Infect Chemother.  2017 Dec;49(4):247-254. 10.3947/ic.2017.49.4.247.

The Korean Influenza National Immunization Program: History and Present Status

Affiliations
  • 1Division of Infectious Diseases, Department of Internal Medicine, Guro Hospital, Korea University College of Medicine, Seoul, Korea. heejinmd@korea.ac.kr
  • 2Division of Vaccine Preventable Disease Control and National Immunization Program, Korea Centers for Disease Control and Prevention, Osong, Korea.

Abstract

The Korean influenza national immunization program was first established as an interim program in 1997, administering the influenza vaccine to low-income elderly adults. In 2005, the program assumed its present form of providing free influenza vaccination to adults aged ≥65 years. After turning over the influenza vaccination for elderly adults to the private sectors in 2015, the influenza vaccination coverage rate among this population increased to >80%. In addition, after the 2009 H1N1 influenza epidemic crisis, the vaccine was domestically produced. By reaching a 75% vaccination coverage rate in the target groups, it was possible to put an end to the influenza pandemic and fix the shortcomings of the system that existed at that time. The influenza vaccination program, provided free of cost, was extended to include infants aged < 12 months in 2016 and ≤59 months in 2017 in order to reduce the influenza burden in these populations. However, the vaccine effectiveness remains low despite the high vaccination rates in elderly adults. Therefore, several areas, such as the adoption of quadrivalent influenza vaccine, adjuvanted influenza vaccine, and high-dose influenza vaccine and the expansion of vaccination target groups, still need to be addressed.

Keyword

Korea; Influenza; Vaccination; Immunization; History

MeSH Terms

Adult
Aged
Humans
Immunization Programs*
Immunization*
Infant
Influenza Vaccines
Influenza, Human*
Korea
Pandemics
Private Sector
Vaccination
Influenza Vaccines

Figure

  • Figure 1 Timeline of the national immunization program for influenza and change in the vaccination rate among elderly adults aged ≥65 years

  • Figure 2 Targeted sequential influenza H1N1 immunization as a pandemic control strategy during the 2009 influenza H1N1 pandemic *Data: Public Health Weekly Report


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