Rate is below 90 percent: gaps in Germany are greater than previously assumed

How many children are not vaccinated in Germany? The Barmer health insurance Fund assumes that the gaps are larger than in the official statistics. Is there something to it?

After an analysis of the Barmer health insurance Fund in Germany, there are larger gaps. The Fund has examined, among other things, for around 45,700 school beginners who have been insured in 2017, in the case of your billing data. Then disease, such as measles, Mumps or rubella were immunized with none of the important infection enough children, informed the Barmer on Thursday at the launch of their medicines, reports. The vaccination rates were according to the cashier is consistently under 90 percent. It was alarming, said the Barmer-chief Executive Christoph Straub. Because for a protective effect in the company’s immunisation rates of at least 95 percent would be necessary.

"The gaps in the case of small children in Germany are larger than in the past bekannt", Daniel Grandt, co-author of the drug reports, and chief physician at the Klinikum Saarbrücken summed up. So was under the Barmer-Insured, more than every fifth child born in 2015, in the first two years of life is not at all or only partially vaccinated against measles.

The lag vaccination rate – i.e. the proportion of children who had received the two planned measles vaccination – only in the case of 78.9 percent. In the case of six-year-old children, which came in 2011 to the world, the measles vaccination Coverage in case of Barmer-Insured 88.8%.

Extrapolated to the total population of the study revealed a number of just over 166,000 two-year-olds were in the year 2017 without the full measles protection. "In Germany, still too few children are vaccinated – which makes the eradication of certain infectious diseases is impossible, and prevents the protection for all those who can not vaccinate können", warned Barmer-chief Executive Christoph Straub.

Nine percent of the School without a Vaccination card

According to the official data of the school entrance investigations at the Robert Koch-Institute (RKI) was the vaccination Coverage for the first measles vaccination in 2017, at around 97 percent. In the case of the second measles vaccination, there were almost 93 percent. However, about nine percent of school beginners had no Vaccination card.

The RKI had described in his methodology, therefore, that the vaccination rates may be slightly high, it was said on Thursday by the Federal authority. You would see all of the children without a vaccination card than unvaccinated, this would result in overlooking of the Measles in the school at the beginning of a vaccination Coverage of only 81.4 percent. The Barmer-data with 88.8% were between that in the most unfavorable assumption and the cheapest by almost 93 percent.

Also the RKI had already drawn attention to deficits in Vaccinations, it was more. The evaluation of the Barmer thoroughly. “With the data, only about eleven percent of the informed legally Insured in Germany is shown and it remains open how representative this is insured clientele for Germany”, the RKI further, however.

Numbers are extremely questionable

The Barmer-analysis show the picture of the actual vaccination rates, stress the authors of the study. In addition to measles, there is more gaps. So were among the Barmer-Insured 2017 vaccinated only 88.7 percent of the six-year-old against Mumps and rubella. This is very worrying because children and young people would stay in their gaps, even in adulthood, said Straub.

The health insurance companies AOK or TK have not carried out such aufwenigen surveys for their Insured yet. There is, however, the Impfsurveillance the physicians ‘ Association, the working is also Insured with billing data by law. The most recent data for 2014 indicate at two-year for measles nationwide Coverage of 73.9 per cent, but with large regional Differences from 68.9 percent in the state of Baden-Württemberg to 80.5 percent in Hamburg.

The barmen looked at her, an Insured, such as many of the children had received in the first two years of life at all, none of the 13 recommended vaccinations: The 1855 children, coming in 2015 to the world – about three per cent.

The Barmer-statistics also shows an encouraging Trend: In the case of measles, the vaccination rates increased – from 73.8 in 2010 to 78.9 percent in the class of 2015. An increase in the Impfsurveillance the kassenärztliche Vereinigung observed. The most recent data for 2014 to determine nationwide, with a rate of 73.9 percent, about three percentage points more than in 2010.

The Federal Cabinet has brought to the middle of July a new law for a measles vaccination on the way. As of March 2020, the parents must demonstrate, prior to the inclusion of their children in a nursery or school that they are vaccinated. The Bundestag must still approve it.

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