• Vaccination coverage is declining in the EU. The European Commission has issued a proposal for Council Recommendation https://ec.europa.eu/health/sites/health/files/vaccination/docs/com2018_2442_en.pdf to help increase vaccination coverage, foster the alignment of vaccination schedules across the EU, promote vaccine acceptance, support vaccine research and strengthen vaccine supply, procurement and stock management, especially in cases of emergency. This recommendation strongly believes in that these activities will decrease the incidence of vaccine preventable diseases.

      I was very pleased with the earlier comment on this by the European Academies Science Advisory Council (EASAC) and the Federation of European Academies of Medicine (FEAM) https://www.feam.eu/vaccination-in-europe/ : they warn the EC against a one-size-fits-all approach; stated that solutions to improve vaccine coverage need to be tailored to each member state; and that the proposal of a ‘core EU vaccination schedule’ will most likely be “an enormous and futile effort”, and that “the Recommendation should recognize that not all vaccines are of equal relevance for public health and individual protection”.

      I read the proposal for recommendation and it is overloaded with a kind of fear for the anti-vaccination lobby and a blind faith in all kind of vaccination. I did not like the definition of the public as being ignorant as well.

      For me, I think it is of the utmost importance to preserve the vaccination program that protects against the most contagious, serious and also deadly diseases and aim at the highest coverage possible. But I think it is necessary to say goodbye to including in the vaccination program all possible – often less effective – vaccines against all possible – not that deadly – diseases.

      Because with a restricted vaccination program achieving high coverage, the number of fatalities and disabled persons will be much lower than with an ‘all-protective’ program with too low a coverage. The public support will not increase by the proposed over the top measures.