Influenza Immunization

Immunization is the primary prevention efforts are an try to keep away from the occurrence of events that lead to disease or a person is sick or suffer injuries and disabilities. World Bank declared the immunization ought to be the first investment for the government public health programs around the globe because it is the most beneficial health interventions in terms of cost. And it ought to be emphasized that immunization does not only provide prevention against individuals who are immunized, but will provide a far broader impact because it will prevent the widespread transmission with an increase in immunity in general in society.

In developing countries the largest cause of death was infectious diseases. of the prevention hard work on the incidence of infectious disease is to over out immunization. From the economic point of view, prevention is a way of protection against infection is the most effective and far cheaper than cure.

Influenza disease is a highly contagious disease and may cause epidemics or pandemics. In subtropical countries increased incidence of influenza may even cause outbreaks  every winter. In the United States, influenza causes twenty,000 deaths per year ±. The group most influenza sufferers are children, but complications and highest mortality occurred in people aged> 65 years and individuals who have high risk. In Japan, implementation of immunization programs to prevent influenza in school children 37000-49000 deaths per year, or about one death for every 420 children immunized. The program also reduces the transmission rate of infection in the community.

In Indonesia have been encouraged immunization program, in children who are included in the Development Programme Immunisation (PPI). In addition, plenty of businesses other immunizations that are not included in the PPI (non-PPI), of which is the influenza immunization. Influenza immunization is strategy to reduce morbidity and mortality from influenza disease. The largest advantage of this immunization is for individuals who have a high risk of extreme influenza and its complications.

Influenza immunization is useful, but the socialization of the application of this immunization in the community was only slightly increased the use of vaccines. Influenza disease by plenty of to be a gentle disease, whereas influenza in high risk groups can lead to complications and death. After realizing the situation, then in 1999 the American Relatives of Physicians (AFP) lowering the age of the use of immunizations beginning at age 50 while The Advisory Committee on Immunization Practices (ACIP) also recommends immunization beginning at age 50 years.

In children aged 0-4 years, the number of inpatient hospital admissions is a healthy infant one:1000 and one:2000 children with basic diseases. Hospitalization rates in children at hospitals with those aged> 65 years. The average hospitalization due to influenza is 114,000 per year,> 50% of patients were aged 65 years elderly, tiny children, and people with the basic disease is what encourages the Advisory Committee on Immunization Practices (ACIP) last in 2002 to formulate recommendations regarding influenza immunization.

Issues

In Indonesia, influenza immunization has been done, but the gift is still limited to the pilgrims before leaving for Saudi Arabia, in accordance with the recommendation of the Director General of Communicable Disease and Environmental Health Ministry of Health in 2000. Influenza immunization is recommended only on the pilgrims at definite high-risk groups, such as the pilgrim age> 65 years, have heart disease, chronic lung, diabetes mellitus and weakened immune systems pilgrims.

In the recommendations made by the Indonesian Pediatric Association (IDAI) in Books Immunization in Indonesia, immunizations given to children with congenital heart defects and other chronic diseases, as well as receiving immunosuppressive therapy.

Until now there has been a regional or national official document on the incidence, morbidity and mortality of influenza since most people still think that influenza is a gentle disease. Influenza immunization is still an argument whether the time of administration, target delivery and cost effectiveness when applied in Indonesia.

Consensus Adult Immunization Specialist Doctors Association of Indonesia (PAPDI) recommends the use of influenza immunization in people aged 50 years or older or in more youthful individuals who have chronic illnesses. That is what motivates the study of influenza immunization for children and adults, as the WHO's call to the country that do not yet have a national policyowner on influenza immunization influenza epidemic influence on the economy as a basis for setting policyowner of prevention of influenza.