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Importance of childhood immunization coverage control
CHOCHOLOVÁ, Barbora
This diploma thesis deals with the issue of vaccination coverage among children. Vaccination in the Czech Republic has a long tradition and represents a very effective protection of children and adults not only against infectious diseases, but also against their consequences. It also prevents the development of infectious diseases. Vaccination is one of the most successful preventive methods that affect the health of individuals and the whole population. Vaccination is also very important for unvaccinated individuals. If the population reaches a high level of vaccination coverage, the spread of infection between vaccinated individuals is interrupted which significantly reduces the risk of transmission of infection to unvaccinated individuals as well. Vaccination thus protects also those who cannot be vaccinated because of illness, decreased immunity or other reasons. Currently, however, there are some opinions which question the usefulness and importance of compulsory vaccination. An increasing number of those who refuse vaccination occur due to the increased accessibility of the Internet and social networks, where we can notice a growing amount of information to the disadvantage of vaccination. The most common reason for refusing vaccination is the belief that some vaccinations are not necessary. The thesis is divided into two main parts - theoretical and practical. The first theoretical chapter contains an introduction to the issue of vaccination. In the following part of my thesis I deal with the system of vaccination in the Czech Republic, its planning, organization and control, and the role of public health protection authorities. The following chapter deals with the importance and division of vaccination and kinds of vaccines. The thesis is also focused on the diseases which are vaccinated against under mandatory vaccination scheme. At present mandatory vaccination in the Czech Republic includes vaccination against diphtheria, tetanus, pertussis, rubella, mumps, measles, transmissible polio, hepatitis B and invasive diseases caused by Haemophilus influenzae type b. Vaccination especially against tick-borne encephalitis, hepatitis A, diseases caused by pneumococci and invasive meningococcal disease is recommended. Last but not least, I also mention contraindications for vaccination and the adverse reactions after the vaccination. In the next chapter of the theoretical part I write about the implementation of vaccination and the control management of vaccination coverage in the Czech Republic. In conclusion of the theoretical part I deal with the issue of vaccination opponents and their reasons for refusing vaccination.
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