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Table 1 Israel’s NITAG meetings for the years 2010–2019 – Recommendations accepted

From: The National Immunization Technical Advisory Group in Israel

Year

Main issues discussed by NITAG

Recommendations

2010

Rubella vaccination program evaluation

No change in the program

Priorities in adding new vaccines to the routine vaccination program

1st priority: Influenza vaccination of young children < age 5 years.

Accepted 2011.

2nd: Tdap for women after delivery

2011

Meningococcal Vaccines (international travel)

Preference for conjugated Meningococcal Vaccines

Pneumococcal vaccination policy for infants

Continue the successful Pneumococcal vaccination program

Influenza vaccination policy

Recommending universal Influenza vaccination policy (aimed at all population groups aged 6 months and above).

Information on vaccines safety to the public

How to present information on vaccines safety to the public? Recommended: use international publications by WHO, CDC, ECDC etc.

Herpes Zoster vaccine

Recommended for persons 65 years old and above 2012 - Added to the national health basket in 50% discount

HPV vaccines: 4 valent vs. 2 valent

Preference for the 4 valent HPV vaccine.

Rota Virus vaccine

Introduction of Rota Virus vaccine into the national routine immunization schedule, 2011

2012

Use of PCV10 or PCV13

Continue the PCV13 in the national childhood vaccination program

Measles elimination strategies

Adopting the measles elimination committee recommendations for disease surveillance and for improving and sustaining the measles vaccination coverage

2013

Polio vaccination policy

During the “silent” WPV1 event in Israel (isolation in sewage in southern Israel, mainly Arab Bedouin localities).

Supporting the vaccination campaigns

Adding 2 bOPV vaccine doses at ages 6, 18 months to the schedule.

Tdap vaccine for pregnant women

Tdap vaccine recommendation accepted for women in the third trimester of pregnancy. Applied in 2015.

PCV 13 for use in adults

Recommended for adults in defined high-risk groups, Applied in 2016

HPV vaccines – safety review

HPV vaccines safety review established before introduction into the routine immunization program in schools: 2013 – HPV vaccine for females 8th school grade

2014

Polio elimination

Adopting the polio elimination committee recommendations for continuation of the polio virus environmental sewage sampling program and preparing an outbreak preparedness plan.

Keeping the bOPV vaccine at 6 and 8 months in the routine schedule.

2015

HPV vaccination policy

Recommendation for a 2-dose HPV vaccination schedule

2015- females and males in the 8th school grade

Rotavirus vaccination provision in neonatal units

Continue previous recommendation not to vaccinate infants while hospitalized in neonatal intensive care units (prolonged stay).

Priorities of introduction of new vaccines

Recommended: Meningococcal vaccines and Hepatitis A vaccines for high risk groups. Applied in 2016

Influenza vaccination policy

Preference of LAIV use in children

2016

Vaccination of the elderly - PCV

PCV not indicated to healthy persons 65+ years.

Vaccination of the elderly - Herpes Zoster vaccine

Herpes Zoster vaccine inclusion recommended to the basket of services committee. Included 2017 with price reduction of 50%

Influenza vaccination policy

Vaccination of children in elementary schools. Program introduced in 2016–2017.

Preference for 4 strains Influenza vaccines. (2019: 4 strains)

Pregnancy after MMR

Ratification of the recommendation indicating no need for interval between MMR vaccination and pregnancy.

2017

Definition of immunity status against measles

Requiring written proof of measles vaccination status (except travelers).

Validity of immunity based on ELISA antibodies tests

2018

MenB vaccination policy

Vaccination of high risk groups (included in the health basket 2020)

Neonatal BCG vaccination policy in risk groups

Continue vaccination of neonates whose parents come from countries of high TB endemicity

National measles outbreak -

Mandatory vaccinations

Mandatory vaccinations and providing proof of vaccination before school entry were not recommended. In hyperendemic areas, unvaccinated children were banned from affected schools and kindergartens.

National measles outbreak -

vaccination in schools

Prioritization of measles vaccine over HPV and influenza vaccines.

Applied 2018–2019

2019

Influenza vaccines

3 or 4 strains, adjuvanted vaccines. NITAG recommended 4 strains.

Prioritizing Vaccinations to the national health basket

MMR vaccine for the adult population, Updating schools’ HPV vaccine program (9 valent replaced 4 valent), MenB vaccine for high risk groups.

Included in the health basket 2020