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Review

Evolving strategies for meningococcal vaccination in Europe: Overview and key determinants for current and future considerations

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Figures & data

Figure 1. Plain language summary.

Figure 1. Plain language summary.

Figure 2. Evolution over time of meningococcal vaccination strategies in European countries.

Notes:a as Hib-MenC;b depending on the vaccine used, an additional dose (at 2 months) can be administered;c in 2 regions, a MenACWY dose is administered instead of the second dose of MenC vaccine at 12 months of age;d two introduction phases (private and public [funded] sector); dates for the public sector are given;e children born after the 1st of January2021 are included in the programme;f Liechtenstein follows the Swiss vaccination plan. MenC vaccination is recommended, but not part of the basic vaccination programme;g part of the complementary vaccination schedule, which is fully reimbursed since 2006;h in June 2021, the French National Authority for Health recommended that MenB vaccination is included in the national immunization programme;i starting from 2005 in some regions in Italy;j MenC vaccination was initially offered free of charge to all those requesting it by 31 March2017;k MenB vaccination is free of charge if the first dose is administered before 6 months of age. References supporting the information in this figure are provided in Supplement S1.
Figure 2. Evolution over time of meningococcal vaccination strategies in European countries.

Figure 3. Evolution of serogroup-specific invasive meningococcal disease incidence and meningococcal vaccination strategies for 5 European countries.

IMD, invasive meningococcal disease; Men, meningococcal serogroup; M, months; N, number of cases; NIP, national immunization programme; Y, years. Note:Notification rates from the ECDC Surveillance Atlas [Citation21].
Figure 3. Evolution of serogroup-specific invasive meningococcal disease incidence and meningococcal vaccination strategies for 5 European countries.

Figure 4. Distribution of reported serogroup-specific invasive meningococcal disease cases by age in European countries, 2014–2018

Men, meningococcal serogroup. Note:Data from the ECDC Surveillance Atlas [Citation21].
Figure 4. Distribution of reported serogroup-specific invasive meningococcal disease cases by age in European countries, 2014–2018

Figure 5. Introduction of routine meningococcal vaccination and current vaccination schedule in non-European countries

M, month (of age); Men, meningococcal serogroup; Y, year (of age). Notes:a varies by provinces and territories, in terms of schedule and implementation date;b on the basis of shared clinical decision-making;c two doses, 3 months apart;d if the child has not received the MenA polysaccharide vaccine between 2 and 4 years of age, he will receive the MenA plus MenC polysaccharide vaccine with a 3-year interval between the initial immunization and booster dose. References supporting the information in this figure are provided in Supplement S1.
Figure 5. Introduction of routine meningococcal vaccination and current vaccination schedule in non-European countries
Supplemental material

Supplemental Material

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