Unvaccinated children in the Federation will not be able to attend kindergartens, schools, nor be employed when they grow up

The head of the Department of Epidemiology Public Health Institute of the Federation of BiH prime. dr. Mirsad Mulaomerović said the past few years declining number of vaccinated children, and especially declining coverage vaccine against measles, rubella and mumps (MMR vaccine). But according to the new order of the Federal Ministry of Health, unvaccinated children in the future will not be able to attend kindergartens, schools ...

According to Dr. Mirsada Mulaomerović, vakcinisanost MMR vaccine in the FBiH fell to 64 percent, which is significantly below the average of 95 percent as much need for a collective immunity recommended by the World Health Organization (WHO).,Dr. Mulaomerović in an interview for FENA points out that the minimum coverage of MMR vaccine were recorded last year.

"Vaccination is the 11,843 children in the Federation of Bosnia and Herzegovina with the first dose of MMR vaccine, which is well below the goals set in order to eliminate this disease," she said.

Order of the Federal Ministry of Health

Federal Ministry of Health of the day, issued an order on the program of immunization of the population against infectious diseases for 2017, with whose application begins next week. This command is usually brings each year, with the year's statement aroused greater interest of the public due to more stringent measures that are foreseen in it.Namely, if the parents do not adhere to the regulations of the program of immunization, their children will not be enrolled in kindergartens, schools, collective accommodation, and check whether they received the vaccine will be carried out later in employment, according to a statement.

Department of Epidemiology, Institute of Public Health (IPH) of the Federation of Bosnia and Herzegovina has recently put forward a figure that is due to insufficient includes the MMR vaccine in the Federation in 2014 and 2015 there was an epidemic of measles. It was reported 5103 cases, and of that number, 553 children were hospitalized due to complications.Dr. Mulaomerović believes that the decline in the coverage of this vaccine in the Federation, and beyond, caused by misinformation about the effects that vaccines can cause, as well as the resistance that appeared to vaccination in general in the world and in our country, and the action of various movement against vaccination.

She says that the weak coverage vaccine caused the emergence of large epidemics of measles, both in Bosnia and Herzegovina, as well as in other countries.Also, Mulaomerović warns the public's distrust for vaccination seriously undermine the implementation of effective epidemic control measures in the case of the recent large outbreaks of measles in our country, and could complicate the implementation of measures in the event of a more fatal epidemic.

Vaccination in European countries

When it comes to the practice of vaccination in the European countries, that is, apart from Bosnia and Herzegovina, mandatory in Croatia, Serbia, Montenegro, Slovenia, Bulgaria, Czech Republic, Slovakia, Hungary, Poland, Romania and Malta.In Austria, Germany, Holland, Italy, Luxembourg, the UK, Denmark, Ireland, Spain, Greece, Portugal, Finland, Sweden, Cyprus, Estonia, Latvia and Lithuania, parents themselves choose whether they want their children to be vaccinated.In the last five years in Slovenia, 40 parents fined for refusing the vaccination of children in cases where there was no medical cause.

In Montenegro, is also characteristic trend rejection of MMR vaccine. From the Institute of Public Health warned in 2016 that the coverage with MMR decreased from 90 to only 64 percent.Montenegrin courts for minor offenses are punished 2015 12 parents with 500 euros, because they refused to vaccinate children.According to data of the Croatian Institute for Public Health, immunization coverage against measles, rubella and mumps (measles, rubella, mumps - MRP) 2010 was 96 per cent, in 2015 92.5 per cent, and it is believed that this average over the last two the further down, especially in Dalmatia.

In Serbia, according to a report of the local ministries of health, degree vakcinisanosti in 2015 was 89 percent, and against some diseases even lower. State Secretary of the Ministry of Health of Serbia Berislav Vekic Recently, however, said that Serbia is safe thanks to the regular vaccination of children the MMR vaccine and vaccination to level the last two years is 91 percent.

Before finding a vaccine, measles caused 2.6 million deaths

Doctors warn that because of the decline in the number of children vaccinated some ready-eradicated diseases, such as measles / measles, again could become a serious health problem.Before the discovery of the vaccine (in 1971 it was discovered a vaccine against measles, and in 1980 the combined MMR vaccine), this is the disease was widespread and it is estimated to cause about 2.6 million deaths every year.Mandatory vaccination against measles in BiH, with two doses of MMR vaccine, carried out for more than 35 years. The first dose children get to the age of 12 months, and another in the sixth year of life.

Required to be vaccinated anyone not recovered from measles, or not received two doses measles. It is especially important that children receive two doses of MMR (vaccine against measles, rubella and mumps) before starting school (up to 14 years they need to catch up). "Unwanted post-vaccination reactions are usually mild and include fever and brief rash that can occur 5 to 12 days after vaccination.

It is rarely possible a more serious reaction to the MMR vaccine, which the Department of public health has never been reported, "Dr. Mulaomerović.Ospice, serious viral bolestOspice / measles is a highly contagious, serious viral disease, which affects mostly children. Spread in droplets from the nose, mouth or throat of an infected person. Initial symptoms, which usually appear 10-12 days after infection, include high fever, runny nose, bloodshot eyes, tiny white spots on the inside of the mouth and red rash on the face and tijelu.

is no specific treatment, but most patients are recover within 2:00 to 3:00 sedmica.Ospice can be a serious disease in all age groups, however, complications of the disease is more common in children under 5 and adults older than 20 years, especially in people with weakened imunitetom.Uobičajene complications ear infection, which can lead to permanent hearing loss, and proljev.Komplikacije can be very serious, such as inflammation of the brain, which can lead to permanent consequences and pneumonia, the most common cause of death in children suffering from measles, and long-term, such as subacute sclerosing panencephalitis (SSPE), a rare but fatal disease of the central nervous system that develops 7-10 years after No about the person had measles, even though it was fully recovered from the infection.

• 27 Mar, 2017
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