evidence: Vaccinations are of great importance to public health. In Sweden, there are national vaccination programmes against several infectious diseases. Many severe diseases which previously caused significant number of cases and deaths have now become more or less extinct in Sweden. Vaccinations have been paramount to achieve this. Following access to clean water and improved sanitation, vaccinations are the most efficient way to promote health and save lives. In Sweden, all vaccinations are voluntary. Vaccinations included in national vaccination programmes shall be offered free of charge by regions (or municipalities for school-aged children) and registered in the national vaccination registry.