Vaccination

Last updated on: 28.05.2025

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HistoryThis section has been translated automatically.

Variolization was the first form of immunization used to transfer vesicle contents from smallpox sufferers into the scarified skin of healthy individuals as early as the 17th century.

In 1774, the English farmer Benjamin Jesty inoculated vesicle fluid from cowpox onto his wife and two sons and protected them against smallpox.

On May 14, 1796, Jenner injected 8-year-old James, son of his gardener Phipps, with material he had obtained from fresh cowpox lesions of a milker (Sarah Nelmes). To Jenner's relief, the boy subsequently developed only a slight fever. 6 weeks later, he exposed the boy to smallpox material. There was no smallpox infection. To Jenner's credit, he proved the correctness of his hypothesis that "cowpox protects against smallpox" (proof of concept). His investigations on other people led to the publication of "An Inquiry Into the Causes and Effects of the Variolae Vaccinae" in 1798 (1).

Vaccination skeptics already existed in his time, coupled with reports that people grew cow heads after vaccinations. As a late recognition of his achievements, the country doctor Jenner rose to become personal physician to King George IV in 1821. On October 26, 1979, the WHO declares smallpox eradicated. The smallpox virus only survives in high-security laboratories.

DefinitionThis section has been translated automatically.

The terms vaccination/vaccination are derived from the Latin word "vacca" (cow). In Germany, the independent Standing Committee on Vaccination (STIKO) at the Robert Koch Institute (RKI) issues annually updated vaccination recommendations, which are published in the Epidemiological Bulletin.

General informationThis section has been translated automatically.

According to the measles protection law of March 1, 2020, confirmed by the highest court, measles vaccination is the only one required by law for a certain group of people and its non-compliance is subject to sanctions. In contrast to compulsory vaccination, people retain the freedom to choose not to be vaccinated. In addition, the law stipulates that physicians may perform any vaccination regardless of their specialty.

The recommendations issued by the STIKO only become legally binding nationwide through the protective vaccination guideline (SI-RL) issued by the Federal Joint Committee (G-BA), on the basis of which the highest authorities of the various federal states recommend the vaccinations that meet the medical standard and are then offered by the statutory health insurance funds to their members as free mandatory services.

Note(s)This section has been translated automatically.

Despite this extensive range of vaccinations, vaccination rates are low. The booster vaccinations in adolescence and adulthood are often forgotten. It is therefore up to doctors to keep an eye on their patients in this regard, e.g. by checking their vaccination records annually and by actively addressing any gaps in vaccination in order to close them.

Adult vaccination rates: The uptake of standard vaccinations recommended for adults varies. For all recommended vaccinations, uptake rates were low to moderate. In particular, the vaccination against herpes zoster stands out with particularly low vaccination rates in the ≥ 60 age group. Only 3.3% in this age group are fully immunized.

LiteratureThis section has been translated automatically.

  1. Kussini J et al. (2025) Cutaneous reactions to vaccination. J Dtsch Dermatol Ges 23:195-209.

Last updated on: 28.05.2025