In February about the need to expand the national immunization calendar, said Deputy Prime Minister Olga Golodets. “This is not the case when we’re whole groups in kindergartens chicken pox. And then ill adults, which is much more dangerous and lethal. Young children must be vaccinated against rotavirus”, she said.
Efforts to expand the list of diseases included in the national immunization schedule, conducts special group in the Federation Council. This was told by a member of the Federation Council Committee on social policy Yuri Arkharov at the briefing “Immunization in Russia: national priorities and opportunities” organized by RBC. “Now the schedule of vaccinations does not include many infections, such as rotavirus, hepatitis a, human papillomavirus (HPV), varicella. Work on the inclusion in national immunization schedule in progress”, – said the expert. The exact timing of any of these diseases in the calendar is not yet known, however, in some regions there are already pilot projects, he said.
Changes in the calendar
In addition, the task force now working on the possibility of introducing combined vaccines in the immunization schedule. “The most important measure of modernization of the national calendar of preventive inoculations is providing the combined vaccine against five or more infections,” – said the Senator. First, it will be protected from several diseases, and comprehensive vaccination will be less painful to move a child. For example, until a year and a half the child receives up to 20 vaccines. Secondly, this measure will reduce the burden on medical institutions.
According to managing Director of “Marathon Pharma” Igor Krylov, in the national immunization schedule must include the human papillomavirus, rotavirus and varicella. Now the experts who are making vaccination against papillomavirus to the list of priority vaccines because of its danger, said a senior researcher at the Department of vaccinal prevention of children with deviations in health status of FGAU “NPCS” of the Ministry of health Marina Fedoseenko. HPV infections are the cause of the cancer disease whose treatment is very expensive. So if you even consider vaccination from an economic point of view, it is profitable, not to mention saved the lives of the people, says Marina Fedoseenko. At the same time, to achieve the greatest effect from vaccination coverage with vaccines should be 95%.
To launch the production of vaccines against these diseases in Russia are technically possible, experts say. Now almost the entire calendar consists of domestic products. However, the problem, according to experts, is the willingness of people to vaccinate, but rather – in its absence. “Is it possible to produce vaccines in Russia. The question is – is it possible to get people involved in the process of immunization. For example, despite the fact that the vaccine against HPV for more than 10 years available on the Russian market, the number prebivalista girls is negligible. Although all girls at the age of 10-11 years of age should receive two injections in accordance with international recommendations. But this is not happening”, – said the managing Director of “Marathon Pharma”.
Why people do not want to be vaccinated
Among the main causes of failure to vaccinate people call side-effects, distrust of domestic medicine, or simply the lack of desire to undergo immunization. There is dissatisfaction with many of the vaccines for children side effects, most of which are far-fetched, said Yuri Arkharov. Still, the vaccine helps to fight serious diseases, and the remaining arguments relate more to the prejudices of the people, says the Senator.
Vaccinations – it is the same medicine, and it may not be absolutely safe. Every drug contains use part, some of the damage, appeals Igor Krylov. However, the use of vaccines proven long ago, he continues. While both domestic and foreign vaccines are born in one place, they have no homeland. “If we talk about the influenza vaccine. I have always said that drugs, in General, no homeland, and the vaccine against influenza is born all in one place. The reactants we obtained on the recommendation of the who from England, and any manufacturer begins to work with them”, – said Igor Krylov.
Therefore, the main problem that exists in immunization is the reluctance of people to be vaccinated. Experts believe that everyone should start with yourself and look at the real benefit of vaccination is protection from dangerous diseases. For example, no European tourists do not travel without vaccination of the traveler, experts say. Before you leave he will definitely go to the doctor, a special culture, we are all wrong. And if vaccination of children still more or less clear, about the adult immunization virtually no say, although in all developed countries, vaccination calendars are divided into children, Teens, adults and the elderly, said Marina Fedoseenko. Vaccination should be throughout life, it is the idea of actively broadcast experts from the who, and this needs to stick to it.
Achieving immunization in Russia
However, in the Russian immunization is a success. For example, in recent years significantly increased the number of people vaccinated against influenza, and the incidence has decreased, said Deputy Director for clinical and epidemiological work, senior researcher of “Moscow research Institute of epidemiology and Microbiology them. G. N. Gabrichevskogo” Rospotrebnadzor Eugene Selkov. “So, for 20 years (from 1996 to 2016), the incidence of influenza decreased by 85.5 times. The number vaccinated has grown 13-fold – from 4 million to 67.3 million people,” she said.
Another important point is the distribution of vaccination among children, which are indicators of diseases. In addition, the changed attitude of employers to immunization. Just last year, about 6 million people had been vaccinated against the flu at the initiative of the employer. Of course, we have room to grow, and we’re doing that, says Eugene selkov.
The key event in this direction will be the introduction of the tetravalent vaccine. “Today in Russia are vaccinated with trivalent vaccine two types of influenza A and one type B. next year will already be available quadrivalent vaccine, which will be presented and podgruppy and Agrippa B”, – says Igor Krylov.
However, without the desire of people to achieve success in immunization will not work. Pharmaceutical companies cannot compete with manufacturers is symptomatic of the funds in the advertising budget, and people must be talking about the benefits of vaccination. Few, for example, know that the state finances even postvaccine reaction, experts say.
The information in this area plays a dominant role, people need to know about vaccination and to put it on one scale with a healthy diet and exercise, they conclude.
