Infectious diseases such as polio and diphtheria rarely play a role in our everyday life. Nevertheless, vaccinations are still important. Especially with childhood diseases such as measles. If you get it as an adult, serious complications threaten. But what about – with the knowledge of your own vaccine protection? If one is not sure against what one is vaccinated, helps a visit to the family doctor. Markus Frühwein. He is a general and travel physician and vaccinates daily against tropical diseases such as yellow fever, but also against the flu or measles. He recommends a standard program to his patients: "In Germany, this includes: tetanus, diphtheria, whooping cough and polio Everyone should have effective protection against mumps, measles, rubella, especially in Bavaria, the ticks vaccine." Older people In Germany, the official vaccination recommendations are issued by the Standing Vaccination Commission, Stiko for short. On the list is in people over 60 and the vaccine against influenza says Dr. med. Markus Frühwein: "The flu vaccine is a good vaccine for those who are at high risk from influenza, they are old, chronically ill, immunocompromised people, I can only recommend the vaccine, I do it all myself, including our staff is vaccinated. "However, even the now paid by the health insurance quadruple vaccine offers no one hundred percent protection. In recent years, the vaccine was usually only effective in about half of the patients. In older people even worse than younger people. Actually, one is used to the fact that a vaccine immunizes very surely against a pathogen – as with the measles. Perhaps it is also this uncertainty that causes skepticism in many people in the subject of vaccination. Not every vaccination makes sense to demonize themselves, the Munich doctor Steffen Rabe holds nothing. Nor of scare tactics. But he thinks the official recommendations in some vaccines go too far: "The classic example of tetanus, where the Standing Vaccination Committee recommends refreshing every ten years, is a clear discrepancy to WHO's recommendation." "The World Health Organization, yes It's not exactly the haven of vaccination criticism, says that once you get six vaccines in your life, the last one was in adulthood, that's usually enough. "Aluminum in vaccinationEvery vaccine counts, according to a brochure from the Vaccination Commission. But every vaccine can also cause side effects, from mild redness at the injection site to symptoms such as fever and joint pain. And: Vaccinations such as those against tetanus may contain problematic substances, says the Munich doctor Steffen Rabe: "In every tetanus vaccine, for example, aluminum is there as a potentiator in. A substance that has come in the last few years very much in the discussion." Indeed For example, some vaccines, such as diphtheria and tetanus, would work poorly or not at all without aluminum. The European Pharmacopoeia states a maximum dose of 1.25 mg per dose. However, the vaccines approved here are well below this limit, in the range of 0.125 to 0.82 mg of aluminum per dose. In addition, these vaccines are administered intramuscularly, not intravenously, so that at no time all the aluminum in the blood is available. This is what the Paul Ehrlich Institute (PEI) in Langen announces. The PEI is the German federal institute for vaccines and biomedical drugs. Unclear vaccination status – blood loss In adults with uncertain vaccination status, such as measles or chickenpox, Steffen Rabe recommends therefore before taking a vaccine a blood sample: "I would in the case, for example, to see if If there is still a protection, we can read it very, very precisely from the blood in many vaccinations, not all, many of them, and make it dependent on whether, for example, a routine refresher is necessary or not. "There is a duty of vaccination – unlike in France and Italy – not in Germany. Each vaccination is an individual decision that everyone makes for themselves or their children – but for some diseases, they also have a social responsibility.