How much money is spent on vaccines across Western European countries?

Figures & data

Figure 1. Proportion of national healthcare spending devoted to prevention and to vaccines (national sources).

Figure 2. Healthcare and vaccine spending evolution (national sources).

Table 3. National data sources.

	Prevention and vaccine expenditures	National vaccination calendar
Germany	Bundesministerium für Gesundheit (BMG)^1	Robert Koch Institut - STIKO-Impfkalender 2014
England	Health England^2	National Health Service (NHS) - summer 2014
	Department of Health^3
France	Direction de la Recherche, des Etudes, de l'Evaluation et des Statistiques (DREES)	Ministère des Affaires Sociales et de la Santé (MASS) - 2014
Italy	European House - Ambrosetti Meridiano Sanita^4	Italian Minitry of Health - PNPV 2012–2014
	Agenzia Italiana del Farmaco (AIFA) - Rapporto OsMed 2014
Spain	Ministerio de Sanidad, Servicios Sociales e Igualdad (MSSSI)^5	Ministerio de Sanidad, Servicios Sociales e Igualdad (MSSSI) - 2015
	Suplemento de La Razon - A tu salud (Mayo 2013)
Sweden	Statistiska Centralbyran (SCB)^6	Folkhälsomyndighten - 2015
Portugal	Instituto Nacional de Estatistica (INE)^7	Ministerio da Saude - 2015

¹ Expenditure from Statutory Health Insurance only (SHI).

² Data for vaccines expenditure for the year 2006/07 only.

³ Data for vaccine expenditure for the year 2009/2010 only. Prevention expenditure from 2006 to 2011 Program budgeting data.

⁴ Data for the year 2013 only.

⁵ Data until 2012 only.

⁶ Data on immunization programmes for 2011, 2012 and 2013 only.

⁷ Prevention data for 2008 and 2012, no data on vaccine.

Table 4. Comparative overview of prevention spending in OECD and national data sources.

OECD	Germany	England	France	Italy	Spain	Sweden^1	Portugal
Maternal and child health, family planning and counselling School health services Prevention of communicable diseases (including vaccines) Prevention of non-communicable diseases Occupational health care All other miscellaneous public health services	Social services Mutual aid Support in case of medication errors Vaccinations Prevention of non-communicable diseases Occupational health care Primary prevention in settings other than the workplace Dental prevention	Healthy individuals • Prevention program • Mental health prevention • Other Infectious diseases (other than HIV & AIDS)	Individual prevention • Vaccines • Family planning • Occupational health care • School health services • Tumor screening • Screening-Combating infectious diseases • Other pathologies • Medical examinations • Dental checkups Collective prevention • Campaign for vaccination • Combating addictions • Information, promotion and health education • Environmental hygiene • Occupational hazard prevention • Prevention and combating pollution • Observation, search, regulation • Urgencies and crises • Food safety	Overall prevention spending Vaccine spending - Pneumococcal - Hexavalent - Influenza - Anti-HPV - Others	Maternal and child health, family planning and counselling School health services Prevention of communicable diseases (including vaccines) Prevention of non-communicable diseases Occupational health care All other miscellaneous public health services	Information, education and counselling programs Immunization programs Healthy condition monitoring programs Epidemiological surveillance and risk and disease control	Maternal and child health, family planning and counselling Public health programs (consultations and screenings) and compulsory vaccination, i.e., vaccinations included in the national vaccination calendar Disease prevention (mandatory or non-declaration) Occupational health care

¹ Exact content of “immunization programs” could not be found.

Table 1. OECD data for prevention spending (no prevention data available for England and the UK).

	Germany (€M)					France (€M)					Italy (€M)
OECD data	2008	%	2012	%	CAGR	2008	%	2012	%	CAGR	2008	%	2013	%	CAGR
HCTOT: Total current expenditure	255,483		290,421		3.3%	202,673		226,775		2.8%	134,696		134,884		0.0%
HC6: Prevention and public health services	9,424	3.7%	9,594	3.3%	0.4%	4,404	2.2%	4,588	2.0%	1.0%	621	0.5%	671	0.5%	1.6%
HC63: Prevention of communicable diseases	NA	―	NA	―	―	307	0.2%	306	0.1%	−0.1%	NA	―	NA	―	―
	Spain (€M)					Sweden (SEKM)					Portugal (€M)
OECD data	2008	%	2011	%	CAGR	2008	%	2012	%	CAGR	2008	%	2011	%	CAGR
HCTOT: Total current expenditure	93,899		96,886		1.0%	281,968		321,802		3.4%	16,603		16,537		−0.1%
HC6: Prevention and public health services	2,244	2.4%	2,125	2.2%	−1.8%	10,205	3.6%	12,625	3.9%	5.5%	306	1.8%	349	2.1%	4.5%
HC63: Prevention of communicable diseases	4	0.0%	5	0.0%	7.7%	245	0.1%	285	0.1%	3.9%	NA	―	NA	―	―

Table 2. Diseases prevented according to national vaccination calendars (2014 or 2015).

	Germany		England		France		Italy		Spain		Sweden		Portugal
	Healthy	UC	Healthy	UC	Healthy	UC	Healthy	UC	Healthy	UC	Healthy	UC	Healthy	UC
Diphtheria	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓
Tetanus	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓
Poliomyelitis	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓
Pertussis	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓
Hemophilius influenza B	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓
Influenza	✓^1	✓	✓^Footnote3	✓	✓^Footnote5	✓	✓^Footnote5	✓	✓^Footnote5	✓			✓^Footnote5	✓
Pneumococcal	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓
Meningococcal C	✓		✓	✓	✓	✓	✓	✓	✓	✓			✓	✓
Meningococcal ACWY		✓
Measle	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓
Mumps	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓
Rubella	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓
Varicella	✓	✓				✓		✓		✓
Hepatitis A		✓				✓		✓						✓
Hepatitis B	✓	✓		✓	✓	✓	✓	✓		✓		✓	✓	✓
Rotavirus	✓	✓	✓	✓
Human Papillomavirus^4	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓	✓
Zoster			✓^2	✓^2
Tuberculosis						✓						✓	✓	✓
Tick-borne encephalitis		✓

UC: individuals with underlying conditions

¹ ≥ 60 y only;

² 70y only;

³ 2–4 y and ≥ 65 y only;

⁴ Girls only;

⁵ ≥ 65 y only.