Benchmarking Regional Health Management II (BenRHMII) ___________________________________________________________________________________________________________________________________________________________________ Illus. 9: Type of register for vaccinated persons 70 kind of register "Register" for vaccinated persons (local, regional, national) (n = 18) no register local regional national regional + local regional + national regional + local + national PT RU HU-S, UK 0 1 2 3 4 5 6 - 244 - CH, EL, NRW LT, CZ HU-G, IE, IT-E, IT-S, IT-V AT, BE, BG, DE-ST number of regions The project thus shows that most regions keep vaccination registers at the local level. It is quite interesting that in each Italian region these registers have been implemented at the local level. The project moreover reveals that the most extensive documentation is being held by Moravia-Silesia (CZ) and Kaunas (LT) since these regions capture vaccinated persons at the local, regional and national level. Apart from Upper-Austria (AT), all regions interviewed keep a register on severe adverse reactions. 71 In Upper-Austria, this type of information is collected by the health authorities. 220.127.116.11 Target groups for the first and second measles vaccination The World Health Organisation recommends the first measles vaccination be given to chil- dren at the age of 12 months. In the regions interviewed, we discovered that the age at which children are vaccinated against measles for the first time varies considerably. 70 Missing information: Västra Götaland (SE). 71 Missing information: Västra Götaland (SE).
Benchmarking Regional Health Management II (BenRHMII) ___________________________________________________________________________________________________________________________________________________________________ Illus. 10: Immunisation schedule: first measles vaccination IT-V 0 2 3 --- 10 11 Age of children in months DE-NRW, DE-ST CH, BE, RU EL, IE, IT-E WHO 1 1 http:// www.who.int/mdg/goals/goal4/measles/en/print.html (01.02.2006) 12 - 245 - BG, UK 13 AT 14 CZ, HU-G, HU-S, IT-S, PT Three regions, i.e. Ticino (CH), Flemish Community (BE) and Chuvash Republic (RU) pre- cisely stick to the WHO recommendation 72 . In Veneto (IT), “newborns up to two months of age” are already immunised against measles. With 11 up to 14 months respectively, the time- frame in North Rhine-Westphalia (DE) and Saxony-Anhalt (DE) is wider. A similar time- frame for the first measles immunisation exists in Western-Greece (EL), Dublin/Mid-Leinster and Dublin/North-East (IE) and Emilia-Romagna (IT). They recommend the first measles immunisation between the 12 th and 15 th month of life. 72 Missing information: Västra Götaland (SE). LT 15 16 17