FrancophonIA/Publications_Medical_Domain_UE huggingface dataset:
English: Seasonal influenza vaccination rates in the EU remain significantly below the 75% coverage target for those above 65 years, and seem to be further declining.
Slovenian: Stopnja precepljenosti proti sezonski gripi v EU ostaja znatno pod 75-odstotnim ciljem precepljenosti pri starejših od 65 let in videti je, da še naprej upada.
English: Investment not only in monetary terms but also in training of healthcare workers on vaccination is essential.
Slovenian: Bistvene niso le finančne naložbe, temveč tudi usposabljanje zdravstvenih delavcev o cepljenju.
English: It will thus contribute to the effectiveness and efficiency of national health systems and improve health security within Europe and beyond, while respecting country specificities and the competences of EU national and regional authorities.
Slovenian: Prispevalo bo torej k uspešnosti in učinkovitosti nacionalnih zdravstvenih sistemov ter izboljšalo zdravstveno varnost v Evropi in drugod, hkrati pa bo upoštevalo posebnosti vsake države ter pristojnosti nacionalnih in regionalnih organov EU.
English: Exploit the opportunities offered by the European Social Fund (ESF) and European Regional Development Fund (ERDF) in order to reinforce national and regional health infrastructures capacities in the area of vaccination.
Slovenian: izkoriščanje priložnosti, ki jih zagotavljata Evropski socialni sklad (ESS) in Evropski sklad za regionalni razvoj (ESRR), za povečanje zmogljivosti nacionalnih in regionalnih zdravstvenih infrastruktur na področju cepljenja;
English: While all Member states have well established vaccination programmes for children, vaccination recommendations and programmes for adults, where they exist, differ greatly.
Slovenian: Čeprav imajo vse države članice dobro uveljavljene programe cepljenja za otroke, obstajajo velike razlike v priporočilih in programih cepljenja za odrasle, če ti sploh obstajajo.
English: This means that there is no one-size-fit-all solution, and a sustainable investment in improving dialogue with citizens, understanding their concerns, and developing tailored intervention strategies is required.
Slovenian: To pomeni, da ni enotne rešitve in da so potrebne trajnostne naložbe v izboljšanje dialoga z državljani, razumevanje njihovih pomislekov in razvoj prilagojenih strategij posredovanja.
English: These challenges require intervention on several fronts, including better understanding the underlying causes of the declining coverage.
Slovenian: Ti izzivi zahtevajo posredovanje na različnih področjih, vključno z boljšim razumevanjem temeljnih vzrokov upada precepljenosti.
English: Vaccination has brought immense health and socio-economic benefits to individuals, populations and society as a whole.
Slovenian: Cepljenje je posameznikom, prebivalstvu in družbi kot celoti prineslo ogromno zdravstvenih in družbeno-gospodarskih koristi.
English: The root cause remains a sub-optimal vaccine uptake below the minimum required 95%.
Slovenian: Poglavitni vzrok je še vedno neoptimalna precepljenost, ki ne dosega najnižje zahtevane stopnje 95 %.
English: The World Health Organisation Global Vaccine Action Plan (GVAP) is a framework to prevent millions of deaths by 2020 through more equitable access to existing vaccines for people in all communities.
Slovenian: Svetovni akcijski načrt za cepljenje SZO je okvir, namenjen preprečevanju milijonov smrti do leta 2020, ki temelji na pravičnejšem dostopu do obstoječih cepiv za ljudi iz vseh skupnosti.
English: Optimise awareness-raising activities, including through partnerships with the education sector, social partners and action directed towards the media;
Slovenian: optimizacija dejavnosti ozaveščanja, vključno s sodelovanjem z izobraževalnim sektorjem, socialnimi partnerji ter ukrepi, usmerjenimi k medijem;
English: While these challenges affect Member States in different ways, EU-wide action is needed to achieve meaningful progress and turn political visions into effective operational vaccination plans at national and EU level, to protect citizens' health in accordance with Article 168 of the Treaty on the Functioning of the European Union.
Slovenian: Čeprav ti izzivi države članice prizadenejo na različne načine, je treba ukrepati na evropski ravni, da bi dosegli bistven napredek in politične vizije preoblikovali v učinkovite operativne načrte cepljenja na nacionalni in evropski ravni ter tako varovali zdravje državljanov v skladu s členom 168 Pogodbe o delovanju Evropske unije.
English: Budgetary pressures, demographic shifts, and changes in the vaccine ecosystem pose challenges to the sustainability of vaccination policies in EU Member States.
Slovenian: Proračunski pritiski, demografski premiki in spremembe cepitvenega okolja predstavljajo izzive za trajnost politik cepljenja v državah članicah EU.
English: Policy coordination on vaccination at EU level remains limited and follows a reactive, case-by-case basis.
Slovenian: Usklajevanje politik cepljenja na ravni EU ostaja omejeno in se izvaja reaktivno za vsak primer posebej.
English: Vaccine preventable diseases are not confined within national borders.
Slovenian: Bolezni, ki jih je mogoče preprečiti s cepljenjem, niso omejene z državnimi mejami.
English: Immunisation programmes are a national competence, and thus decisions on the introduction, funding, and implementation of vaccination policies remain at the national level.
Slovenian: Programi imunizacije so v nacionalni pristojnosti, zato se tudi odločitve glede uvajanja, financiranja in izvajanja politik cepljenja sprejemajo na nacionalni ravni.
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.
Slovenian: V vseh državah članicah EU so bolezni, kot sta davica in tetanus, zdaj izjemno redke, ogromen napredek pa je bil dosežen tudi pri nadzoru bolezni, kot so oslovski kašelj in rdečke.
English: Vaccine hesitancy and its impact on immunisation programmes are a growing concern in Europe and worldwide.
Slovenian: Nezaupanje v cepljenje in njegov vpliv na programe imunizacije povzroča vse večjo zaskrbljenost v Evropi in po svetu.
English: They are best placed to understand hesitant patients, respond to worries, and explain the benefits of vaccination.
Slovenian: So najprimernejši za razumevanje nezaupljivih pacientov, odzivanje na zaskrbljenost in pojasnjevanje koristi cepljenja.
English: The EU development policy line concerning the health sector in developing partner countries is one of strengthening health systems to achieve universal health coverage.
Slovenian: Razvojna politika EU, ki zadeva zdravstveni sektor v partnerskih državah v razvoju, je usmerjena h krepitvi zdravstvenih sistemov z namenom uvedbe splošnega zdravstvenega varstva.
English: This approach is also followed in the EU support provided to several Global Health Initiatives including GAVI the Vaccine Alliance.
Slovenian: Ta pristop se uporablja tudi pri podpori EU za številne svetovne zdravstvene pobude, kot je partnerstvo Gavi, the Vaccine Alliance.
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.
Slovenian: Prav tako je pomembna vzpostavitev trajnostnega in zanesljivega sistema spremljanja stopenj precepljenosti za vsa starostna obdobja, geografska območja in podskupine prebivalstva, npr. zdravstvene delavce.
English: Identify options for physical stockpiling at EU level by engaging in dialogue with vaccine producers;
Slovenian: opredelitev možnosti za fizično skladiščenje na ravni EU z vzpostavitvijo dialoga s proizvajalci cepiv;
English: However, healthcare workers themselves can be vaccine-hesitant, whether considering vaccination for themselves or their patients.
Slovenian: Vendar pa morda tudi zdravstveni delavci ne zaupajo v cepljenje ne glede na to, ali gre za njih ali njihove paciente.
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.
Slovenian: Evropa ne uspe odpraviti ošpic v skladu z dogovorjenimi cilji SZO, povečanje števila dovzetnih otrok, ki narašča skozi čas ter je po ocenah med letoma 2006 in 2016 znašalo skoraj štiri milijone otrok, pa kliče k političnemu in javnozdravstvenemu ukrepanju.
English: In this context, the EU and its Member States have reaffirmed their commitment to protecting the right of everyone to enjoy the highest attainable standard of physical and mental health, including helping secure access to affordable essential medicines and vaccines for all.
Slovenian: V skladu s tem so ponovno potrdile svojo zavezanost zaščiti pravice vseh ljudi do najvišjega dosegljivega standarda telesnega in duševnega zdravja, vključno s pomočjo pri zagotavljanju dostopa vseh ljudi do cenovno dostopnih osnovnih zdravil in cepiv.
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.
Slovenian: Takšne naložbe bi morale biti obravnavane kot „pametna" poraba z namenom preprečevanja bolezni in izogibanje stroškom za zdravstveni sistem ter kot prispevek k doseganju splošnih ciljev učinkovitosti in trajnosti.
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.
Slovenian: Zahvaljujoč cepljenju je človeštvu uspelo izkoreniniti črne koze, ki so samo v 20. stoletju povzročile najmanj 300 milijonov smrtnih primerov, zdaj pa bi lahko popolnoma izkoreninili tudi otroško paralizo, še eno izjemno nevarnost za zdravje ljudi.
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.
Slovenian: Leta 2016 je bila precepljenost proti davici, tetanusu in oslovskem kašlju med otroki v EU pod zahtevano stopnjo 95 %, še vedno pa je treba zagotavljati tudi nadaljnje varstvo pri odraslih, zlasti popotnikih, starejših in tistih z družbenimi vezmi v endemičnih državah.
English: This Communication presents a framework for actions to be undertaken by the Commission, with the collaboration of Member States, under three key pillars 1) tackling vaccine hesitancy and improving vaccination coverage; 2) sustainable vaccination policies in the EU; 3) EU coordination and contribution to global health.
Slovenian: To sporočilo predstavlja okvir za ukrepe Komisije v sodelovanju z državami članicami v okviru treh ključnih stebrov: 1) odprava nezaupanja v cepljenje in izboljšanje precepljenosti; 2) trajnostne politike cepljenja v EU; 3) usklajevanje na evropski ravni in prispevanje k zdravju na svetovni ravni.
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;
Slovenian: okrepitev učinkovite uporabe pravil Unije o varstvu zdravstvenih delavcev, zlasti z zagotavljanjem ustreznega usposabljanja zdravstvenih delavcev, spremljanjem njihovega statusa imunizacije ter po potrebi aktivnim zagotavljanjem priložnosti za cepljenje;
English: Develop evidence-based tools and guidance at EU level in order to support countries to anticipate, pre-empt or respond to crises situations.
Slovenian: razvoj orodij, ki temeljijo na dokazih, in smernic na ravni EU v podporo državam pri predvidevanju kriznih razmer, njihovem preprečevanju ali odzivanju nanje.
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.
Slovenian: Gre za enega najbolj stroškovno učinkovitih javnozdravstvenih ukrepov, temelj preventivnih programov po celem svetu in primarni preprečevalni ukrep proti nalezljivim boleznim.
English: Identify the barriers to access and support interventions to increase access to vaccination for disadvantaged and socially excluded groups;
Slovenian: opredelitev ovir za dostop in podpiranje ukrepov za povečanje dostopa do cepljenja za prikrajšane in socialno izključene skupine;
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.
Slovenian: Poleg tega je zaradi hitrega širjenja dezinformacij, ki so preverljivo lažne ali zavajajoče, prek spletnih medijev ločevanje znanstvenih dejstev od neutemeljenih trditev postalo velik izziv za vse, ki iščejo zanesljive informacije o cepivih.
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.
Slovenian: Ne glede na razlike pa vsi razporedi imunizacije dosežejo zastavljene cilje preprečevanja bolezni, če je precepljenost zadostna in pravočasna.
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.
Slovenian: Hkrati so nedavni primeri pomanjkljive in prekinjene preskrbe s tradicionalnimi cepivi ovirali učinkovito izvajanje rutinskih programov otroške imunizacije.
English: Develop common methodologies to assess the relative effectiveness of vaccines, including as part of the EU cooperation on Health Technology Assessment;
Slovenian: razvoj skupnih metodologij za vrednotenje relativne učinkovitosti cepiv, tudi v okviru evropskega sodelovanja pri vrednotenju zdravstvenih tehnologij;
English: Combat the spread of disinformation in the digital era and counter disinformation spread across borders;
Slovenian: boj proti širjenju dezinformacij v digitalni dobi ter preprečevanje čezmejnega širjenja dezinformacij;
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)
Slovenian: krepitev partnerstev in sodelovanja z mednarodnimi akterji in pobudami, kot so Svetovna zdravstvena organizacija in njena strateška svetovalna skupina za imunizacijo (Strategic Advisory Group on Immunization - SAGE), evropska tehnična svetovalna skupina strokovnjakov za imunizacijo (European Technical Advisory Group of Experts on Immunization - ETAGE), pobuda za globalno zdravstveno varnost (Global Health Security Initiative), agenda za globalno zdravstveno varnost (Global Health Security Agenda), UNICEF ter pobude za financiranje in raziskave, kot so partnerstvo Gavi, The Vaccine Alliance, koalicija za inovacije na področju pripravljenosti na epidemije (Coalition for epidemic preparedness innovations - CEPI) in globalno raziskovalno sodelovanje za pripravljenost na nalezljive bolezni (Global Research Collaboration for Infectious Diseases Preparedness - GloPID-R).
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;
Slovenian: okrepitev spremljanja precepljenosti za vse starostne skupine, vključno z zdravstvenimi delavci, v skladu s skupnimi smernicami in metodologijami, ter izmenjava teh podatkov na ravni EU;
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.
Slovenian: Poleg učinkovitega vodenja evidenc lahko celovit elektronski informacijski sistem za imunizacijo v državah članicah zagotovi velike podatkovne baze za okrepitev trajnosti in učinkovitosti programov cepljenja.
English: At EU level this diversity may however lead to difficulties for citizens and healthcare workers in resuming vaccination when moving across borders.
Slovenian: Vendar lahko na ravni EU te razlike povzročijo težave državljanom in zdravstvenim delavcem pri nadaljevanju cepljenja, kadar se ti preselijo v drugo državo.
English: Develop guidance to overcome legal/technical barriers to interoperability and linkages with the broader healthcare system infrastructure;
Slovenian: priprava smernic za odpravljanje pravnih/tehničnih ovir za interoperabilnost in povezanost s širšo infrastrukturo zdravstvenega sistema;
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.
Slovenian: Direktiva 2000/54/ES o varovanju delavcev pred tveganji, povezanimi z biološkimi dejavniki, in Direktiva 2010/32/EU o izvajanju okvirnega sporazuma o preprečevanju poškodb z ostrimi pripomočki v bolnišnicah in zdravstvenem sektorju, ki sta ga sklenila HOSPEEM in EPSU, določata minimalne zahteve za zagotavljanje varovanja zdravstvenih delavcev, vključno s potrebo po zagotavljanju možnosti cepljenja za osebe, ki niso bile imunizirane.
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.
Slovenian: To vključuje odpravljanje pravnih, finančnih in strukturnih ovir za izboljšanje enakosti dostopa, pa tudi razmislek o povečanju števila lokacij za cepljenje, na primer prek skupnostnih storitev, ki vključujejo medicinske sestre, lekarne ali šolske programe.
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;
Slovenian: okrepitev učinkovitosti in skladnosti pri sprejemanju odločitev o cepivih/politikah cepljenja s spodbujanjem tehničnega sodelovanja med javnozdravstvenimi organi, ki podpirajo delo nacionalnih tehničnih svetovalnih skupin za imunizacijo ter povezanih organov;
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.
Slovenian: Te razlike lahko negativno vplivajo na kakovost zapisov o cepljenju in lahko občasno povzročijo praktične težave pri učinkovitem dokumentiranju predhodne imunizacije ter komunikaciji različnih izvajalcev med državami in znotraj njih.
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.
Slovenian: To sodelovanje bo okrepilo sinergije med politikami cepljenja in sorodnimi politikami, vključno s politikami pripravljenosti na krize, e-zdravja, vrednotenja zdravstvenih tehnologij, raziskav in razvoja ter farmacevtske industrije.
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.
Slovenian: Prav tako ni operativnih struktur za krepitev evropskega sodelovanja, da bi se obravnavali izzivi, povezani s cepivi, vključno s sedanjimi razdrobljenimi raziskavami in razvojem na področju cepiv.
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.
Slovenian: Stalno usposabljanje vseh zdravstvenih delavcev med šolanjem in nato na delovnem mestu je prednostna naloga za zagotovitev zdravstvene delovne sile z zaupanjem v cepljenje, ki lahko javnosti svetuje o potrebah po cepljenju in učinkovito imunizira.
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;
Slovenian: sklic koalicije za cepljenje, ki bo povezala evropska združenja zdravstvenih delavcev, za zagotavljanje točnih informacij javnosti, ovržbo mitov in izmenjavo dobre prakse;
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.
Slovenian: Mehanizmi za boljšo pripravljenost na nevarnosti za zdravje, ki jih je mogoče preprečiti s cepljenjem, njihovo odkrivanje in odzivanje nanje, ki se povezujejo z načrtovanjem pripravljenosti EU in izvajanjem Mednarodnega zdravstvenega pravilnika, bi morali vsebovati določbe, ki zagotavljajo podporo revnejšim državam, zlasti v nujnih primerih.
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.
Slovenian: Kar zadeva raziskave in razvoj na področju cepiv, so za boljšo obravnavo neizpolnjenih potreb javnega zdravstva in potreb posebnih ciljnih skupin potrebni inovativni pristopi in nova cepiva.
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.
Slovenian: V obdobju pred izdajo dovoljenja se lahko s skupnim pristopom EU izboljša kvalitativna in kvantitativna učinkovitost postopka sprejemanja odločitev, hkrati pa zagotovi močna in usklajena mreža nacionalnih strokovnjakov na področju cepljenja.
English: The World Health Organisation estimates that, today, vaccines save between 1 and 3 million lives every year, and in the coming decade vaccines are projected to save 25 million more people.
Slovenian: Svetovna zdravstvena organizacija (v nadaljnjem besedilu: SZO) ocenjuje, da cepiva dandanes vsako leto rešijo med enim in tremi milijoni življenj, v prihodnjem desetletju pa naj bi rešila še dodatnih 25 milijonov ljudi.
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.
Slovenian: Glavni forum za to usklajevanje je globalno raziskovalno sodelovanje za pripravljenost na nalezljive bolezni (GloPID-R), mreža, ki vključuje skoraj 30 financerjev raziskav in SZO ter koalicijo za inovacije na področju pripravljenosti na epidemije (CEPI) v vlogi opazovalcev.
English: Hesitancy is a growing concern in Europe and worldwide, which risks undermining the public health value of vaccination.
Slovenian: Nezaupanje povzroča vse večjo zaskrbljenost v Evropi in svetu, saj ogroža vrednost cepljenja za javno zdravje.
English: Develop EU guidance for establishing comprehensive electronic immunisation information systems for effective monitoring of immunisation programmes;
Slovenian: priprava smernic EU za vzpostavitev celovitih elektronskih informacijskih sistemov za imunizacijo za učinkovito spremljanje programov cepljenja;
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;
Slovenian: vzpostavitev partnerstev in raziskovalne infrastrukture, med drugim za klinično preskušanje, da se omogoči zgodnji dialog z razvijalci, javnozdravstvenimi organizacijami in regulativnimi organi v podporo izdaji dovoljenj za inovativna cepiva, vključno s cepivi proti nastajajočim nevarnostim za zdravje;
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.
Slovenian: Nezaupanje v cepljenje je v veliki meri odvisno od razmer, države in vrste cepiva, javno mnenje o določenem cepivu pa se lahko hitro spremeni.
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.
Slovenian: Poleg tega staranje, mobilnost ljudi ter prenos bremena tradicionalnih bolezni, ki jih je mogoče preprečiti s cepljenjem, iz otroštva v poznejša leta zahtevajo natančno oceno stroškovne učinkovitosti vseživljenjskega pristopa k cepljenju.
English: Develop operational opportunities at EU level, such as the European Vaccination Information Sharing system, to increase coordination on relevant vaccination activities
Slovenian: razvoj operativnih priložnosti na ravni EU, kot je evropski sistem za izmenjavo informacij o cepljenju, za večjo usklajenost zadevnih dejavnosti cepljenja;
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.
Slovenian: Nedavni smrtni primeri davice v EU so nas opomnili, da so posamezniki, ki niso imunizirani proti redkim boleznim, še vedno izpostavljeni tveganju.
English: In recent years, the G7 and G20 have addressed global health including health security.
Slovenian: V zadnjih letih je bilo svetovno zdravje, vključno z zdravstveno varnostjo, obravnavano v skupinah G7 in G20.
English: Vaccination is an area which could receive further political impetus if addressed by these groups.
Slovenian: Če bosta ti skupini cepljenje obravnavali tudi v prihodnje, bi bilo to področje lahko deležno nadaljnje politične spodbude.
English: Vaccine hesitancy in Europe can also be driven by issues related to the affordability, geographical accessibility, or availability of information on immunisation.
Slovenian: Razlog za nezaupanje v cepljenje v Evropi so lahko tudi težave, povezane s cenovno in geografsko dostopnostjo ali razpoložljivostjo informacij o imunizaciji.
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.
Slovenian: Nujno potrebna je boljša pripravljenost na nalezljive bolezni v svetovnem merilu, vpliv dobrih programov imunizacije v EU in po svetu pa je bistven za uspešno izvajanje Mednarodnega zdravstvenega pravilnika.
English: Improving access to high-quality objective and transparent information on vaccines and vaccination, including on effectiveness and safety aspects, is crucial.
Slovenian: Ključnega pomena je izboljšanje dostopa do visokokakovostnih objektivnih in preglednih informacij o cepivih in cepljenju, vključno z njegovo učinkovitostjo in varnostjo.
English: Any encounter with the healthcare system should be used as an opportunity for catch-up vaccinations to close immunity gaps.
Slovenian: Vse stike z zdravstvenim sistemom bi bilo treba izkoristiti kot priložnost za naknadno cepljenje za odpravo nezadostne imunizacije.
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.
Slovenian: Posledično se v državah članicah razlikujejo določeni vidiki cepljenja, kot so časovni razporedi, odmerki, tip zdravstvenih delavcev, ki izvajajo cepljenje, in prakse javnega naročanja.
English: PILLAR I - Tackling vaccine hesitancy and improving vaccination coverage
Slovenian: STEBER I - Odprava nezaupanja v cepljenje in izboljšanje precepljenosti
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;
Slovenian: izboljšanje dostopa do objektivnih in preglednih informacij o cepivih ter njihovi varnosti, ko se ocenijo informacijske potrebe javnosti in tudi zdravstvenih delavcev;
English: They may not understand the rationale for different policies across countries, raising doubts on the scientific base for the decision-making of vaccination policies.
Slovenian: Morda bodo zaradi različnih nacionalnih politik začeli dvomiti o znanstveni osnovi za sprejemanje odločitev v zvezi s politikami cepljenja.
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.
Slovenian: Ukrepi EU bi morali omogočiti standardizacijo orodij in metodologij za ovrednotenje in sporočanje podatkov o precepljenosti za vsa starostna obdobja, ne le tradicionalne pediatrične starostne skupine, pri čemer bi zlasti izboljšali potencial elektronskih informacijskih sistemov za imunizacijo.
English: There are also technical bottlenecks which span the entire product development pipeline, and novel adjuvants are needed for vaccines for which conventional formulations have failed.
Slovenian: Obstajajo tudi tehnična ozka grla, ki zajemajo celotno linijo proizvodov, za cepiva, pri katerih konvencionalne formulacije niso bile uspešne, pa so potrebni novi adjuvanti.
English: Access to vaccination must be widened and made easier to the recipient, particularly for vulnerable and underserved communities.
Slovenian: Povečati in olajšati je treba dostop do cepljenja, zlasti v ranljivih in manj pokritih skupnostih.
English: [18: Global Research Collaboration for Infectious Disease Preparedness https://www.glopid-r.org/]
Slovenian: [18: Globalno raziskovalno sodelovanje za pripravljenost na nalezljive bolezni, https://www.glopid-r.org/.]
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.
Slovenian: Ker se nezaupanje razlikuje po državah, prebivalstvu in glede na cepivo, lahko zanesljivi stratificirani podatki o precepljenosti pomagajo prepoznati podskupine z manjšo precepljenostjo, ovrednotiti temeljni vzrok za nezaupanje ter posledično prilagoditi potrebno posredovanje.
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.
Slovenian: Na evropski in nacionalni ravni si je treba prizadevati za pripravo operativnih smernic in odpravo infrastrukturnih, pravnih in standardizacijskih ovir, da se omogočita interoperabilnost in elektronska izmenjava podatkov na področju cepljenja ter izkoristi uvedba informacijskih sistemov za imunizacijo za poročanje o operativnih in strateških odločitvah.
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.
Slovenian: Smiselno je boljše usklajevanje prizadevanj na ravni EU ter združevanje skupnega evropskega tehničnega znanja za vrednotenje dokazov v obdobju pred izdajo dovoljenja za cepivo in po njem.
English: EU coordination and contribution to global health
Slovenian: STEBER III - Usklajevanje na evropski ravni in prispevanje k zdravju na svetovni ravni
English: Create a sustainable and multi-stakeholder platform for EU post-authorisation studies monitoring the safety, effectiveness, and impact of vaccination;
Slovenian: oblikovanje trajnostne platforme več zainteresiranih strani za evropske študije o spremljanju varnosti, učinkovitosti in vpliva cepljenja po izdaji dovoljenja;
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.
Slovenian: Splošnim koristim cepljenja navkljub pa je za zagotovitev trajnostnih, enakih in učinkovitih programov cepljenja v vseh državah članicah ter za zagotovitev, da se dodatne koristi cepljenja ne izgubijo, treba premagati še več ključnih izzivov.
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;
Slovenian: zmanjšanje tveganj pomanjkanja cepiv z razvojem virtualnega evropskega podatkovnega skladišča za beleženje potreb po cepivih, da se olajša prostovoljna izmenjava informacij o razpoložljivih zalogah in pomanjkanju osnovnih cepiv;
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.
Slovenian: Najbolj pereči izzivi vključujejo odpravo nezaupanja v cepljenje (poznejša privolitev v cepljenje ali zavrnitev cepljenja kljub razpoložljivosti storitve), zaustavitev širjenja nalezljivih bolezni, ki jih je mogoče preprečiti s cepljenjem, ohranitev visoke stopnje precepljenosti in zagotavljanje enakega dostopa do cepljenja prebivalcem vseh starosti.
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.
Slovenian: Finančna vzdržnost programov cepljenja je prav tako ključna za zagotavljanje močnejše podpore spremljanju vpliva in učinkovitosti cepiv, zmanjševanje tveganj pomanjkanja cepiv in odpravljanje nezaupanja v cepljenje ter njegovega vpliva na programe imunizacije.
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.
Slovenian: Cepljenje odraslih, vprašanja glede imunskega staranja (upad imunosti skozi čas) ter nova cepiva za odrasle in starejše postajajo osrednje interesne teme, ki so smiselne z javnozdravstvenega in tudi z gospodarskega vidika.
English: Bolster the effectiveness and efficiency of EU and national vaccine research and development funding and develop a roadmap on priority areas of needs.
Slovenian: povečanje uspešnosti in učinkovitosti financiranja raziskav in razvoja na področju cepiv na nacionalni in evropski ravni ter priprava načrta o prednostnih področjih glede na opredeljene potrebe.
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;
Slovenian: vzpostavitev smernic za temeljni razpored cepljenja v EU, da se omogoči združljivost nacionalnih razporedov, spodbuja enakost zdravstvenega varstva državljanov, pri čemer bi se navedeni razpored lahko uporabil kot referenca za optimizacijo nacionalnih razporedov, in izpolnijo potrebe državljanov pri selitvi v drugo državo;
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.
Slovenian: Upad incidence določenih bolezni je skupaj z ukrepi skupin nasprotnikov cepljenja privedel do preusmeritve pozornosti z nevarnosti in celo tveganja umrljivosti, ki ga predstavljajo bolezni, ki se dandanes redkeje pojavljajo, na strah pred nedokazanimi stranskimi učinki.
English: Foster behavioural research to better understand context-specific determinants of hesitancy from the end-user perspective, and design tailored intervention strategies;
Slovenian: spodbujanje vedenjskih raziskav za boljše razumevanje razmeram prilagojenih odločilnih dejavnikov nezaupanja z vidika končnega uporabnika in zasnova prilagojenih strategij posredovanja;
English: This is despite the fact that vaccines in the EU undergo rigorous testing both pre- and post- licensure, in line with Directive 2001/83/EC and Regulation (EU) No.726/2004.
Slovenian: Tako je kljub dejstvu, da cepiva v EU v skladu z Direktivo 2001/83/ES in Uredbo (ES) št. 726/2004 prestanejo strogo preskušanje pred izdajo dovoljenja in tudi po njej.
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.
Slovenian: Izzivi, povezani s pomanjkanjem cepiv, zadevajo povpraševanje in tudi ponudbo ter vključujejo težave s proizvodnjo, omejene dobavne in proizvodne zmogljivosti, svetovno povečanje povpraševanja, pomanjkljive napovedi potreb, okorelo zasnovo javnega naročanja ter omejene možnosti skladiščenja zalog.
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;
Slovenian: priprava poročila o zaupanju v cepiva v EU v okviru cikla o zdravstvenem stanju v EU, ki bo vsebovalo podatke za ukrepanje na nacionalni in evropski ravni;
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.
Slovenian: Usklajeni ukrepi bodo izboljšali trajnost nacionalnih programov cepljenja in okrepili nacionalne zmogljivosti za odpravo rastočega nezaupanja v cepljenje, svetovnega pomanjkanja cepiv, dezinvestiranja proizvajalcev cepiv in neusklajevanja pri raziskavah in razvoju na področju cepiv.
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.
Slovenian: V zadnjih letih so večji izbruhi bolezni, ki jih je mogoče preprečiti s cepljenjem, in številni dogodki čezmejnega pomena v ospredje postavili nezadostno precepljenost, s katero se še vedno sooča EU.
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.
Slovenian: Prek te mreže financerji raziskav razvijajo strateški raziskovalni program za nalezljive bolezni, ki bi lahko povzročile pandemijo, mreža pa se z uvedbo kliničnih preskušanj, tudi na področju razvoja cepiv, odziva na večje izbruhe bolezni.
English: [13: Commission SWD on Investing in Health https://ec.europa.eu/health/sites/health/files/policies/docs/swd_investing_in_health.pdf]
Slovenian: [13: Delovni dokument služb Komisije, Investing in Health (naložbe v zdravje), https://ec.europa.eu/health/sites/health/files/policies/docs/swd_investing_in_health.pdf.]
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;
Slovenian: razvoj skupne knjižice o cepljenju za državljane EU, ki bo dostopna prek elektronskih informacijskih sistemov in odobrena za čezmejno uporabo, da se poenoti poročanje o predhodni imunizaciji;
English: In Europe, safety-related concerns are a key determinant of hesitancy for both members of the public and healthcare professionals.
Slovenian: V Evropi so glavni odločilni dejavnik nezaupanja v cepljenje pri javnosti in tudi pri zdravstvenih strokovnjakih pomisleki, povezani z varnostjo.
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.
Slovenian: Imunizacija bo imela pomembno vlogo tudi pri doseganju ciljev trajnostnega razvoja Agende 2030. 3. cilj trajnostnega razvoja o skrbi za zdravo življenje in spodbujanju splošnega dobrega počutja v vseh življenjskih obdobjih poudarja pomembnost cepiv pri zaščiti ljudi pred boleznimi.
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]
Slovenian: ][2: Rappuoli R., 2014, GD za raziskave in inovacije, New Horizon for Vaccine Conference (konferenca o novih obzorjih glede cepljenja), https://ec.europa.eu/research/health/pdf/event17/s2-2-rino-rappuoli_en.pdf.]
English: This is why the Commission will also present a Council Recommendation on strengthened cooperation against vaccine preventable diseases so that Member States and the Commission work hand in hand.
Slovenian: Razsežnost prihodnjih izzivov zahteva tesno sodelovanje vseh zainteresiranih strani, zato bo Komisija predstavila tudi Priporočilo Sveta o okrepljenem sodelovanju v boju proti boleznim, ki jih je mogoče preprečiti s cepljenjem, da bodo države članice in Komisija tesno sodelovale.
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]
Slovenian: ][12: Direktiva 2010/32/EU z dne 10. maja 2010 o izvajanju okvirnega sporazuma o preprečevanju poškodb z ostrimi pripomočki v bolnišnicah in zdravstvenem sektorju, ki sta ga sklenila HOSPEEM in EPSU, http://eur-lex.europa.eu/legal-content/SL/TXT/HTML/?uri=CELEX:32010L0032&qid=1526462779154&from=SL.]
English: Differences exist as to the formats and languages used, but also with regards to the type of information recorded.
Slovenian: Razlikujejo se tudi sistemi za dokumentiranje posameznikove predhodne imunizacije, in sicer obstaja vse od papirnatih do naprednih elektronskih informacijskih sistemov, razlikujejo pa se tudi uporabljeni formati in jeziki ter celo vrsta zabeleženih informacij.
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.
Slovenian: ][10: ECDC, Overview of vaccination recommendations and coverage rates in the EU Member States for the 2013-14 and 2014-15 influenza seasons (pregled priporočil o cepljenju in stopenj precepljenosti v državah članicah EU v sezonah gripe 2013-14 in 2014-15), http://ecdc.europa.eu/en/publications/Publications/Seasonal-influenza-vaccination-antiviral-use-europe.pdf.]
English: The State of Vaccine Confidence 2016: Global Insights Through 67-Country Survey.
Slovenian: [14: Larson H, De Figueiredo A, Xiahong Z, et al. The State of Vaccine Confidence 2016: Global Insights Through 67-Country Survey (stanje na področju zaupanja v cepljenje v letu 2016: informacije na svetovni ravni na podlagi ankete, opravljene v 67 državah).
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]
Slovenian: ][17: Uredba (ES) št. 726/2004 o postopkih Skupnosti za pridobitev dovoljenja za promet in nadzor zdravil za humano in veterinarsko uporabo ter o ustanovitvi Evropske agencije za zdravila, https://ec.europa.eu/health/sites/health/files/files/eudralex/vol-1/reg_2004_726/reg_2004_726_sl.pdf.]
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.
Slovenian: Za pridobivanje nadaljnjih trdnih dokazov v realnih situacijah o varnosti, učinkovitosti in vplivu cepiv po uporabi ter poenotenje sedanjih razdrobljenih prizadevanj na ravni EU je treba zagotoviti tudi pasivno in aktivno spremljanje po izdaji dovoljenja ter namensko zasnovane študije.
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]
Slovenian: [6: ECDC, A fatal case of diphtheria in Belgium (smrtni primer davice v Belgiji), 24. marec 2016, https://ecdc.europa.eu/sites/portal/files/media/en/publications/Publications/RRA-Diphtheria-Belgium.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.]
Slovenian: [3: ECDC, Monthly measles and rubella monitoring report (mesečno poročilo o spremljanju ošpic in rdečk), januar 2018, https://ecdc.europa.eu/sites/portal/files/documents/Monthly%20measles%20and%20rubella%20monitoring%20report%20-%20JAN%202018.pdf.
English: [1: European Centre for Disease Prevention and Control.
Slovenian: [1: Evropski center za preprečevanje in obvladovanje bolezni.
English: Annex 2
Slovenian: Priloga 2
English: Annex 1
Slovenian: Priloga 1