While vaccines have virtually eliminated many infectious diseases in German
y, vaccination coverage in children, adolescents and adults is still unsati
sfying. This situation is mainly due to inadequate remuneration of vaccinat
ion services, structural deficits in the health care system and a lack of m
otivation. Political support and leadership would most likely be able to ch
ange this situation. (C) 2001 Elsevier Science Ltd. All rights reserved.