{
  "abstract": "Maternal vaccination is a powerful tool for protecting the health of mothers and infants but the role of surveillance systems in supporting vaccination programme design and implementation is underexplored. This paper considers how surveillance and post-implementation monitoring have helped to shape the timing and rationale for introduction of, and progressive change in, maternal pertussis vaccination in seven high-income European nations (England, Finland, France, Germany, Italy, the Netherlands and Spain). We show that differences in surveillance system design and in programme decision-making have had important implications for both timing of introduction and programme structure in each country, but that contingency has been a key factor especially where countries introduced vaccination as an outbreak response measure. To help better position surveillance and monitoring systems to provide a basis for decision-making on future maternal vaccination programmes, national and pan-European decision-makers should support greater harmonisation of case definitions and laboratory confirmation approaches; improve capture of maternal vaccination uptake and factors influencing overall trends and known and emerging inequities; invest in consistent, attitudinal data collection to better understand trends and the role of patient perceptions in influencing uptake; and support increased uptake through training of healthcare professionals to help them communicate confidently with pregnant women. This article contributes to the Lancet Regional Health–Europe series “The Future of Maternal Vaccination in Europe”.",
  "abstract_shown": true,
  "affiliations": [
    "UK Health Security Agency, London, UK",
    "Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK",
    "Santé Publique France, Paris, France",
    "Institut Pasteur, Université Paris Cité, Biodiversity and Epidemiology of Bacterial Pathogens, Paris, France",
    "National Reference Center for Whooping Cough and Other Bordetella Infections, Paris, France",
    "European Reference Laboratory for Public Health on Diphtheria and Pertussis, Institut Pasteur, Paris, France",
    "Working Group Vaccines and Vaccination Policies – SItI (Italian Scientific Society of Hygiene, Preventive Medicine and Public Health), Rome, Italy",
    "Board of the Italian Vaccination Calendar for Life, Rome, Italy",
    "Adult Immunization Board, Rome, Italy",
    "Department of Clinical Microbiology, Hospital Universitari Vall d’Hebron Campus, Barcelona, Spain",
    "Microbiology Research Group, Institut de Recerca Vall d’Hebron (VHIR), Hospital Universitari Vall d’Hebron Campus, Barcelona, Spain",
    "CIBER de Enfermedades Infecciosas (CIBERINFEC), Instituto de Salud Carlos III, Madrid, Spain",
    "Department of Genetics and Microbiology, Universitat Autònoma de Barcelona (UAB), Cerdanyola del Vallès, Spain",
    "Finnish Institute for Health and Welfare, Helsinki, Finland",
    "National Institute for Public Health and the Environment, Bilthoven, Netherlands",
    "Department of General Paediatric and Paediatric Infectious Diseases, Necker-Enfants Malades University Hospital, Université Paris Cité, Paris, France",
    "Immunization Unit, Robert Koch Institute, Berlin, Germany",
    "St George’s University Hospitals NHS Foundation Trust, London, UK",
    "City St George’s, University of London, London, UK"
  ],
  "article_type": "review article",
  "arxiv": null,
  "author_total": 19,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Sharif A. Ismail"
    },
    {
      "affs": [
        0
      ],
      "name": "Katie Farnes"
    },
    {
      "affs": [
        0
      ],
      "name": "Tara Patel"
    },
    {
      "affs": [
        2
      ],
      "name": "Fatima Aït El Belghiti"
    },
    {
      "affs": [
        3,
        4,
        5
      ],
      "name": "Sylvain Brisse"
    },
    {
      "affs": [
        0
      ],
      "name": "Colin N.J. Campbell"
    },
    {
      "affs": [
        0
      ],
      "name": "Helen Campbell"
    },
    {
      "affs": [
        6,
        7,
        8
      ],
      "name": "Giovanni Gabutti"
    },
    {
      "affs": [
        9,
        10,
        11,
        12
      ],
      "name": "Juan José González-López"
    },
    {
      "affs": [
        13
      ],
      "name": "Aapo Knuutila"
    },
    {
      "affs": [
        14
      ],
      "name": "Nicoline van der Maas"
    },
    {
      "affs": [
        14
      ],
      "name": "Hester de Melker"
    },
    {
      "affs": [
        10,
        11
      ],
      "name": "Alba Mir-Cros"
    },
    {
      "affs": [
        13
      ],
      "name": "Hanna Nohynek"
    },
    {
      "affs": [
        3,
        4,
        15
      ],
      "name": "Julie Toubiana"
    },
    {
      "affs": [
        16
      ],
      "name": "Ole Wichmann"
    },
    {
      "affs": [
        0
      ],
      "name": "Shamez N. Ladhani"
    },
    {
      "affs": [
        17,
        18
      ],
      "name": "Asma Khalil"
    },
    {
      "affs": [
        0
      ],
      "name": "Gayatri Amirthalingam"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/b578w56wwqbja.bib",
  "cited_by": 0,
  "doi": "10.1016/j.lanepe.2026.101902",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13734911/",
  "id": "b578w56wwqbja",
  "issns": [
    "2666-7762"
  ],
  "landing_url": "https://doi.org/10.1016/j.lanepe.2026.101902",
  "language": "en",
  "licence": "CC-BY-NC-4.0",
  "licence_label": "CC BY-NC 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
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      "heading",
      "Series"
    ],
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      "openalex",
      "2404|Bacterial Infections and Vaccines"
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  "openalex": "W7223696173",
  "pdf_url": null,
  "pmcid": "PMC13734911",
  "pmid": "42990667",
  "published": "2026-10-26",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/b578w56wwqbja.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T12:20:42Z",
      "native_id": "PMC13734911",
      "source": "pmc",
      "url": "https://doi.org/10.1016/j.lanepe.2026.101902"
    }
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  "subjects": [
    {
      "field": "biology",
      "origin": "openalex:2404|Bacterial Infections and Vaccines",
      "subfield": "microbiology"
    }
  ],
  "title": "The role of disease surveillance in maternal pertussis vaccination programmes in Europe: lessons for the future",
  "title_text": "The role of disease surveillance in maternal pertussis vaccination programmes in Europe: lessons for the future",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T12:20:42Z",
  "url": "https://research.draconitic.com/paper/b578w56wwqbja",
  "venue": "The Lancet Regional Health - Europe",
  "versions": []
}