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Summary Research Q7 Biomedical evidence in practice - Biomedical Sciences Radboud University

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Summary of all substance of research Q7. The summary contains the following modules: vaccinations, uncertainty factors in risk assessment and screening as early diagnosis.

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November 16, 2020
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Summary research Q7



Vaccinations
 A vaccine is a biological preparation that improves immunity to a particular disease
 A vaccine typically contains an agent that resembles a disease-causing microorganism
o It is often made from
 weakened or killed forms of the microbe
 … its toxins
 or other purified components
o The agent stimulates the body’s immune system to recognize the agent as foreign,
destroy it and remember it
 Eradication  the complete and permanent worldwide reduction to zero new cases of the
disease trough deliberate efforts
 Elimination  the reduction to zero (or a very low defined target rate) of new cases in a
defined geographical area
 AEFI  any adverse event observed following immunization
o Some may be due to the vaccine, some due to error in the administration and some
are the result of unrelated coincidence
o An adverse vaccine reaction is a subset of AEFI  it refers to an vaccine-related
event caused or precipitated by a vaccine when given correctly
 Post-licensure surveillance
o Vaccines are now in use and recipients are no longer monitored in clinical trials
o Subpopulations frequently excluded from trials
o Other factors leading to AEFI need to be monitored for safety
o Uncommon and rare vaccine reactions and reactions with delayed onset may not be
detected pre-licensure
o Some commonly used vaccines have demonstrated rare and potentially severe AEs
 To ensure continued public acceptance of vaccines, it is essential to:
o Monitor the incidence of AEFIs
o Scientifically evaluate the likely acceptations
o Respond to newly identified risks from vaccines
o Communicate the benefits and risks to patients and parents trough a trusted health
care source in advance of the vaccination visit
 Type vaccines
o Live attenuated (LAV)
 Tuberculosis
 Oral polio vaccine
 Measles
 Rotavirus
 Yellow fever
o Inactivated (killed antigen)
 Whole-cell pertussis
 Inactivated polio virus
o Subunit (purified antigen)
 Acellular pertussis
 Hepatitis B
 Pneumococcal


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