Journal of Vaccines & Vaccination

How do we prioritize vaccines for different countries?

29^th International Conference on Vaccines and Immunization

March 19-20, 2018 | London, UK

Pramod Jog

Dr. D. Y. Patil Medical College, Hospital & Research Centre, India

Keynote: J Vaccines Vaccin

Abstract:

Vaccines recommended under the National Immunization Program (NIP) are based on the promises that they will prevent the morbidity and mortality due to the illnesses that they cover, and have a high prevalence in that country. Hence, they become the first priority for any practitioner of medicineâ??both in public and in private sector. Sometimes, local and seasonal epidemiology will also have a bearing. Besides the burden of the disease, certain child specific conditions will also determine the priorities in vaccination. Affordability and cost of the vaccines remain the biggest challenge in deciding priorities in developing countries. The vaccine having lower cost but comparable efficacy should be preferred to enable more vaccines in oneâ??s immunization kitty. Many ethical questions will also weigh while deciding priorities. This talk discusses role of all these issues on deciding a vaccination schedule of an individual child in office setting. Vaccination remains one of the most cost-effective preventions in the medical field. Even the cost of most expensive vaccines is less than the burden of the morbidity and mortality of the illnesses, and the cost of their treatment thereof. Every child has the right to receive all the approved, age appropriate vaccines in that country. Yet not many would be able to afford them. Therefore, the private practitioner has to prioritize on the offering of as many vaccines as possible to as many children coming to his/her facility. Designing an immunization schedule of an individual child with resource strains is indeed a daunting task. One has to prioritize various vaccines based on disease epidemiology, affordability, risk to that particular child, and also availability of affordable vaccines in the vicinity. Hence, various factors need to be considered while prioritizing the vaccines. These factors can be conveniently placed in the form of a mnemonic Nescafe which stands for need, efficacy, safety, cost, affordability, flexible situations and ethical issues.

Biography :

Pramod Jog is Professor of Pediatrics at Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pune, India. He has been the President of Indian Academy of Pediatrics, 2016. He is standing committee member of IPA (International Pediatric Association) 2016-19, steering committee member of GAVI (CSO) 2016-19 and Associate Fellow.