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source date is not the retrieval date." }, { "id": "P9", "title": "Idaho school/daycare requirements and exemptions", "url": "https://healthandwelfare.idaho.gov/providers/immunization-providers/school-and-daycare-information", "source_date": null, "retrieved": "2026-09-30", "publisher": "Official government / public-health authority", "scope_note": "See title; source date is not the retrieval date." }, { "id": "P10", "title": "France HAS worker flu obligation recommendation", "url": "https://has-sante.fr/jcms/p_4214093/en/la-has-se-prononce-sur-l-obligation-vaccinale-contre-la-grippe", "source_date": "2026-07-20", "retrieved": "2026-09-30", "publisher": "Official government / public-health authority", "scope_note": "See title; source date is not the retrieval date." }, { "id": "P11", "title": "France 2026-27 campaign and pending worker obligation", "url": "https://sante.gouv.fr/IMG/pdf/dgs-urgent_no2026_12_campagne_grippe_covid-19_2026-2027.pdf", "source_date": null, "retrieved": "2026-09-30", "publisher": "Official government / public-health authority", "scope_note": "See title; source date is not the retrieval date." }, { "id": "P12", "title": "Queensland discretionary childcare restrictions", "url": "https://www.health.qld.gov.au/public-health/schools/immunisation/legislation", "source_date": "2024-02-01", "retrieved": "2026-09-30", "publisher": "Official government / public-health authority", "scope_note": "See title; source date is not the retrieval date." }, { "id": "P13", "title": "UK vaccination policy historical briefing", "url": "https://commonslibrary.parliament.uk/research-briefings/cbp-9076/", "source_date": "2022", "retrieved": "2026-09-30", "publisher": "Official government / public-health authority", "scope_note": "See title; source date is not the retrieval date." }, { "id": "P14", "title": "UK vaccine consent guidance", "url": "https://www.gov.uk/government/publications/consent-the-green-book-chapter-2", "source_date": "2025-11-04", "retrieved": "2026-09-30", "publisher": "Official government / public-health authority", "scope_note": "See title; source date is not the retrieval date." }, { "id": "S26", "title": "CDC HPV clinical overview", "url": "https://www.cdc.gov/hpv/hcp/clinical-overview/index.html", "source_date": "2024-07-09", "retrieved": "2026-09-30", "publisher": "CDC", "scope_note": "Cancer prevention link." } ], "strategy_groups": [ { "id": "interruption", "label": "Interrupt transmission", "type": "editorial_strategy_group", "interpretation": "Overlapping current-product mechanisms, not a mandate score." }, { "id": "recurring", "label": "Reduce recurring burden", "type": "editorial_strategy_group", "interpretation": "Overlapping current-product mechanisms, not a mandate score." }, { "id": "severe", "label": "Protect from severe TB", "type": "editorial_strategy_group", "interpretation": "Overlapping current-product mechanisms, not a mandate score." }, { "id": "environmental", "label": "Protect from environmental hazard", "type": "editorial_strategy_group", "interpretation": "Overlapping current-product mechanisms, not a mandate score." }, { "id": "cancer", "label": "Prevent infection-related cancer", "type": "editorial_strategy_group", "interpretation": "Overlapping current-product mechanisms, not a mandate score." } ], "diseases": [ { "id": "measles", "label": "Measles", "products": [ "MMR" ], "groups": [ "interruption" ], "goal": "Elimination goal, not globally eradicated", "mechanism": "Community-wide vaccination limits spread; high equitable two-dose coverage needed.", "source_ids": [ "S1", "S2", "S3" ] }, { "id": "polio", "label": "Polio", "products": [ "IPV", "OPV" ], "groups": [ "interruption" ], "goal": "Global eradication target; not complete", "mechanism": "IPV prevents paralytic disease; OPV intestinal immunity helps interrupt transmission, with different live-virus risks.", "source_ids": [ "S4", "S5" ] }, { "id": "smallpox", "label": "Smallpox", "products": [ "Smallpox vaccines" ], "groups": [ "interruption" ], "goal": "Historically eradicated in 1980", "mechanism": "Historical vaccination and surveillance success; current routine general-public vaccination not recommended.", "source_ids": [ "S24", "S25", "S17" ] }, { "id": "influenza", "label": "Seasonal influenza", "products": [ "Seasonal flu vaccines" ], "groups": [ "recurring" ], "goal": "Recurring burden reduction", "mechanism": "Seasonal effectiveness and viral changes; severe outcomes prevented without an eradication program.", "source_ids": [ "S9", "S10", "S15", "S21" ] }, { "id": "pertussis", "label": "Pertussis", "products": [ "DTaP", "Tdap" ], "groups": [ "recurring" ], "goal": "Recurring disease with waning immunity", "mechanism": "Protection wanes; maternal vaccination serves infant protection; no eradication inference.", "source_ids": [ "S13", "S16" ] }, { "id": "tuberculosis", "label": "Tuberculosis", "products": [ "BCG" ], "groups": [ "severe" ], "goal": "Not eradicable through current BCG strategy", "mechanism": "Partial severe-childhood protection; poor adult/adolescent protection where most transmission occurs.", "source_ids": [ "S6", "S7", "S8" ] }, { "id": "tetanus", "label": "Tetanus", "products": [ "Tetanus-containing vaccines" ], "groups": [ "environmental" ], "goal": "Environmental exposure remains", "mechanism": "No person-to-person transmission; direct protection is not herd immunity.", "source_ids": [ "S11", "S16" ] }, { "id": "hpv", "label": "HPV", "products": [ "HPV vaccines" ], "groups": [ "cancer" ], "goal": "Pre-exposure infection prevention", "mechanism": "Prevents new infections, not treatment; long-term cancer prevention strategy.", "source_ids": [ "S12", "S26" ] } ], "policies": [ { "id": "france", "label": "France", "jurisdiction_type": "country", "child_scope": "Broad, birth-cohort-specific list", "child_rank": 2, "child_instrument": "Admission requirement", "exemptions": "Medical; provisional admission", "worker_scope": "Flu obligation pending implementation, not yet fully enforceable", "worker_status": "Pending regulatory framework", "source_ids": [ "P1", "P10", "P11" ], "notes": "September notice expects enforceable framework after regulatory work by end-Q1 2027. Do not code HAS recommendation as enacted law." }, { "id": "germany", "label": "Germany", "jurisdiction_type": "country", "child_scope": "Measles-specific protection proof", "child_rank": 1, "child_instrument": "Proof, fines, specified restrictions", "exemptions": "Immunity or medical contraindication", "worker_scope": "Measles protection in covered facilities, birth-after-1970 scope", "worker_status": "Effective requirement", "source_ids": [ "P2" ], "notes": "Compulsory-school children are not excluded like daycare entrants; forced vaccination excluded." }, { "id": "finland", "label": "Finland", "jurisdiction_type": "country", "child_scope": "General participation voluntary", "child_rank": 0, "child_instrument": "Voluntary general vaccination", "exemptions": "Worker exceptions case-specific", "worker_scope": "Vulnerable-patient roles: measles/varicella, flu; pertussis for infant care", "worker_status": "Targeted requirement, exceptions", "source_ids": [ "P3", "P4" ], "notes": "Current THL guidance corroborates older Act translation; Finnish/Swedish text is legally binding." }, { "id": "england", "label": "England", "jurisdiction_type": "UK nation", "child_scope": "Consent-based school program", "child_rank": 0, "child_instrument": "Offer and consent", "exemptions": "Not applicable to cited offer", "worker_scope": "Frontline flu offer and encouragement in national letter", "worker_status": "Program guidance; no blanket mandate in letter", "source_ids": [ "P5", "P6", "P14" ], "notes": "Not a claim about every employer condition. Older parliamentary overview only historical context." }, { "id": "australia", "label": "Australia", "jurisdiction_type": "country with state variation", "child_scope": "Broad childhood schedule for benefits", "child_rank": 2, "child_instrument": "Financial eligibility; state-varying childcare access", "exemptions": "Approved exemptions / catch-up; objection not valid for federal condition", "worker_scope": "National recommendations; state rules may go further", "worker_status": "Recommendation at national guidance layer", "source_ids": [ "P7", "P8", "P12" ], "notes": "Queensland childcare services can choose restrictions; this is not a uniform national school-admission law." }, { "id": "idaho", "label": "Idaho (US)", "jurisdiction_type": "US state", "child_scope": "Multiple school/daycare immunisations", "child_rank": 2, "child_instrument": "Records or exemption", "exemptions": "Medical, religious, other reasons", "worker_scope": "Not researched at employer level", "worker_status": "Unknown for unnamed hospital", "source_ids": [ "P9" ], "notes": "State is not a US-wide country score; broad exemptions change force of requirement." } ], "policy_ranking": { "dimension": "Breadth of child vaccine list covered by described policy", "codes": { "0": "Voluntary or consent-based general program", "1": "Targeted disease proof", "2": "Multiple childhood diseases" }, "meaning": "Ordinal editorial category, not compulsion severity, outcomes or policy quality. Instruments and exemptions displayed separately." }, "flu_burden": { "population": "United States", "season": "2024-2025", "source_id": "S9", "source_date": "2026-03-12", "estimate_type": "Modeled, preliminary report snapshot; not a live dashboard update", "rows": [ { "outcome": "Illnesses", "occurred": 51000000, "prevented": 10000000 }, { "outcome": "Hospitalizations", "occurred": 710000, "prevented": 180000 }, { "outcome": "Deaths", "occurred": 45000, "prevented": 12000 } ], "caveat": "Occurred and prevented are separate modeled quantities, not a trial risk ratio. Different panel scales." }, "graph": { "nodes": [ { "id": "interruption", "label": "Interrupt transmission", "type": "editorial_strategy_group", "interpretation": "Overlapping current-product mechanisms, not a mandate score." }, { "id": "recurring", "label": "Reduce recurring burden", "type": "editorial_strategy_group", "interpretation": "Overlapping current-product mechanisms, not a mandate score." }, { "id": "severe", "label": "Protect from severe TB", "type": "editorial_strategy_group", "interpretation": "Overlapping current-product mechanisms, not a mandate score." }, { "id": "environmental", "label": "Protect from environmental hazard", "type": "editorial_strategy_group", "interpretation": "Overlapping current-product mechanisms, not a mandate score." }, { "id": "cancer", "label": "Prevent infection-related cancer", "type": "editorial_strategy_group", "interpretation": "Overlapping current-product mechanisms, not a mandate score." }, { "id": "measles", "label": "Measles", "type": "disease" }, { "id": "product-mmr", "label": "MMR", "type": "vaccine_product_or_class" }, { "id": "polio", "label": "Polio", "type": "disease" }, { "id": "product-ipv", "label": "IPV", "type": "vaccine_product_or_class" }, { "id": "product-opv", "label": "OPV", "type": "vaccine_product_or_class" }, { "id": "smallpox", "label": "Smallpox", "type": "disease" }, { "id": "product-smallpox-vaccines", "label": "Smallpox vaccines", "type": "vaccine_product_or_class" }, { "id": "influenza", "label": "Seasonal influenza", "type": "disease" }, { "id": "product-seasonal-flu-vaccines", "label": "Seasonal flu vaccines", "type": "vaccine_product_or_class" }, { "id": "pertussis", "label": "Pertussis", "type": "disease" }, { "id": "product-dtap", "label": "DTaP", "type": "vaccine_product_or_class" }, { "id": "product-tdap", "label": "Tdap", "type": "vaccine_product_or_class" }, { "id": "tuberculosis", "label": "Tuberculosis", "type": "disease" }, { "id": "product-bcg", "label": "BCG", "type": "vaccine_product_or_class" }, { "id": "tetanus", "label": "Tetanus", "type": "disease" }, { "id": "product-tetanus-containing-vaccines", "label": "Tetanus-containing vaccines", "type": "vaccine_product_or_class" }, { "id": "hpv", "label": "HPV", "type": "disease" }, { "id": "product-hpv-vaccines", "label": "HPV vaccines", "type": "vaccine_product_or_class" }, { "id": "S1", "label": "WHO measles fact sheet", "type": "source", "url": "https://www.who.int/news-room/fact-sheets/detail/measles" }, { "id": "S2", "label": "CDC measles vaccination", "type": "source", "url": "https://www.cdc.gov/measles/vaccines/index.html" }, { "id": "S3", "label": "WHO measles vaccine position summary", "type": "source", "url": "https://www.who.int/docs/default-source/immunization/position_paper_documents/measles/who-pp-measles-vaccine-summary-2017.pdf" }, { "id": "S4", "label": "WHO poliomyelitis fact sheet", "type": "source", "url": "https://www.who.int/en/news-room/fact-sheets/detail/poliomyelitis" }, { "id": "S5", "label": "CDC Pink Book: poliomyelitis", "type": "source", "url": "https://www.cdc.gov/pinkbook/hcp/table-of-contents/chapter-18-poliomyelitis.html" }, { "id": "S6", "label": "WHO new TB vaccine research", "type": "source", "url": "https://www.who.int/teams/global-programme-on-tuberculosis-and-lung-health/research-innovation/vaccines" }, { "id": "S7", "label": "CDC BCG vaccine guidance", "type": "source", "url": "https://www.cdc.gov/tb/hcp/vaccines/index.html" }, { "id": "S8", "label": "WHO tuberculosis fact sheet", "type": "source", "url": "https://www.who.int/news-room/fact-sheets/detail/tuberculosis" }, { "id": "S9", "label": "CDC US 2024-25 flu burden and prevention", "type": "source", "url": "https://www.cdc.gov/flu-burden/php/data-vis-vac/2024-2025-prevented.html" }, { "id": "S10", "label": "CDC influenza drift and shift", "type": "source", "url": "https://www.cdc.gov/flu/php/viruses/change.html" }, { "id": "S11", "label": "CDC tetanus causes and spread", "type": "source", "url": "https://www.cdc.gov/tetanus/causes/index.html" }, { "id": "S12", "label": "CDC HPV vaccination considerations", "type": "source", "url": "https://www.cdc.gov/hpv/hcp/vaccination-considerations/index.html" }, { "id": "S13", "label": "CDC pertussis vaccine recommendations", "type": "source", "url": "https://www.cdc.gov/pertussis/hcp/vaccine-recommendations/index.html" }, { "id": "S14", "label": "CDC MMR safety", "type": "source", "url": "https://www.cdc.gov/vaccine-safety/vaccines/mmr.html" }, { "id": "S15", "label": "CDC GBS and flu vaccine", "type": "source", "url": "https://www.cdc.gov/flu/vaccine-safety/guillainbarre.html" }, { "id": "S16", "label": "CDC DTaP/Tdap safety", "type": "source", "url": "https://www.cdc.gov/vaccine-safety/vaccines/dtap-tdap.html" }, { "id": "S17", "label": "CDC smallpox vaccine safety", "type": "source", "url": "https://www.cdc.gov/smallpox/vaccines/side-effects.html" }, { "id": "S18", "label": "WHO health-burden methods", "type": "source", "url": "https://cdn.who.int/media/docs/default-source/gho-documents/global-health-estimates/ghe2021_daly_methods.pdf?sfvrsn=690b16c3_2" }, { "id": "S19", "label": "WHO economic evaluation guide overview", "type": "source", "url": "https://www.who.int/publications/i/item/WHO-IVB-19.10" }, { "id": "S20", "label": "WHO COVID-19 mandatory-vaccination ethics", "type": "source", "url": "https://iris.who.int/server/api/core/bitstreams/4630bf27-23ad-4278-95e0-3e32957f7079/content" }, { "id": "S21", "label": "CDC healthcare flu infection prevention", "type": "source", "url": "https://www.cdc.gov/flu/hcp/infection-control/healthcare-settings.html" }, { "id": "S22", "label": "Cochrane healthcare-worker flu vaccination review", "type": "source", "url": "https://www.cochrane.org/evidence/CD005187_flu-vaccination-healthcare-workers-who-care-people-aged-60-or-older-living-long-term-care" }, { "id": "S23", "label": "CDC ACIP flu recommendations, fetched version 2025-26", "type": "source", "url": "https://www.cdc.gov/flu/hcp/vax-summary/acip-recommendations.html" }, { "id": "S24", "label": "WHO smallpox eradication", "type": "source", "url": "https://www.who.int/emergencies/situations/smallpox/" }, { "id": "S25", "label": "CDC smallpox vaccines, current occupational scope", "type": "source", "url": "https://www.cdc.gov/smallpox/hcp/vaccines/index.html" }, { "id": "P1", "label": "France child admission requirements", "type": "source", "url": "https://www.service-public.gouv.fr/particuliers/vosdroits/F767" }, { "id": "P2", "label": "Germany measles law FAQ", "type": "source", "url": "https://www.bundesgesundheitsministerium.de/impfpflicht/faq-masernschutzgesetz" }, { "id": "P3", "label": "Finland Act translation, historical legislative text", "type": "source", "url": "https://www.finlex.fi/api/media/statute-foreign-language-translation/687819/mainPdf/main.pdf?timestamp=2016-12-20T22%3A00%3A00.000Z" }, { "id": "P4", "label": "Finland THL occupational guidance", "type": "source", "url": "https://thl.fi/ohjeita-ammattilaisille/tyoelaman-rokotukset" }, { "id": "P5", "label": "England school immunisation support", "type": "source", "url": "https://www.gov.uk/government/publications/health-protection-in-schools-and-other-childcare-facilities/supporting-immunisation-programmes" }, { "id": "P6", "label": "England 2026-27 national flu letter", "type": "source", "url": "https://www.gov.uk/government/publications/national-flu-immunisation-programme-plan-2026-to-2027/national-flu-immunisation-programme-2026-to-2027-letter" }, { "id": "P7", "label": "Australia childhood-benefit immunisation requirements", "type": "source", "url": "https://www.servicesaustralia.gov.au/what-are-immunisation-requirements?context=60001" }, { "id": "P8", "label": "Australia healthcare-worker recommendations", "type": "source", "url": "https://www.health.gov.au/topics/immunisation/immunisation-information-for-health-professionals/immunisations-for-health-care-workers?language=en" }, { "id": "P9", "label": "Idaho school/daycare requirements and exemptions", "type": "source", "url": "https://healthandwelfare.idaho.gov/providers/immunization-providers/school-and-daycare-information" }, { "id": "P10", "label": "France HAS worker flu obligation recommendation", "type": "source", "url": "https://has-sante.fr/jcms/p_4214093/en/la-has-se-prononce-sur-l-obligation-vaccinale-contre-la-grippe" }, { "id": "P11", "label": "France 2026-27 campaign and pending worker obligation", "type": "source", "url": "https://sante.gouv.fr/IMG/pdf/dgs-urgent_no2026_12_campagne_grippe_covid-19_2026-2027.pdf" }, { "id": "P12", "label": "Queensland discretionary childcare restrictions", "type": "source", "url": "https://www.health.qld.gov.au/public-health/schools/immunisation/legislation" }, { "id": "P13", "label": "UK vaccination policy historical briefing", "type": "source", "url": "https://commonslibrary.parliament.uk/research-briefings/cbp-9076/" }, { "id": "P14", "label": "UK vaccine consent guidance", "type": "source", "url": "https://www.gov.uk/government/publications/consent-the-green-book-chapter-2" }, { "id": "france", "label": "France", "type": "jurisdiction", "jurisdiction_type": "country" }, { "id": "germany", "label": "Germany", "type": "jurisdiction", "jurisdiction_type": "country" }, { "id": "finland", "label": "Finland", "type": "jurisdiction", "jurisdiction_type": "country" }, { "id": "england", "label": "England", "type": "jurisdiction", "jurisdiction_type": "UK nation" }, { "id": "australia", "label": "Australia", "type": "jurisdiction", "jurisdiction_type": "country with state variation" }, { "id": "idaho", "label": "Idaho (US)", "type": "jurisdiction", "jurisdiction_type": "US state" }, { "id": "S26", "label": "CDC HPV clinical overview", "type": "source", "url": "https://www.cdc.gov/hpv/hcp/clinical-overview/index.html" }, { "id": "outcome-infection", "label": "Prevent infection", "type": "outcome_or_safety_caveat" }, { "id": "outcome-paralysis", "label": "Prevent paralytic disease", "type": "outcome_or_safety_caveat" }, { "id": "outcome-child-tb", "label": "Reduce severe childhood TB", "type": "outcome_or_safety_caveat" }, { "id": "outcome-hospitalization", "label": "Reduce hospitalization", "type": "outcome_or_safety_caveat" }, { "id": "outcome-future-cancer", "label": "Prevent future HPV-related cancers", "type": "outcome_or_safety_caveat" }, { "id": "outcome-tetanus-disease", "label": "Prevent tetanus disease", "type": "outcome_or_safety_caveat" }, { "id": "outcome-live-virus-risk", "label": "Rare live-virus paralysis risk", "type": "outcome_or_safety_caveat" }, { "id": "outcome-febrile-seizure", "label": "Small febrile-seizure risk", "type": "outcome_or_safety_caveat" }, { "id": "outcome-gbs", "label": "Possible small GBS increase in some seasons", "type": "outcome_or_safety_caveat" } ], "edges": [ { "source": "measles", "target": "interruption", "relation": "editorial_current_strategy_group", "source_ids": [ "S1", "S2", "S3" ], "note": "Community-wide vaccination limits spread; high equitable two-dose coverage needed." }, { "source": "product-mmr", "target": "measles", "relation": "vaccine_strategy_for", "source_ids": [ "S1", "S2", "S3" ] }, { "source": "polio", "target": "interruption", "relation": "editorial_current_strategy_group", "source_ids": [ "S4", "S5" ], "note": "IPV prevents paralytic disease; OPV intestinal immunity helps interrupt transmission, with different live-virus risks." }, { "source": "product-ipv", "target": "polio", "relation": "vaccine_strategy_for", "source_ids": [ "S4", "S5" ] }, { "source": "product-opv", "target": "polio", "relation": "vaccine_strategy_for", "source_ids": [ "S4", "S5" ] }, { "source": "smallpox", "target": "interruption", "relation": "editorial_current_strategy_group", "source_ids": [ "S24", "S25", "S17" ], "note": "Historical vaccination and surveillance success; current routine general-public vaccination not recommended." }, { "source": "product-smallpox-vaccines", "target": "smallpox", "relation": "vaccine_strategy_for", "source_ids": [ "S24", "S25", "S17" ] }, { "source": "influenza", "target": "recurring", "relation": "editorial_current_strategy_group", "source_ids": [ "S9", "S10", "S15", "S21" ], "note": "Seasonal effectiveness and viral changes; severe outcomes prevented without an eradication program." }, { "source": "product-seasonal-flu-vaccines", "target": "influenza", "relation": "vaccine_strategy_for", "source_ids": [ "S9", "S10", "S15", "S21" ] }, { "source": "pertussis", "target": "recurring", "relation": "editorial_current_strategy_group", "source_ids": [ "S13", "S16" ], "note": "Protection wanes; maternal vaccination serves infant protection; no eradication inference." }, { "source": "product-dtap", "target": "pertussis", "relation": "vaccine_strategy_for", "source_ids": [ "S13", "S16" ] }, { "source": "product-tdap", "target": "pertussis", "relation": "vaccine_strategy_for", "source_ids": [ "S13", "S16" ] }, { "source": "tuberculosis", "target": "severe", "relation": "editorial_current_strategy_group", "source_ids": [ "S6", "S7", "S8" ], "note": "Partial severe-childhood protection; poor adult/adolescent protection where most transmission occurs." }, { "source": "product-bcg", "target": "tuberculosis", "relation": "vaccine_strategy_for", "source_ids": [ "S6", "S7", "S8" ] }, { "source": "tetanus", "target": "environmental", "relation": "editorial_current_strategy_group", "source_ids": [ "S11", "S16" ], "note": "No person-to-person transmission; direct protection is not herd immunity." }, { "source": "product-tetanus-containing-vaccines", "target": "tetanus", "relation": "vaccine_strategy_for", "source_ids": [ "S11", "S16" ] }, { "source": "hpv", "target": "cancer", "relation": "editorial_current_strategy_group", "source_ids": [ "S12" ], "note": "Prevents new infections, not treatment; long-term cancer prevention strategy." }, { "source": "product-hpv-vaccines", "target": "hpv", "relation": "vaccine_strategy_for", "source_ids": [ "S12" ] }, { "source": "product-mmr", "target": "outcome-infection", "relation": "protects_against", "source_ids": [ "S2" ], "note": "Two-dose effectiveness against measles, not universal protection." }, { "source": "product-mmr", "target": "outcome-febrile-seizure", "relation": "safety_caveat", "source_ids": [ "S14" ], "note": "Small increased risk, not long-term effects." }, { "source": "product-ipv", "target": "outcome-paralysis", "relation": "protects_against", "source_ids": [ "S5" ], "note": "Less intestinal immunity than OPV." }, { "source": "product-opv", "target": "outcome-paralysis", "relation": "protects_against", "source_ids": [ "S5" ], "note": "Distinct transmission and safety profile." }, { "source": "product-opv", "target": "outcome-live-virus-risk", "relation": "safety_caveat", "source_ids": [ "S5" ], "note": "VAPP and vaccine-derived-virus risks; not IPV." }, { "source": "product-bcg", "target": "outcome-child-tb", "relation": "protects_against", "source_ids": [ "S6", "S7" ], "note": "Partial severe-childhood protection." }, { "source": "product-seasonal-flu-vaccines", "target": "outcome-hospitalization", "relation": "reduces_risk", "source_ids": [ "S9" ], "note": "Varies by product, age, season, endpoint." }, { "source": "product-seasonal-flu-vaccines", "target": "outcome-gbs", "relation": "safety_caveat", "source_ids": [ "S15" ], "note": "If increased, 1-2 additional cases per million doses; varied association." }, { "source": "product-hpv-vaccines", "target": "outcome-future-cancer", "relation": "protects_against", "source_ids": [ "S26" ], "note": "Pre-exposure prevention, not treatment." }, { "source": "product-tetanus-containing-vaccines", "target": "outcome-tetanus-disease", "relation": "protects_against", "source_ids": [ "S11", "S16" ], "note": "Direct protection, no person-to-person herd effect." }, { "source": "measles", "target": "S1", "relation": "evidence_source", "source_ids": [ "S1" ] }, { "source": "measles", "target": "S2", "relation": "evidence_source", "source_ids": [ "S2" ] }, { "source": "measles", "target": "S3", "relation": "evidence_source", "source_ids": [ "S3" ] }, { "source": "product-mmr", "target": "S1", "relation": "evidence_source", "source_ids": [ "S1" ] }, { "source": "product-mmr", "target": "S2", "relation": "evidence_source", "source_ids": [ "S2" ] }, { "source": "product-mmr", "target": "S3", "relation": "evidence_source", "source_ids": [ "S3" ] }, { "source": "polio", "target": "S4", "relation": "evidence_source", "source_ids": [ "S4" ] }, { "source": "polio", "target": "S5", "relation": "evidence_source", "source_ids": [ "S5" ] }, { "source": "product-ipv", "target": "S4", "relation": "evidence_source", "source_ids": [ "S4" ] }, { "source": "product-ipv", "target": "S5", "relation": "evidence_source", "source_ids": [ "S5" ] }, { "source": "product-opv", "target": "S4", "relation": "evidence_source", "source_ids": [ "S4" ] }, { "source": "product-opv", "target": "S5", "relation": "evidence_source", "source_ids": [ "S5" ] }, { "source": "smallpox", "target": "S24", "relation": "evidence_source", "source_ids": [ "S24" ] }, { "source": "smallpox", "target": "S25", "relation": "evidence_source", "source_ids": [ "S25" ] }, { "source": "smallpox", "target": "S17", "relation": "evidence_source", "source_ids": [ "S17" ] }, { "source": "product-smallpox-vaccines", "target": "S24", "relation": "evidence_source", "source_ids": [ "S24" ] }, { "source": "product-smallpox-vaccines", "target": "S25", "relation": "evidence_source", "source_ids": [ "S25" ] }, { "source": "product-smallpox-vaccines", "target": "S17", "relation": "evidence_source", "source_ids": [ "S17" ] }, { "source": "influenza", "target": "S9", "relation": "evidence_source", "source_ids": [ "S9" ] }, { "source": "influenza", "target": "S10", "relation": "evidence_source", "source_ids": [ "S10" ] }, { "source": "influenza", "target": "S15", "relation": "evidence_source", "source_ids": [ "S15" ] }, { "source": "influenza", "target": "S21", "relation": "evidence_source", "source_ids": [ "S21" ] }, { "source": "product-seasonal-flu-vaccines", "target": "S9", "relation": "evidence_source", "source_ids": [ "S9" ] }, { "source": "product-seasonal-flu-vaccines", "target": "S10", "relation": "evidence_source", "source_ids": [ "S10" ] }, { "source": "product-seasonal-flu-vaccines", "target": "S15", "relation": "evidence_source", "source_ids": [ "S15" ] }, { "source": "product-seasonal-flu-vaccines", "target": "S21", "relation": "evidence_source", "source_ids": [ "S21" ] }, { "source": "pertussis", "target": "S13", "relation": "evidence_source", "source_ids": [ "S13" ] }, { "source": "pertussis", "target": "S16", "relation": "evidence_source", "source_ids": [ "S16" ] }, { "source": "product-dtap", "target": "S13", "relation": "evidence_source", "source_ids": [ "S13" ] }, { "source": "product-dtap", "target": "S16", "relation": "evidence_source", "source_ids": [ "S16" ] }, { "source": "product-tdap", "target": "S13", "relation": "evidence_source", "source_ids": [ "S13" ] }, { "source": "product-tdap", "target": "S16", "relation": "evidence_source", "source_ids": [ "S16" ] }, { "source": "tuberculosis", "target": "S6", "relation": "evidence_source", "source_ids": [ "S6" ] }, { "source": "tuberculosis", "target": "S7", "relation": "evidence_source", "source_ids": [ "S7" ] }, { "source": "tuberculosis", "target": "S8", "relation": "evidence_source", "source_ids": [ "S8" ] }, { "source": "product-bcg", "target": "S6", "relation": "evidence_source", "source_ids": [ "S6" ] }, { "source": "product-bcg", "target": "S7", "relation": "evidence_source", "source_ids": [ "S7" ] }, { "source": "product-bcg", "target": "S8", "relation": "evidence_source", "source_ids": [ "S8" ] }, { "source": "tetanus", "target": "S11", "relation": "evidence_source", "source_ids": [ "S11" ] }, { "source": "tetanus", "target": "S16", "relation": "evidence_source", "source_ids": [ "S16" ] }, { "source": "product-tetanus-containing-vaccines", "target": "S11", "relation": "evidence_source", "source_ids": [ "S11" ] }, { "source": "product-tetanus-containing-vaccines", "target": "S16", "relation": "evidence_source", "source_ids": [ "S16" ] }, { "source": "hpv", "target": "S12", "relation": "evidence_source", "source_ids": [ "S12" ] }, { "source": "product-hpv-vaccines", "target": "S12", "relation": "evidence_source", "source_ids": [ "S12" ] }, { "source": "product-mmr", "target": "S14", "relation": "evidence_source", "source_ids": [ "S14" ] }, { "source": "product-hpv-vaccines", "target": "S26", "relation": "evidence_source", "source_ids": [ "S26" ] } ] } }