Josephine van Dongen

Chapter 7 182 XV.If b, Rotavirus vaccination should be free of charge and par t of standard care for high risk infants; born premature or dysmature or with congenital disorders. But not for “healthy” infants, because: (Multiple answers possible) a.In “healthy” infants the costs of vaccination dont outweigh the benefits, the money could be better spent. b.In “healthy” infants, the severity and frequency of rotavirus infections is insufficient to justify vaccination. c.Adding an extra vaccination to the National Immunization Program affects compliance. d.Other, i.e. XVI.If b,The responsibility for indicating eligible infants should lay with: a.The preventative care system, the municipal health physicians set the indication. b.The first line care system, the general practitioner sets the indication. c.The second- and third line care system, the pediatrician sets the indication. XVII.If b,Which healthcare system should deliver rotavirus vaccination to eligible infants: a.Rotavirus vaccination administered via second and third line pediatric care (conform RIVAR project). b.Rotavirus vaccination administered via second and third line pediatric care in cooperation with well-baby clinics. c.Rotavirus vaccination administered via first line care, general practitioner. d.Rotavirus vaccination administered via well-baby clinics, second and third line pediatric care not involved. e.Other, i.e. XVIII.If c, Rotavirus vaccination should not be implemented as standard of care in the Netherlands, because: (Multiple answers possible) a.The risk of adverse events (such as intussusception). b.The rotavirus disease burden doesn’t justify implementation. c.The high costs related, the money could be better spent. d.Other, i.e.