Abstract
Aim To introduce the National Immunization Program/NIP in Hungary.
Material and Method NIP has been in place since the early 1950-ies, starting with locally manufactured diphtheria-whole cell pertussis-tetanus/DwPT, oral polio and BCG vaccines. As in several other post-communist countries, it is and has been financed from the budget and is compulsory for all children. Exemptions are only tolerated for medical reasons. Author describes the development of the NIP since the early years till 2023. Presently in Hungary children are immunized against 13 infections, up to six years in theprimary care settings, and from six to fourteen years of age at school. Coverage is high, nearto 100% for the obligatory vaccines. HPV-9 vaccines are also offered within the school program at the age of twelve to both sexes. The uptake is voluntary, depends on the parent’s decision. The HPV-9 coverage is between83–72 % for both sexes respectively. All EMA registered other vaccines are available in Hungary by prescription, with variablecoverage. Covid-19 mRNA vaccines were also available for children above five, but theacceptance was below 30% for all eligible kids.
Results Coverage nearly 100% for all NIP vaccines.
Conclusions NIP is remarkable well functioning. Antivax tendencies play a minor role, but their activity is of increasing concern.
