FrancophonIA/Publications_Medical_Domain_UE huggingface dataset:
English: In the pre-licensing phase, EU collaborative approaches can improve the qualitative and quantitative efficiency of the decision-making process while maintaining a strong and coordinated network of national vaccine experts.
Danish: I fasen før udstedelse af tilladelsen kan EU's samarbejdsbaserede tilgange forbedre den kvalitative og kvantitative effektivitet af beslutningstagningsprocessen, samtidig med at der opretholdes et stærkt og koordineret netværk af nationale vaccinationseksperter.
English: EU coordination and contribution to global health
Danish: SØJLE III - EU-koordinering og bidrag til den globale sundhed
English: Optimise awareness-raising activities, including through partnerships with the education sector, social partners and action directed towards the media;
Danish: optimere oplysningsaktiviteter, blandt andet gennem partnerskaber med undervisningssektoren og arbejdsmarkedets parter samt gennem en indsats rettet mod medierne
English: In May 2017, Ministers of Health from 194 countries endorsed a new resolution on strengthening immunisation to achieve the goals of the GVAP.
Danish: I maj 2017 bakkede sundhedsministre fra 194 lande op om en ny resolution om styrkelse af vaccination for at nå målene i Verdenssundhedsorganisationens globale vaccinationshandlingsplan.
English: PILLAR I - Tackling vaccine hesitancy and improving vaccination coverage
Danish: SØJLE I - Adressering af vaccinationsskepsis og forbedring af vaccinationsdækningen
English: Thanks to vaccination, humanity managed to wipe out smallpox, which caused at least three hundred million deaths in the 20th century alone; and the complete eradication of polio, another extraordinary threat to human health, is now well within reach.
Danish: Takket være vaccination er det lykkedes menneskeheden at udrydde kopper, der forårsagede mindst trehundrede millioner dødsfald alene i det 20. århundrede, og der er nu også udsigt til, at polio, en anden ekstraordinær trussel mod menneskers sundhed, bliver fuldstændig udryddet.
English: The root cause remains a sub-optimal vaccine uptake below the minimum required 95%.
Danish: Hovedårsagen er fortsat, at vaccinationsdækningen ikke er optimal og ligger under minimumkravet på 95 %.
English: In 2016, vaccination coverage for diphtheria, tetanus and pertussis among children in the EU was below the required 95%, and there is still a need to ensure continued protection in adulthood, particularly travellers, older people, as well as those with social connections to endemic countries.
Danish: I 2016 lå vaccinationsdækningen for difteri, stivkrampe og kighoste blandt børn i EU under de krævede 95 %, og der er stadig behov for at sikre fortsat beskyttelse for voksne, navnlig rejsende, ældre mennesker samt mennesker med sociale forbindelser til endemiske lande.
English: There is a strong need for better global preparedness against communicable diseases, and the impact of strong immunisation programmes in the EU and worldwide is key to the success of the International Health Regulations.
Danish: Der er et udpræget behov for et bedre globalt beredskab mod overførbare sygdomme, og virkningen af stærke vaccinationsprogrammer i EU og på verdensplan er nøglen til succes for de internationale sundhedsregulativer.
English: It is also essential to be able to establish a sustainable and reliable monitoring system of vaccination coverage rates across all ages, geographies, and also population subgroups, e.g. healthcare workers.
Danish: Det er ligeledes vigtigt at være i stand til at oprette et bæredygtigt og pålideligt overvågningssystem for vaccinationsdækningsrater i alle aldersgrupper, geografiske områder og befolkningsgrupper, f.eks. sundhedspersoner.
English: Strengthen the monitoring of vaccine uptake across all age groups, including healthcare workers, according to common guidance and methodologies, and share such data at EU level;
Danish: styrke overvågningen af anvendelsen af vaccinationer i alle aldersgrupper, herunder blandt sundhedspersoner, i overensstemmelse med fælles vejledning og metoder, og dele sådanne data på EU-plan
English: Budgetary pressures, demographic shifts, and changes in the vaccine ecosystem pose challenges to the sustainability of vaccination policies in EU Member States.
Danish: Pres på budgetterne, demografiske forandringer og ændringer i vaccinationsøkosystemet er en udfordring med hensyn til bæredygtigheden af vaccinationspolitikkerne i EU-medlemsstaterne.
English: Yet in spite of the overall benefits of vaccination, a number of key challenges still remain to ensure sustainable, equitable and effective vaccination programmes in all Member States, and to secure that the added benefits of vaccination are not lost.
Danish: På trods af de overordnede fordele ved vaccination er der imidlertid fortsat en række udfordringer med hensyn til at sikre bæredygtige, retfærdige og effektive vaccinationsprogrammer i alle medlemsstater og sikre, at de yderligere fordele ved vaccination ikke går tabt.
English: Identify options for physical stockpiling at EU level by engaging in dialogue with vaccine producers;
Danish: identificere muligheder for at opbygge fysiske lagre på EU-plan ved at gå i dialog med vaccineproducenter
English: One Member State's immunisation weakness puts at risk the health and security of citizens across the EU.
Danish: Svagheder i én medlemsstat med hensyn til vaccination truer sundheden og sikkerheden for borgere i hele EU.
English: Convene a Coalition for Vaccination to bring together European associations of healthcare workers to commit to delivering accurate information to the public, combating myths and exchanging best practice;
Danish: indkalde en koalition for vaccination for at samle europæiske sammenslutninger af sundhedspersoner for at få dem til at engagere sig i at give offentligheden præcise oplysninger, bekæmpe myter og udveksle bedste praksis
English: It is one of the most cost-effective public health interventions, a mainstay of prevention programmes worldwide, and the elective primary prevention measure against infectious diseases.
Danish: Det er et af de mest omkostningseffektive tiltag på folkesundhedsområdet, en grundpille i forebyggelsesprogrammer verden over og den foretrukne primære forebyggelsesforanstaltning mod smitsomme sygdomme.
English: At EU level this diversity may however lead to difficulties for citizens and healthcare workers in resuming vaccination when moving across borders.
Danish: På EU-plan kan forskellene dog føre til vanskeligheder for borgere og sundhedspersoner med hensyn til at genoptage deres vaccinationsforløb, når de flytter på tværs af grænserne.
English: Europe is failing to eliminate measles in line with agreed WHO targets and the accumulation over time of susceptible children, estimated at close to 4 million between 2006 and 2016, calls for political and public health action.
Danish: Europa har ikke udryddet mæslinger i overensstemmelse med de aftalte WHO-mål, og akkumuleringen over tid af modtagelige børn, der anslås til næsten 4 millioner mellem 2006 og 2016, nødvendiggør politisk handling på folkesundhedsområdet.
English: Develop guidance to overcome legal/technical barriers to interoperability and linkages with the broader healthcare system infrastructure;
Danish: udvikle vejledning med henblik på at overvinde juridiske/tekniske hindringer for interoperabilitet og forbindelser til den bredere infrastruktur i sundhedssystemet
English: Such differences may be at the expense of the quality of vaccination records, and may at times pose practical issues in the effective documentation of immunisation history, but also in the communication between different providers within and across countries.
Danish: Sådanne forskelle kan gå ud over kvaliteten af vaccinationsregistrene og kan indimellem føre til praktiske problemer med hensyn til effektiv dokumentation af vaccinationshistorik, men også med hensyn til kommunikationen mellem forskellige udbydere inden for og mellem lande.
English: Adult vaccination, questions around immune-senescence (loss of immunity over time), and new vaccines licensed for adults and older people are becoming central topics of interest, with the potential for public health and economic gains.
Danish: Vaccination af voksne, spørgsmål vedrørende aldring af immunsystemet (tab af immunitet over tid) og nye vacciner, der er tilladt til voksne og ældre mennesker, er ved at blive vigtige interesseemner med potentiale for folkesundhedsområdet og for økonomisk gevinst.
English: Hesitancy is a growing concern in Europe and worldwide, which risks undermining the public health value of vaccination.
Danish: Vaccinationsskepsis giver i stigende grad anledning til bekymring i Europa og på verdensplan, og den risikerer at underminere den folkesundhedsmæssige værdi af vaccination.
English: Vaccine hesitancy and its impact on immunisation programmes are a growing concern in Europe and worldwide.
Danish: Vaccinationsskepsis og virkningen heraf på vaccinationsprogrammer giver i stigende grad anledning til bekymring i Europa og på verdensplan.
English: The resolution calls on countries to expand immunisation services beyond infancy, mobilize domestic financing, and strengthen international cooperation.
Danish: I resolutionen opfordres landene til at udvide vaccinationstjenesterne, således at de rækker ud over spædbarnsalderen, mobilisere national finansiering og styrke det internationale samarbejde.
English: Strengthen the effective application of Union rules on protection of healthcare workers, in particular by ensuring adequate training of healthcare workers, monitoring their immunisation status and actively offering vaccination where necessary;
Danish: styrke effektiv anvendelse af EU-regler for beskyttelse af arbejdstagerne, navnlig ved at sikre tilstrækkelig uddannelse af sundhedspersoner, overvåge deres vaccinationsstatus og aktivt tilbyde vaccination, hvis det er nødvendigt
English: Develop common methodologies to assess the relative effectiveness of vaccines, including as part of the EU cooperation on Health Technology Assessment;
Danish: udvikle fælles metoder til at vurdere den relative effektivitet af vaccination, blandt andet som en del af EU-samarbejdet om vurdering af sundhedsteknologi
English: Through GloPID-R, research funders are developing a strategic research agenda for infectious diseases with pandemic potential, and the network responds to major disease outbreaks by launching clinical studies, including for vaccine development.
Danish: Gennem GloPID-R udvikler forskningssponsorer en strategisk dagsorden for forskning i smitsomme sygdomme med pandemisk potentiale, og netværket reagerer på større sygdomsudbrud ved at igangsætte kliniske undersøgelser, herunder med henblik på udvikling af vacciner.
English: This involves removing legal, financial or structural barriers to improve equity in access, but also considering the expansion of points to deliver vaccination, such as through community-based services, which include nurses, pharmacies or school-based programmes.
Danish: Dette indebærer fjernelse af juridiske, finansielle eller strukturelle hindringer for at skabe lige adgang, men også, at det overvejes at udvide rækken af steder, hvor der kan foretages vaccination, for eksempel gennem lokalsamfundsbaserede tjenester, der omfatter sygeplejersker, apoteker eller skolebaserede programmer.
English: Recent fatal cases of diphtheria in the EU have also reminded that individuals who are not immunised against diseases rarely seen remain at risk.
Danish: Nylige dødelige tilfælde af difteri i EU har også mindet os om, at mennesker, der ikke er vaccineret mod sjældent forekommende sygdomme, fortsat er i fare.
English: Strengthen partnerships and collaboration with international actors and initiatives, such as the World Health Organisation and its Strategic Advisory Group on Immunization (SAGE), the European Technical Advisory Group of Experts on Immunization (ETAGE), the Global Health Security Initiative, Global Health Security Agenda, UNICEF and financing and research initiatives like GAVI The Vaccine Alliance and the Coalition for epidemic preparedness innovations (CEPI) and the Global Research Collaboration for Infectious Diseases Preparedness (GloPID-R)
Danish: styrke partnerskaber og samarbejde med internationale aktører og initiativer, som for eksempel Verdenssundhedsorganisationen og dens Strategiske Rådgivende Ekspertgruppe vedrørende Immunisering, Den Europæiske Tekniske Rådgivende Ekspertgruppe vedrørende Immunisering, det globale sundhedssikkerhedsinitiativ, dagsordenen for den globale sundhedssikkerhed, UNICEF og finansierings- og forskningsinitiativer som for eksempel GAVI, vaccinealliancen, koalitionen for innovation inden for epidemisk beredskab (CEPI) og det globale forskningssamarbejde om beredskab over for smitsomme sygdomme (GloPID-R)
English: Bolster the effectiveness and efficiency of EU and national vaccine research and development funding and develop a roadmap on priority areas of needs.
Danish: styrke effektiviteten og produktiviteten af finansieringen af forskning i og udvikling af vacciner på EU-plan og nationalt plan og udvikle en køreplan for prioriterede områder af behov.
English: This cooperation will increase synergies between vaccination and related policies, including those on crisis preparedness, e-health, Health Technology Assessment, R&D and pharmaceutical industry.
Danish: Dette samarbejde vil øge synergierne mellem vaccination og politikker i forbindelse hermed, herunder politikker om kriseberedskab, e-sundhed, medicinsk teknologivurdering, FoU og lægemiddelindustrien.
English: Strengthen the efficiency and consistency of decision making on vaccines/vaccination policies by facilitating technical cooperation between public health authorities in support of the work conducted by National Immunisation Technical Advisory Groups and affiliated bodies;
Danish: styrke effektiviteten af og sammenhængen i beslutningstagningen om vaccine-/vaccinationspolitikker ved at lette det tekniske samarbejde mellem offentlige sundhedsmyndigheder til støtte for det arbejde, der udføres af nationale tekniske rådgivende grupper inden for vaccination og tilknyttede organer
English: Equally, there are no operational structures to enhance EU cooperation in order to address vaccine challenges, including the current fragmented vaccine research and development landscape.
Danish: Tilsvarende er der ingen operationelle strukturer, der kan fremme EU-samarbejdet med henblik på at adressere udfordringer i forbindelse med vaccination, herunder det nuværende fragmenterede miljø for forskning i og udvikling af vacciner
English: Establish partnerships and research infrastructures, including for clinical trials, facilitating early dialogue with developers, public health organisations and regulators to support the authorisation of innovative vaccines, including for emerging health threats;
Danish: oprette partnerskaber og forskningsinfrastrukturer, herunder med henblik på kliniske forsøg, og lette tidlig dialog med udviklere, organisationer på folkesundhedsområdet og reguleringsmyndigheder for at støtte tilladelse af innovative vacciner, herunder mod nye sundhedstrusler
English: The primary forum for this coordination is the Global Research Collaboration for Infectious Disease Preparedness (GloPID-R), a network that includes nearly 30 research funders as well as the WHO and the Coalition for Epidemic Preparedness Innovations (CEPI) as observers.
Danish: Det primære forum for denne koordinering er det globale netværk for samarbejde inden for forskning i beredskab mod smitsomme sygdomme (GloPID-R), et netværk, der omfatter næsten 30 forskningssponsorer samt WHO og koalitionen for innovation inden for epidemisk beredskab (CEPI) som observatører.
English: Such investment should be seen as ‘smart' spending with a view to preventing illness at the related avertable costs to the healthcare system, and as a contribution to overall goals of efficiency and sustainability.
Danish: Sådanne investeringer bør ses som "intelligent" udnyttelse af ressourcer med henblik på at forebygge sygdom samt omkostninger for sundhedssystemet, der kan undgås, og som et bidrag til overordnede mål om effektivitet og bæredygtighed.
English: In Europe, safety-related concerns are a key determinant of hesitancy for both members of the public and healthcare professionals.
Danish: I Europa er bekymringer vedrørende sikkerhed en af de vigtigste determinanter for vaccinationsskepsis hos både medlemmer af offentligheden og sundhedspersonale.
English: SDG 3 on ensuring healthy lives and promoting well-being for all at all ages, underlines the importance of vaccines in protecting people against disease.
Danish: Med udviklingsmål nr. 3 om at sikre et sundt liv og fremme trivsel i alle aldersgrupper fremhæves vigtigheden af vaccination med hensyn til at beskytte mennesker mod sygdom.
English: At the same time, recent events of shortages and discontinued supply of traditional vaccines have hampered the effective delivery of routine childhood immunisation programmes.
Danish: Samtidig har nylige hændelser med mangler på og afbrudte forsyninger af traditionelle vacciner forhindret effektiv gennemførelse af rutinevaccinationsprogrammer for børn.
English: In all EU Member States, diseases such as diphtheria and tetanus are now very rare events, and tremendous progress has also been achieved in the control of diseases such as pertussis and rubella.
Danish: I alle EU-medlemsstater forekommer sygdomme som for eksempel difteri og stivkrampe nu meget sjældent, og der er også sket enorme fremskridt med hensyn til bekæmpelsen af sygdomme som for eksempel kighoste og røde hunde.
English: As regards vaccine research and development, innovative approaches and novel vaccines are needed to better address the unmet public health needs and specific target group needs.
Danish: For så vidt angår forskning i og udvikling af vacciner er der behov for innovative tilgange og nye vacciner for bedre at kunne adressere uopfyldte behov på folkesundhedsområdet samt behovene hos specifikke målgrupper.
English: Varying systems are also in place to document individual immunisation history, ranging from paper-based records to advanced electronic information systems.
Danish: Der er også forskellige systemer for dokumentation af den individuelle vaccinationshistorik, fra papirbaserede registre til avancerede elektroniske informationssystemer.
English: In addition, the rapid spread of disinformation, understood as verifiably false or misleading information, through online media make sifting science facts from unfounded claims a real challenge for those seeking trustworthy information on vaccines.
Danish: Desuden gør den hurtige spredning af desinformation, forstået som oplysninger, der er verificeret som falske eller vildledende, via onlinemedier det til lidt af en udfordring for dem, der søger pålidelige oplysninger om vaccinationer, at si videnskabelige fakta fra ubegrundede påstande.
English: Any encounter with the healthcare system should be used as an opportunity for catch-up vaccinations to close immunity gaps.
Danish: Ethvert møde med sundhedssystemet bør anvendes som en mulighed for catch-up-vaccinationer for at bygge bro over vaccinationskløfter.
English: Vaccine hesitancy is highly specific to the context, country, and type of vaccine, and the public perception of a given vaccine can change rapidly.
Danish: Vaccinationsskepsis afhænger i høj grad af sammenhængen, landet og typen af vaccination, og offentlighedens opfattelse af en given vaccination kan hurtigt ændre sig.
English: Identify the barriers to access and support interventions to increase access to vaccination for disadvantaged and socially excluded groups;
Danish: identificere hindringerne for og støtte indsatsen for at øge adgangen til vaccination for ugunstigt stillede og socialt udsatte grupper
English: Continuous training of all healthcare workers during their studies and once in professional practice is a priority in order to build a confident healthcare workforce that can advise the public on vaccination needs and deliver immunisation effectively.
Danish: Fortsat uddannelse af alle sundhedspersoner under deres studier og i deres faglige praksis er en prioritet med hensyn til at opbygge en arbejdsstyrke af sundhedspersoner, der er trygge ved at rådgive offentligheden om vaccination og foretage vaccination på effektiv vis.
English: Regardless of the differences, all immunisation schedules have been shown to achieve their objective of disease prevention provided there is a high and timely uptake.
Danish: Uanset forskellene har alle vaccinationsskemaer vist sig at opfylde målet om sygdomsforebyggelse, forudsat at anvendelsen af vaccination er høj og rettidig.
English: As a result, vaccination schedules vary between Member States on aspects such as timing, doses administered, type of healthcare workers involved in the delivery and vaccine purchasing practices.
Danish: Vaccinationsskemaerne varierer derfor medlemsstaterne imellem for så vidt angår tidsplan, indgivne doser og type af sundhedspersoner, der er involveret i vaccinations- og vaccineindkøbspraksisser.
English: Directive 2000/54/EC on the protection of workers from risks related to biological agents and Directive 2010/32/EU implementing the Framework Agreement on prevention from sharp injuries in the hospital and healthcare sector concluded by HOSPEEM and EPSU lay down minimum requirements to ensure healthcare workers' protection, including the need to offer vaccines to those not previously immunised.
Danish: Der er ved direktiv 2000/54/EF om beskyttelse af arbejdstagerne mod farerne ved at være udsat for biologiske agenser og direktiv 2010/32/EU om iværksættelse af rammeaftalen indgået af HOSPEEM og EPSU om forebyggelse af stikskader i sygehus- og sundhedssektoren fastsat minimumskrav for at sikre beskyttelsen af sundhedspersoner, herunder nødvendigheden af at tilbyde vaccinationer til dem, der ikke allerede er vaccineret.
English: The most pressing challenges include overcoming vaccine hesitancy (the delay in acceptance or refusal of vaccines despite availability of vaccination services), halting the spread of vaccine preventable communicable diseases, sustaining high vaccine coverage, and guaranteeing equal access to vaccination across all ages and populations.
Danish: De mest presserende udfordringer er blandt andet at overvinde vaccinationsskepsis (forsinket accept eller afvisning af vaccinationer, selv om der er vaccinationstjenester til rådighed), standse spredningen af overførbare sygdomme, der kan forebygges ved vaccination, opretholde en høj vaccinationsdækning og garantere lige adgang til vaccination i alle aldersgrupper og befolkninger.
English: Vaccine hesitancy in Europe can also be driven by issues related to the affordability, geographical accessibility, or availability of information on immunisation.
Danish: Vaccinationsskepsis i Europa kan også være drevet af faktorer i forbindelse med prisoverkommelighed, geografisk adgang og tilgængelighed af oplysninger om vaccination.
English: Improving access to high-quality objective and transparent information on vaccines and vaccination, including on effectiveness and safety aspects, is crucial.
Danish: Det er af afgørende betydning at forbedre adgangen til objektive og gennemsigtige oplysninger af høj kvalitet om vacciner og vaccination, herunder om effektivitets- og sikkerhedsaspekter.
English: In addition to efficient record keeping, a comprehensive electronic immunisation information system in Member States can provide large data banks to strengthen the sustainability and performance of vaccination programmes.
Danish: Ud over at give mulighed for effektiv registrering kan omfattende elektroniske vaccinationsinformationssystemer i medlemsstaterne også tilvejebringe store databanker, der kan styrke vaccinationsprogrammernes bæredygtighed og resultater.
English: Improve access to objective and transparent information on vaccines and their safety, following the assessment of information needs on the part of both public and healthcare workers;
Danish: forbedre adgangen til objektive og gennemsigtige oplysninger om vaccinationer og sikkerheden heraf efter vurdering af oplysningsbehovene hos både offentlighed og sundhedspersoner
English: Challenges linked to vaccine shortages cut across both demand and supply side issues, and include production issues, limited supplier base and production capacities, global increase in demand, as well as insufficient forecasting services, inflexible procurement design and limited stockpiling options.
Danish: Udfordringer i forbindelse med mangel på vacciner går på tværs af problemer på udbuds- og efterspørgselssiden og omfatter produktionsproblemer, begrænset leverandørbasis og produktionskapacitet, øget efterspørgsel på globalt plan samt utilstrækkelige prognosetjenester, ufleksible indkøbsløsninger og begrænsede muligheder for opbygning af lagre.
English: The decrease in certain diseases incidence together with action undertaken by anti-vaccination activists, have led to a shift of focus from the dangers, and even risk of death, posed by unseen diseases towards fear of unproven side events.
Danish: Det faldende antal tilfælde af visse sygdomme har sammen med tiltag fra antivaccinationsaktivisters side ført til et skift i fokus fra de farer, og endda risiko for død, som sygdomme, som vi ikke længere ser, stiller os over for, til frygt for udokumenterede bivirkninger.
English: Develop operational opportunities at EU level, such as the European Vaccination Information Sharing system, to increase coordination on relevant vaccination activities
Danish: udvikle operationelle løsningsmodeller på EU-plan, som for eksempel det europæiske vaccinationsinformationsudvekslingssystem, for at øge koordineringen af relevante vaccinationsaktiviteter
English: Foster behavioural research to better understand context-specific determinants of hesitancy from the end-user perspective, and design tailored intervention strategies;
Danish: fremme adfærdsvidenskabelig forskning for bedre at forstå kontekstspecifikke determinanter for vaccinationsskepsis fra slutbrugerens perspektiv og udforme skræddersyede interventionsstrategier
English: There is value in better EU-coordinated efforts and pooling of joint EU technical expertise to assess the evidence in the pre- and post-licensing phase of a vaccine.
Danish: Det vil være værdifuldt at koordinere EU's indsats bedre og samle en fælles teknisk ekspertise på EU-plan for at kunne vurdere dokumentation i fasen før og efter udstedelse af tilladelsen til en vaccine.
English: Effort is needed at EU and Member State level to develop operational guidelines and remove infrastructural, legal and standardisation barriers to facilitate interoperability and electronic data sharing in the area of vaccination, and harness the deployment of immunisation information systems to inform operational and strategic decisions.
Danish: Der er behov for en indsats på både EU-plan og medlemsstatsplan for at udvikle operationelle retningslinjer, fjerne infrastrukturelle og juridiske hindringer og hindringer for standardisering for at lette interoperabilitet og elektronisk deling af data på vaccinationsområdet og udnytte udrulningen af vaccinationsinformationssystemer til at træffe operationelle og strategiske beslutninger på et oplyst grundlag.
English: Furthermore, ageing, mobility of people, and the shift in the burden of traditional vaccine-preventable diseases from childhood to later years of life call for a careful assessment of the cost-effectiveness of a life-course approach to vaccination.
Danish: Endvidere er der på grund af aldring, menneskers mobilitet og forandringer i den byrde, som sygdomme, der kan forebygges ved vaccination, udgør fra barndommen til senere i livet, behov for en omhyggelig vurdering af omkostningseffektiviteten af en livslang tilgang til vaccination.
English: Mitigate risks of shortages by developing a virtual EU data warehouse on vaccine needs to facilitate voluntary exchange of information on available supplies and shortages of essential vaccines;
Danish: afbøde risiciene for mangler ved at udvikle et virtuelt europæisk datavarehus om vaccinebehov for at lette frivillig udveksling af oplysninger om tilgængelige forsyninger og mangler på væsentlige vacciner
English: Create a sustainable and multi-stakeholder platform for EU post-authorisation studies monitoring the safety, effectiveness, and impact of vaccination;
Danish: skabe en bæredygtig multiinteressentplatform for EU-undersøgelser efter udstedelsen af tilladelse, ved hjælp af hvilken sikkerheden ved og effektiviteten og virkningen af vaccination overvåges
English: EU action should allow the standardisation of tools and methodologies to assess and report on coverage data across all ages, beyond the traditional paediatric age group, leveraging, in particular, the potential of electronic immunisation information systems.
Danish: EU's indsats forventes at give mulighed for standardisering af værktøjer og metoder med henblik på at vurdere og rapportere om data vedrørende dækning i alle aldersgrupper, ud over den traditionelle pædiatriske aldersgruppe, ved navnlig at udnytte det potentiale, som elektroniske vaccinationsinformationssystemer udgør.
English: Post-authorisation passive and active monitoring and specifically designed studies are also needed to provide further real-life robust evidence on the safety, effectiveness, and impact of vaccines after use, and overcome current fragmented efforts at EU level.
Danish: Der er også behov for passiv og aktiv overvågning efter udstedelsen af tilladelse samt for specifikt udformede undersøgelser med henblik på at tilvejebringe yderligere autentisk og solid dokumentation for sikkerheden ved samt effektiviteten og virkningen af vacciner efter anvendelse og gøre op med den nuværende fragmenterede indsats på EU-plan.
English: The financial sustainability of vaccination programmes is also key, to ensure stronger support to monitor the impact and effectiveness of vaccines, to mitigate the risk of shortages, and to tackle vaccine hesitancy and its impact on immunisation programmes.
Danish: Den finansielle bæredygtighed af vaccinationsprogrammer er også af væsentlig betydning med hensyn til at sikre øget støtte til overvågning af virkningen og effektiviteten af vaccinationer, afhjælpe risiciene for mangler og adressere vaccinationsskepsis og dens indflydelse på vaccinationsprogrammer.
English: Develop EU guidance for establishing comprehensive electronic immunisation information systems for effective monitoring of immunisation programmes;
Danish: udvikle EU-vejledning om opbygning af omfattende elektroniske vaccinationsinformationssystemer til effektiv overvågning af vaccinationsprogrammer
English: Concerted actions will enhance the sustainability of national vaccination programmes and strengthen national capacities to tackle growing vaccine hesitancy, global vaccine shortages, disinvestment of vaccine manufacturers, and lack of coordination in vaccine research and development.
Danish: Koordinerede tiltag vil øge bæredygtigheden af nationale vaccinationsprogrammer og styrke den nationale kapacitet til at adressere den voksende vaccinationsskepsis, globale mangler på vacciner, manglende investering fra vaccinefabrikanternes side og mangel på koordinering af forskning i og udvikling af vacciner.
English: In recent years, significant outbreaks of vaccine-preventable diseases and a number of events with cross-border relevance have brought to the fore the continued gaps the EU is facing in vaccination coverage.
Danish: Væsentlige udbrud af sygdomme, der kan forebygges ved vaccination, og en række hændelser med betydning ud over landegrænserne har i de senere år bragt de voksende kløfter, som EU står over for med hensyn til vaccinationsdækning, frem i lyset.
English: As hesitancy differs across countries, populations and vaccines, having reliable stratified coverage data can help detecting sub-groups with lower uptake, assess the root-cause, and thus tailor the necessary intervention.
Danish: Da vaccinationsskepsis varierer fra land til land, mellem befolkninger og afhængigt af, hvilke vaccinationer der er tale om, kan pålidelige stratificerede data vedrørende dækning hjælpe til at opdage befolkningsgrupper med lavere anvendelse af vaccinationer, vurdere kerneårsagen og således skræddersy den nødvendige intervention.
English: Develop a common EU citizens vaccination card retrievable through electronic information systems and recognised for use across borders, in view of standardising the reporting on immunisation history;
Danish: udvikle et fælles vaccinationskort for EU-borgere, der kan hentes via elektroniske informationssystemer, og som er anerkendt til brug på tværs af grænserne, med henblik på standardisering af rapporteringen af vaccinationshistorik
English: Mechanisms for better preparedness, detection and response against vaccine preventable health threats, linking to EU preparedness planning and the implementation of the International Health Regulations should include provisions to ensure support to poorer countries, particularly in cases of emergency.
Danish: Mekanismer, der er forbundet med EU's beredskabsplanlægning og gennemførelsen af internationale sundhedsregulativer, og som har til formål at sikre bedre beredskab, opdagelse af og respons på sundhedstrusler, der kan forebygges ved vaccination, bør indeholde bestemmelser med henblik på at sikre støtte til fattigere lande, navnlig i nødsituationer.
English: Establish guidelines for a core EU vaccination schedule to facilitate compatibility of national schedules and promote equity in citizens' health protection, that can be used as reference to optimise national schedules, as well as meet the needs of citizens moving across borders;
Danish: udvikle retningslinjer for et EU-basisvaccinationsskema, der kan anvendes som reference med hensyn til at optimere nationale skemaer, og som opfylder behovene for borgere, der flytter på tværs af grænserne, for at lette kompatibiliteten af nationale skemaer og fremme lighed i borgernes sundhedsbeskyttelse
English: Produce, in the context of the State of Health in the EU process, a State of Confidence in Vaccines in the EU report to generate data for action at national and EU level;
Danish: udarbejde en rapport om Tilliden til vaccinationer i EU for at generere data med henblik på handling på nationalt plan og EU-plan og som led i processen vedrørende sundhedstilstanden i EU
English: A fatal case of diphtheria in Belgium, 24 March 2016, https://ecdc.europa.eu/sites/portal/files/media/en/publications/Publications/RRA-Diphtheria-Belgium.pdf][7: 2016 WHO/UNICEF Estimates of National Immunization Coverage http://www.who.int/immunization/monitoring_surveillance/who-immuniz.pdf?ua=1]
Danish: A fatal case of diphtheria in Belgium, 24 March 2016, https://ecdc.europa.eu/sites/portal/files/media/en/publications/Publications/RRA-Diphtheria-Belgium.pdf.
English: [14: Larson H, De Figueiredo A, Xiahong Z, et al.
Danish: [14: Larson H, De Figueiredo A, Xiahong Z, et al. The State of Vaccine Confidence 2016: Global Insights Through 67-Country Survey.
English: [1: WHO, Immunization Coverage, Fact Sheet 2018, http://www.who.int/mediacentre/factsheets/fs378/en/][2: Rappuoli R (2014), DG Research New Horizon for Vaccine Conference, https://ec.europa.eu/research/health/pdf/event17/s2-2-rino-rappuoli_en.pdf]
Danish: ][2: Rappuoli R (2014), DG Research New Horizon for Vaccine Conference, https://ec.europa.eu/research/health/pdf/event17/s2-2-rino-rappuoli_en.pdf.]
English: Monthly measles and rubella monitoring report, January 2018, https://ecdc.europa.eu/sites/portal/files/documents/Monthly%20measles%20and%20rubella%20monitoring%20report%20-%20JAN%202018.pdf][4: http://www.euro.who.int/en/media-centre/sections/press-releases/2018/europe-observes-a-4-fold-increase-in-measles-cases-in-2017-compared-to-previous-year][5: These estimates refer to children in the vaccination target group below 2 years of age, ECDC, unpublished.]
Danish: Monthly measles and rubella monitoring report, January 2018, https://ecdc.europa.eu/sites/portal/files/documents/Monthly%20measles%20and%20rubella%20monitoring%20report%20-%20JAN%202018.pdf.
English: [11: Directive 2000/54/EC on the protection of workers from risks related to exposure to biological agents at work, http://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:32000L0054&from=EN][12: Directive 2010/32/EU of 10 May 2010 implementing the Framework Agreement on prevention from sharp injuries in the hospital and healthcare sector concluded by HOSPEEM and EPSU, http;//eur-lex.europa.eu/legal-content&&EN/TXT/HTML/?uri=CELEX:32010L0032&from=EN]
Danish: ][12: Direktiv 2010/32/EU af 10. maj 2010 om iværksættelse af rammeaftalen indgået af HOSPEEM og EPSU om forebyggelse af stikskader i sygehus- og sundhedssektoren, http://eur-lex.europa.eu/legal-content/DA/TXT/?qid=1524571778685&uri=CELEX:32010L0032.]
English: ][15: ECDC Vaccine hesitancy among healthcare workers and their patients in Europe, 2015. https://ecdc.europa.eu/sites/portal/files/media/en/publications/Publications/vaccine-hesitancy-among-healthcare-workers.pdf][16: Directive 2001/83/EC on the Community code relating to medicinal products for human use, http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2001:311:0067:0128:en:PDF][17: Regulation 726/2004 laying down Community procedures for the authorisation and supervision of medicinal products for human and veterinary use and establishing a European Medicines Agency, https://ec.europa.eu/health/sites/health/files/files/eudralex/vol-1/reg_2004_726/reg_2004_726_en.pdf]
Danish: ][17: Forordning (EF) nr. 726/2004 af 31. marts 2004 om fastlæggelse af fællesskabsprocedurer for godkendelse og overvågning af human- og veterinærmedicinske lægemidler og om oprettelse af et europæisk lægemiddelagentur, https://ec.europa.eu/health/sites/health/files/files/eudralex/vol-1/reg_2004_726/reg_2004_726_da.pdf.]
English: [8: Council Recommendation on seasonal influenza vaccination, http://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2009:348:0071:0072:EN:PDF][9: Commission SWD 2014 on State of play on implementation of the Council Recommendation on seasonal influenza vaccination, https://ec.europa.eu/health//sites/health/files/vaccination/docs/seasonflu_staffwd2014_en.pdf][10: ECDC Overview of vaccination recommendations and coverage rates in the EU Member States for the 2013-14 and 2014-15 influenza seasons.
Danish: ][9: Commission SWD 2014 on State of play on implementation of the Council Recommendation on seasonal influenza vaccination, https://ec.europa.eu/health/home_da.
English: [1: European Centre for Disease Prevention and Control.
Danish: [1: Det Europæiske Center for Forebyggelse af og Kontrol med Sygdomme.
English: Vaccination coverage in the EU
Danish: Vaccinationsdækning i EU
English: Annex 2
Danish: Bilag 2
English: Annex 1
Danish: Bilag 1
English: Figure 1: Measles Vaccination Coverage Rates in the EU in 2016 (Source: WHO/UNICEF JRF)
Danish: Figur 1: Vaccinationsdækningsgrad for mæslinger i EU i 2016 (Kilde: WHO/UNICEF JRF)
English: Stockholm: ECDC, 2015. https://ecdc.europa.eu/sites/portal/files/media/en/publications/Publications/vaccination-motivating-hesistant-populations-europe-literature-review.pdf]
Danish: https://ecdc.europa.eu/sites/portal/files/media/en/publications/Publications/vaccination-motivating-hesistant-populations-europe-literature-review.pdf.]
English: Determinants of hesitancy
Danish: Determinanter for vaccinationsskepsis
English: Figure 2: Coverage for second dose of measles vaccine in the EU (Source: ECDC)
Danish: Figur 2: Dækning for 2. dosis af mæslingevaccine i EU (Kilde: ECDC)
English: Figure 3: Determinants of hesitancy in Europe, 2015 (Source: ECDC)
Danish: Figur 3 Determinanter for vaccinationsskepsis i Europa, 2015 (Kilde: ECDC)
English: This necessarily includes a social dimension.
Danish: Dette indbefatter nødvendigvis en social dimension.
English: The consultation process should therefore be as far-reaching as possible.
Danish: Høringsprocessen bør derfor være så vidtrækkende som muligt.
English: The questions for which the European Commission seeks views are the following:
Danish: De spørgsmål, som Europa-Kommissionen ønsker synspunkter om, er følgende:
English: Structured feedback
Danish: Struktureret feedback
English: A highly competitive social market economy
Danish: En social markedsøkonomi med høj konkurrenceevne
English: Otherwise, the contribution will not be published nor will, in principle, its content be taken into account.]
Danish: Ellers vil bidraget ikke blive offentliggjort, og indholdet vil i princippet heller ikke blive taget i betragtning.]
English: How should these be expressed and made operational?
Danish: Hvordan bør disse komme til udtryk og operationaliseres?
English: In this case, the contribution may be published in anonymous form.
Danish: I så fald kan bidraget offentliggøres i anonymiseret form.
English: Are there aspects that are not adequately expressed or covered so far?
Danish: Er der aspekter, som indtil videre ikke er kommet tilstrækkeligt til udtryk, eller som ikke er dækket tilstrækkeligt?
English: Building on a wealth of experience
Danish: Der bygges på et væld af erfaringer
English: The crisis has had severe and visible effects on Europe's society and economy.
Danish: Krisen har haft alvorlige og synlige virkninger for Europas samfund og økonomi.
English: For instance, Article 153 of the Treaty on the Functioning of the European Union clearly does not provide competence of the Union to legislate on "pay".
Danish: For eksempel giver artikel 153 i traktaten om Den Europæiske Unions funktionsmåde tydeligvis ikke Unionen nogen kompetence til at lovgive om "løn".
English: Adding value for the euro area and the EU as a whole
Danish: Tilførsel af merværdi til euroområdet og EU som helhed
English: There is also a lot to learn from fast-changing realities across the world.
Danish: Der er også meget at lære af de hastigt skiftende realiter rundt omkring i verden.
English: At national level, the Commission will facilitate discussions through its Representations in the Member States,
Danish: På nationalt plan vil Kommissionen fremme drøftelserne via sine repræsentationer i medlemsstaterne.
English: Are there fundamental gaps in the social rights laid down at EU level?
Danish: Er der grundlæggende huller i de sociale rettigheder, der er fastsat på EU-plan?
English: The crisis has also partly hidden some and accentuated other more fundamental long-term trends.
Danish: Krisen har også til dels skjult nogle og forstærket andre mere grundlæggende langsigtede tendenser.
English: Outlining principles fit for today's and tomorrow's realities
Danish: Skitsering af principper, der passer til dagens og morgendagens realiteter
English: The Commission will also request the opinion of the European Economic and Social Committee and of the Committee of the Regions.
Danish: Kommissionen vil desuden anmode Det Europæiske Økonomiske og Sociale Udvalg og Regionsudvalget om udtalelser.
English: A key priority for this Commission is also to encourage social dialogue at all levels.
Danish: Det er også en central prioritet for denne Kommission at tilskynde til social dialog på alle niveauer.
English: The consultation process has three main aims:
Danish: Høringsprocessen har tre overordnede målsætninger:
English: A dedicated webpage is established for the consultation at: http://ec.europa.eu/priorities/
Danish: Der er oprettet en særlig webside til høringen her: http://ec.europa.eu/priorities/
English: [7: Please note that all received contributions, together with the identity of the contributor, will be published on the Internet, unless the contributor objects to publication of the personal data on the grounds that such publication would harm his or her legitimate interests.
Danish: [7: Bemærk venligst, at alle modtagne bidrag såvel som bidragyderens identititet vil blive offentliggjort på internettet, medmindre bidragyderen modsætter sig offentliggørelse af sine personoplysninger med den begrundelse, at en sådan offentliggørelse vil skade den pågældendes legitime interesser.
English: A list of meetings and events foreseen at EU and national level in the coming months.
Danish: en liste over møder og arrangementer, som er planlagt på EU-plan og på nationalt plan i de kommende måneder.
English: This will include:
Danish: Den skal indeholde:
English: See also European Political Strategy Center (2015), "The Social Dimension of Economic and Monetary Union". ]
Danish: Se også Det Europæiske Center for Politisk Strategi (2015), "The Social Dimension of Economic and Monetary Union". ]
English: Are there policies, institutions or firm practices - existing or emerging - which you would recommend as references?
Danish: Er der nogle politikker, institutioner eller virksomhedspraksisser - eksisterende eller nye - som du vil anbefale som referencer?
English: or by post to:
Danish: eller pr. post til:
English: Issuing guidance to the Member States on the reintegration of long-term unemployed into the labour market;
Danish: udstedelse af retningslinjer til medlemsstaterne om reintegration af langtidsledige på arbejdsmarkedet
English: The Commission will hold a European conference by the end of 2016 to gather feedback.
Danish: Kommissionen agter at afholde en europæisk konference ved udgangen af 2016 for at indsamle feedback.
English: This would be achieved by agreeing on a set of common high-level standards, which should focus, among others, on labour markets.
Danish: Dette vil kunne opnås, hvis man enes om et sæt fælles høje standarder, som blandt andet bør fokusere på arbejdsmarkeder.
English: Moving towards a deeper and fairer Economic and Monetary Union
Danish: Bevægelse hen imod en dybere og mere retfærdig Økonomisk og Monetær Union
English: A number of policy domains are identified, to which different principles are attached.
Danish: Der er indkredset en række politikområder, hvortil der er knyttet forskellige principper.
English: The euro area is drawing the lessons from the crisis of recent years and has embarked on a process of further integration and consolidation.
Danish: Euroområdet udnytter erfaringerne fra krisen i de senere år og har indledt en proces med yderligere integration og konsolidering.
English: In particular, do you see the scope and added value of minimum standards or reference benchmarks in certain areas and if so, which ones?
Danish: Kan du mere specifikt se anvendelsesområdet for og merværdien af minimumsstandarder eller referencebenchmarks på bestemte områder, og i givet fald hvilke?
English: EU sectoral social partners, represented in 43 different sectors and representing 75% of the workforce, have also continued to deliver on their respective joint work programmes.
Danish: EU's sektorielle arbejdsmarkedsparter, som er repræsenteret i 43 forskellige sektorer og repræsenterer 75 % af arbejdsstyrken, er også vedblevet med at levere resultater i forbindelse med deres respektive fælles arbejdsprogrammer.
English: The European Pillar of Social Rights should complement what we have already jointly achieved when it comes to the protection of workers in the EU.
Danish: Den europæiske søjle for sociale rettigheder skal supplere det, som vi allerede har opnået i fællesskab, når det kommer til beskyttelsen af arbejdstagere i EU.
English: These publications highlight that one important transmission mechanism between long-term growth, equality and social progress is investment in human capital.
Danish: I disse publikationer fremhæves det, at en vigtig transmissionsmekanisme mellem langsigtet vækst, ligestilling og sociale fremskridt er investeringer i menneskelig kapital.
English: After the crisis of 2007-2008, the euro area became more heterogeneous, with some countries particularly hit, and this heterogeneity takes time to reduce.
Danish: Efter krisen i 2007-2008 blev euroområdet mere heterogent, idet nogle medlemsstater er blevet særlig hårdt ramt, og det tager tid at mindske denne uensartethed.
English: How can we account for different employment and social situations across Europe?
Danish: Hvordan tager vi højde for de forskellige beskæftigelsesmæssige og sociale situationer i Europa?
English: The Commission invites all interested parties to reply to the questions set out in this Communication, together with any additional comments, by 31 December 2016.
Danish: Kommissionen opfordrer alle interesserede parter til at fremsende svar på de spørgsmål, der stilles i denne meddelelse, sammen med eventuelle yderligere bemærkninger senest den 31. december 2016.