VACCINATIONS
A recent report in the Deutsches Aerzteblatt shows that, for the first time in decades, the global vaccination rate for children has decreased. Basic vaccines like diphtheria, tetanus, and whooping cough (DTP) are especially impacted. Millions of children worldwide currently lack complete protection, even in regions that were previously well-covered.
What does this mean in practice?
The reasons vary significantly around the world. In many countries, vaccines or medical staff are lacking. Here in Germany, the overall situation is good, but there are still regional differences.
Measles: The vaccination rate at school entry is about 93 percent (RKI). That sounds high, but it is not enough to reliably prevent measles outbreaks. STIKO recommends at least 95 percent to stop the spread of the measles virus.
DTP (Diphtheria, Tetanus, Whooping Cough): These vaccinations are more stable in Germany, mostly above 95 percent, but there are still gaps, especially when it comes to booster shots.
HPV (Human Papillomavirus): This vaccination protects later in life against certain types of cancer. The vaccination rate still has room for improvement – many teenagers (especially boys) are not yet vaccinated, even though STIKO recommends it for all children aged 9 to 14.
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What does this mean for us?
When fewer children are vaccinated, diseases that were almost gone can return – for example, measles, polio, or whooping cough. These diseases are not harmless childhood illnesses – they can be severe or even life-threatening.
Examples
Measles: Highly contagious. It can cause ear infections, pneumonia, or, more rarely but dangerously, brain inflammation (encephalitis). Up to 1 in 1,000 infected people suffer permanent damage.
Whooping cough (pertussis): Especially dangerous for babies. They can have severe coughing fits with pauses in breathing (apnoea). Up to 50 percent of affected infants need hospital care.
Diphtheria: Rare in Germany thanks to vaccinations. The bacteria produce a toxin that can damage the heart, nerves, and kidneys. If left untreated, up to 10 percent of patients die.
Polio: Eradicated in Europe since 2002 – but the virus can return if vaccination coverage drops. It can cause permanent paralysis, especially in arms and legs. In rare cases, polio can be fatal.
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What are the risks?
Outbreaks can return: Diseases that had become rare can spread again.
Risk for those who need extra protection: Newborns, babies, elderly people, or those with chronic illnesses rely on so-called herd protection. If vaccination rates drop, this protection is lost.
Long-term consequences: Some diseases, like polio, could return. For measles, vaccination rates above 95 percent are needed to prevent outbreaks.
Strain on health systems: Outbreaks put additional pressure on doctors and hospitals, especially during waves of other infections.
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What can you do?
Check your vaccination record. Are all vaccinations up to date? STIKO has clear recommendations. Talk to your doctor’s office at your next appointment.
Use check-ups. Missed vaccinations can easily be made up during your child’s regular check-up visits.
Do not forget boosters. Some vaccinations need regular updates – for example, tetanus or diphtheria. This also applies to adults.
Do not skip the HPV vaccination at age 9. This vaccine protects teenagers (girls and boys) from certain cancer risks later in life.
Ask questions. It is normal to have doubts. Pediatricians are there to inform and support you.
Strengthen herd protection. Every vaccination protects not only your child but also everyone else in the community.
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Good to know
In Germany, vaccinations are voluntary – only the measles vaccination has been mandatory since 2020 for children in daycare and school, as well as for specific professional groups (Measles Protection Act). All other vaccinations follow the STIKO recommendations.
Stay informed, ask questions, and help protect your child and others.❤️
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Stand: 07/2025
Quellen:
https://www.rki.de/DE/Themen/Infektionskrankheiten/Impfen/Impfquoten/impfquoten-node.html