Year |
Mission of vaccination |
Legal status of vaccination |
Social background |
Triggering event |
1948 |
Public health promotion and social security |
Mandatory vaccination with penalties for incompliance |
Recovery from the defeat in the WW second |
US influence through UN/GHQ |
1994 |
Autonomy preempts social security |
Routine vaccination with subsidies |
Hypersensitivity in safety concern |
MMR meningitis, anti-vaccine movement for incomplete influenza vaccine |
2001 |
Social and individual protection |
Classification of group 1 (maintain herd immunity) and 2 (individual protection) |
Re-recognition of burden of VPD |
re-emerging of influenza burden on elderly |
2012 |
National security |
Emergency preparedness of pandemic and bioterrorism |
Protection of essential social employees |
H1N1 pandemic influenza in 2009 |
2013 |
Evidence based vaccine policy |
National panel for vaccine evaluation |
Development and importation of new vaccines |
HPV, Hib, PCV subsidies |