 2006., Brussels Hungarian minorities, 2001* Minorities Mother languagenationality cultural speak in family _________________________________________________________________________ Gipsies48.685190.046 129.259 53.323 Germans 33.792 62.23388.416 53.040 Croats14.345 15.62019.715 14.788 Slovakians11.816 17.69226.631 18.056 Rumanians 8.482 7.995 9.162 8.215 *Source: Central Statistical Office

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

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

20. 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 – 1997 6.934 1997 - 2001 25.893 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

21. Nagy K. FEAM 2006., Brussels

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

23. Nagy K. FEAM 2006., Brussels 112 21 17 10 HIV infection in refugee camps in Hungary Nyírbátor, 2001 204 refugee from 18 countries 1 HIV positive

24. Nagy K. FEAM 2006., Brussels EUROPE IS HERE ! STARTING POINT OF EUROPEAN CHRONOLOGY: MAY 1, 2004 0.00 H MAY 1, 2004 0.00 H (OFFICIAL WEBSITE OF THE HUNGARIAN GOVERNMENT)