• Usutu virus infection in Dutch blood donors.

      Zaaijer, Hans L; Slot, Ed; Molier, Michel; Reusken, Chantal B E M; Koppelman, Marco H G M (2019-09-01)
    • Utility of a next generation framework for assessment of genomic damage: A case study using the industrial chemical benzene.

      Luijten, Mirjam; Ball, Nicholas S; Dearfield, Kerry L; Gollapudi, B Bhaskar; Johnson, George E; Madia, Federica; Peel, Lauren; Pfuhler, Stefan; Settivari, Raja S; Ter Burg, Wouter; et al. (2019-11-09)
    • Utility of emergency call centre, dispatch and ambulance data for syndromic surveillance of infectious diseases: a scoping review.

      Duijster, Janneke W; Doreleijers, Simone DA; Pilot, Eva; van der Hoek, Wim; Kommer, Geert Jan; van der Sande, Marianne Ab; Krafft, Thomas; van Asten, Liselotte Chi (2019-10-12)
    • UV-blootstelling bij industriële en medische toepassingen

      Rijksinstituut voot Volksgezondheid en Milieu, 2020-05-01
      Deze brochure is bedoeld voor alle werknemers die werkzaamheden verrichten waarbij blootstelling aan ultraviolette (UV) straling kan optreden. In het bijzonder gaat het hierbij om ontsmetting van oppervlakken, water en lucht, UV-therapie, fluorescentieonderzoek, droogprocessen en overige grafische processen. De brochure is ook bedoeld voor de werkgever van deze werknemers en zijn preventiemedewerker. De brochure gaat alleen over de risico’s van UV-straling, niet over andere risico’s op de werkplek.
    • V-MRSA-dragerschap en het dagelijks leven van veehouders

      Domsdorf TAPB; Haverkate MR; Eilers R; Timen A (2017-09)
    • Vaccinatie tegen meningokokkenziekte.

      Knol, M; Freudenburg, W; Berbers, G; Ruijs, H; de Melker, H; van der Ende, A (2020-02-17)
    • [Vaccinatie van immuungecompromitteerde patiënten. Wanneer wel, wanneer niet?

      Goorhuis, Abraham; Garcia-Garrido, Hannah M; Vollaard, Albert M (2020-09-03)
    • Vaccinatieprogramma's in Nederland ; Impact op het aantal ziektegevallen.

      Tulen, Anna D; van Wijhe, Maarten; Korthals Altes, Hester; McDonald, Scott A; de Melker, Hester E; Postma, Maarten J; Wallinga, Jacco (2018-09-20)
      To quantify the impact of long-standing vaccination programmes on notified cases in the Netherlands. Estimates based on model projections of historical morbidity data. We collected and digitised previously unavailable monthly case notifications of diphtheria, poliomyelitis, mumps and rubella in the Netherlands over the period 1919-2015. Poisson regression models accounting for seasonality, multi-year cycles, secular trends and auto-correlation were fit to pre-vaccination periods. Cases averted were calculated as the difference between observed and expected cases based on model projections. In the first 13 years of mass vaccinations, case notifications declined rapidly with 18,900 (95%-CI: 12,000-28,600) notified cases of diphtheria averted, 5100 (95%-CI: 2200-13,500) cases of poliomyelitis, and 1800 (95%-CI: 1000-3200) cases of mumps. Vaccination of 11-year-old girls against rubella averted 13700 (95%-CI: 1400-38,300) cases, while universal rubella vaccination averted 700 (95%-CI: 80-2300) cases.
    • Vaccinaties in het eerste levensjaar en gerapporteerde allergische aandoeningen bij kinderen van 8-12 jaar

      Bernsen, R M D; Jongste, Johan C de; Koes, B W; Aardoom, H A; Wouden, J C van der (RIVM, 2006-06-01)
      Evidence for the relationship between the diphtheria tetanus pertussis (DTP) vaccination and allergic disorders is inconclusive, because the available studies that constitute the evidence are liable to confounding by indication. Further the Haemophilus influenzae type b (Hib) vaccination was added recently to most existing vaccination programmes and therefore no conclusive data on the relationship with allergic disorders are yet available. Objective of the study was to assess the relationship between vaccinations in the first year of life and reported allergic disorders at primary school age. We conducted a cross sectional study in 1875 children attending Orthodox Reformed (Protestant) primary schools in the Netherlands. The parents returned questionnaires with data on vaccination status, allergic symptoms and lifetime allergic disorders (asthma, hay fever, eczema and food allergy), and possible confounders. In the diphtheria tetanus pertussis (inactivated) poliomyelitis (DTP-IPV) vaccinated group Hib vaccinated and Hib unvaccinated children were compared as to allergic disorders. No clinically or statistically significant differences in the prevalence of asthma, hay fever, eczema and food allergy appeared between vaccinated and unvaccinated groups. The DTP-IPV vaccination and the Hib-vaccination, administered in the first year of life, do not increase the risk of allergic disorders in 8-12 years-old, Dutch children.
    • Vaccinating children against influenza increases variability in epidemic size.

      Backer, J A; van Boven, M; VAN DER Hoek, W; Wallinga, J (2018-10-10)
      Seasonal influenza causes a high disease burden. Many influenza vaccination programmes target the elderly and persons at high risk of complications. Some countries have recommended or even implemented a paediatric vaccination programme. Such a programme is expected to reduce influenza transmission in the population, offering direct protection to the vaccinated children and indirect protection to the elderly. We study the impact of a child vaccination programme with an age- and risk-structured transmission model, calibrated to data of 11 influenza seasons in the Netherlands. The model tracks the build-up of immunes and susceptibles in each age cohort over time, and it allows for seasonal variation in vaccine match and antigenic drift. Different vaccination strategies are evaluated for three target age groups (2-3, 2-12 and 2-16 year olds) over the full range of vaccination coverages (0-100%). The results show that the paediatric vaccination programme has only a limited impact on the elderly age groups, which account for most influenza morbidity and mortality. This is due to two notable changes in infection dynamics. First, an age shift is observed: influenza infections are reduced in vaccinated children, but are increased in young adults with limited natural immunity after years of vaccination. These young adults assume the role of driving the epidemic. Second, a year with low influenza activity can be followed by a large epidemic due to build-up of susceptibles. This variation of the infection attack rate increases with increasing vaccination coverage. The increased variability in the infection attack rate implies that health care facilities should be prepared for rare but larger peaks in influenza patients. Moreover, vaccinating the group with the highest transmission potential, results in a larger dependency on a secure vaccine supply. These arguments should be taken into account in the decision to introduce mass vaccination of school-aged children against influenza.
    • Vaccinating children against influenza: overall cost-effective with potential for undesirable outcomes.

      de Boer, Pieter T; Backer, Jantien A; van Hoek, Albert Jan; Wallinga, Jacco (2020-01-14)
    • Vaccination attitudes, beliefs and behaviours among primary health care workers in northern Croatia.

      Tomljenovic, Morana; Petrovic, Goranka; Antoljak, Nataša; Hansen, Lisa (2020-12-29)
    • Vaccine antigens modulate the innate response of monocytes to Al(OH)3.

      Kooijman, Sietske; Brummelman, Jolanda; van Els, Cécile A C M; Marino, Fabio; Heck, Albert J R; van Riet, Elly; Metz, Bernard; Kersten, Gideon F A; Pennings, Jeroen L A; Meiring, Hugo D (2018)
      Aluminum-based adjuvants have widely been used in human vaccines since 1926. In the absence of antigens, aluminum-based adjuvants can initiate the inflammatory preparedness of innate cells, yet the impact of antigens on this response has not been investigated so far. In this study, we address the modulating effect of vaccine antigens on the monocyte-derived innate response by comparing processes initiated by Al(OH)3 and by Infanrix, an Al(OH)3-adjuvanted trivalent combination vaccine (DTaP), containing diphtheria toxoid (D), tetanus toxoid (T) and acellular pertussis (aP) vaccine antigens. A systems-wide analysis of stimulated monocytes was performed in which full proteome analysis was combined with targeted transcriptome analysis and cytokine analysis. This comprehensive study revealed four major differences in the monocyte response, between plain Al(OH)3 and DTaP stimulation conditions: (I) DTaP increased the anti-inflammatory cytokine IL-10, whereas Al(OH)3 did not; (II) Al(OH)3 increased the gene expression of IFNγ, IL-2 and IL-17a in contrast to the limited induction or even downregulation by DTaP; (III) increased expression of type I interferons-induced proteins was not observed upon DTaP stimulation, but was observed upon Al(OH)3 stimulation; (IV) opposing regulation of protein localization pathways was observed for Al(OH)3 and DTaP stimulation, related to the induction of exocytosis by Al(OH)3 alone. This study highlights that vaccine antigens can antagonize Al(OH)3-induced programming of the innate immune responses at the monocyte level.
    • Vaccine confidence among parents: Large scale study in eighteen European countries.

      Hadjipanayis, Adamos; van Esso, Diego; Del Torso, Stefano; Dornbusch, Hans Jürgen; Michailidou, Kyriaki; Minicuci, Nadia; Pancheva, Ruzha; Mujkic, Aida; Geitmann, Karin; Syridou, Garyfallia; et al. (2020-02-05)
    • Vaccine effectiveness against influenza A(H3N2) and B among laboratory-confirmed, hospitalised older adults, Europe, 2017-18: A season of B lineage mismatched to the trivalent vaccine.

      Rose, Angela M C; Kissling, Esther; Gherasim, Alin; Casado, Itziar; Bella, Antonino; Launay, Odile; Lazăr, Mihaela; Marbus, Sierk; Kuliese, Monika; Syrjänen, Ritva; et al. (2020-05-01)
    • Vaccine preferences and acceptance of older adults.

      Eilers, R; de Melker, H E; Veldwijk, J; Krabbe, P F M (2017-05-15)
      Expanding vaccination programs for the older population might be important as older adults are becoming a larger proportion of the general population. The aim of this study is to determine the relative importance of vaccine and disease specific characteristics and acceptance for Dutch older adults, including pneumococcal disease, herpes zoster, pertussis vaccination, and influenza vaccination.
    • Vaccines to Protect Older Adults against Pneumococcal Disease.

      van de Garde, Martijn D B; Knol, Mirjam J; Rots, Nynke Y; van Baarle, Debbie; van Els, Cécile A C M (2020-01-01)
    • A validated search filter for the identification of endocrine disruptors based on the ECHA/EFSA guidance recommendations.

      Escrivá, Laura; Hessel, Ellen; Gustafsson, Susanne; van Spronsen, Rob; Svanberg, Magdalena; Beronius, Anna (2020-09-01)