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Table 4 Ranking of vaccine priority groups A

From: Prioritization strategies for pandemic influenza vaccine in 27 countries of the European Union and the Global Health Security Action Group: a review

Countries 1st priority 2nd priority 3rd priority 4th priority ≥5th priorities
BGB Health care workers Essential service providers High risk individuals Healthy adults and children   
CA Health care workers Essential service providers High risk individuals Healthy adults Children
CY Health care workers involved with vaccines and antiviral distribution Essential service providers High risk individuals Healthy adultsC Individuals aged 2–18 yrsC
DKD High risk individuals
Health care workers
- - -
EEE Health care workers Essential service providers High risk individuals - -
FIF Health care workers - - - -
DE Health care workers Essential service providers - - -
HU Health care workers Essential service providers    
IE Health care workers Essential service providers High risk individuals Individuals aged > 65 yrs. 5) Selected industries
6) Selected age groups,
7) Offer to all
IT Health care workers Essential service providers High risk individuals Healthy individuals aged 2–18 yrs. Healthy adults
MT Health care workers Essential service providers Specific age groups with high complication risk Individuals aged > 65 yrs with chronic diseasesG Individuals aged 2–64 yrs. with chronic diseasesG 5)Individuals > 65 years without chronic disease
6) infants aged 6–24 monthsG
7) Healthy individuals aged 2–16 yrs.G
8) Healthy adults aged 17–64 yrs.G
RO Health care workers Vaccine manufacturers and distribution staff Essential service providers Long term care facilities residents High risk individuals
SI Health care workers Workers involved in pandemic control High risk individuals - -
ES Health care workers Essential service providers High risk individuals Healthy adults and children  
NLH "Highest risk" individuals Health care workers Specific Pandemic Risk groups Healthy adults and children -
UK Health care workers Essential service providers High risk individuals Individuals aged > 65 yrs. 5) Selected industries
6) Selected age groups,
7) Offer to all
USI Vaccine and antiviral manufacturers Health care workers (Tier 1a) High risk individuals (Tier 1b) Pregnant woman, household contacts of severely immunocompromised persons, household contacts of children (Tier 1c) Public health emergency response, Key governmental leaders (Tier 1d) 5) Healthy individuals aged ≥ 65; individuals aged 6 months to 64 yrs. with 1 high-risk condition; healthy infants aged 6–23 months (Tier 2a)
6) Critical infrastructure group (Tier 2b)
7) Offer to all
  1. A The issue of prioritisation arises only in the situation of absolute or temporal vaccine shortage (or need for time wise stratification due to production time-frame); B A final decision regarding priorities will be taken under the conditions of the pandemic; C In view of the large numbers of persons among healthy adults and children a decision to vaccinate them will depend on the availability of vaccines, in view of the big numbers of persons covered by these groups; D Includes only the two vaccine priority groups who are determined as for prioritisation in advance: decisions on further prioritisation by one of five vaccination strategies as reported in the National Pandemic Influenza Preparedness Plan will be made during the course of the pandemic; E Estonian mass vaccination policy foresees four immunization strategies of which implementation depends on vaccine availability; the table includes the prioritization y in two of four strategies assuming limited vaccine; F Includes the one vaccine priority group determined in advance; further decisions will be made when more information about the virus is available; G In the case that all age groups are affected similarly then these groups will be prioritised (as decided by Malta's National Influenza Pandemic Standing committee and currently being approved and amended by the Director General); H The Health Council Committee defined four groups of people that, on medical grounds are most in need of vaccination. "Group 1" will be vaccinated first; in this table this group is depicted as 'highest complication individuals'; the category "Specific Pandemic Risk Groups" probably shows overlap with the "Group 2–4" as defined by the Health Council Committee; healthy adults and children will be vaccinated when enough vaccine is available 10; I Vaccination priority groups are categorised into 4 tiers including subtiers which will be vaccinated with increasing availability of vaccine. Description in this table is limited to tear 1–2. Currently discussion is ongoing to update the ranking of vaccine priority groups.