[coreyh14444]

Just a quick point as an American living in Denmark, one of the reasons government programs like this work so well is everything is delivered digitally. We have "e-boks" https://en.digst.dk/systems/digital-post/about-the-national-... official government facilitated inboxes so when they need to notify you of vaccinations or whatever else, it arrives to your inbox. And basically 100% of residents use these systems.

[wojciii]

This HPV vaccine was part of the children vaccination program (børnevaccinationsprogram) which kindly asks the parents to vaccinate their children.

While we have some anivaxxers here in DK, most people (90%, I believe) are sane and follow the recommendations.

The vaccinations start while the children are small and continue while they grow up .. the last one is when they are 12.5 years old.

The notifications are delivered in eboks or by mail if you don't want to use eboks. Everything from the state is delivered like this. There is nothing special about how the information is delivered. The SMS/e-mail notifications are just about hwo sent you something and not about what it is. At least for me.

I don't see how the use of eboks makes this work better. It would work just as well without eboks. People listen to doctors and the MAGA like shitheads we do have don't have a lot of influence.

[coreyh14444]

This is why I posted it from the perspective as an American. We don't have anything remotely comparable. Vaccinations are delivered by private doctors and public schools often require vaccinations or exemptions but the system works entirely differently. If you homeschooled your kids and if your doctor didn't mention it, you'd never even know that vaccinations were available.

[tokai]

I fail to see how e-boks makes this work. Younger people check their e-boks less frequently than average, so sending a physical letter to their address would work just as well if not better.

What makes it work is the public registers.

[silvestrov]

e-boks sends a text message to the phone, so I see it much faster than a paper mail.

e-boks is like gmail (and others) in that it keeps your old mail. So you can easily find old stuff, a great improvement on paper mail.

I don't even check my physical mailbox once a week.

Denmark is one of the very most digital countries. Physical mail is very much on the way out. We no longer has mailboxes to send mail, you have to go to a shop to send letters, which now cost at last $6 per letter due to the low amount of mail sent.

It is only a matter of less than 10 years before letters will be fully gone.

[Spone]

Didn't Danish postal service just ended operations? https://www.nytimes.com/2025/12/30/world/europe/denmark-lett...

[c-c-c-c-c]

A Danish postal company, they wont stop receiving mail lol.

[tokai]

Thats all besides the point. Which was that e-boks is not making vaccine programs possible or successful.

[array_key_first]

I think it certainly helps, although of course anything is possible without anything.

[wolvoleo]

6€ for a letter that's ridiculous.. wow

[robocat]

Low delivery costs need high volume (economies of scale).

As number of deliveries per address drops, the delivery costs trend towards the same price as small package delivery.

[closewith]

Okay, well Ireland has similar vaccination rates, broader childhood vaccination coverage, and no central medical records at all, so while e-boks may assist administration, it's certainly not necessary.

[disgruntledphd2]

> no central medical records at all

Which is bad, we definitely should have them. Referral data appears to be managed through Healthlink, which may just be a privatised not always used medical record system.

[closewith]

I'm a proponent of EHRs but not necessarily of centralised medical records, which have not been shown to improve outcomes and which do impose serious privacy risks on patients.

HealthLink is a messaging system and stores no EHRs at all. eHealth is the National EHR programme aiming to roll out EHRs by 2030 nationwide.

It will be a no-opt-out centralised EHR and combined social care record.

[disgruntledphd2]

> HealthLink is a messaging system and stores no EHRs at all. eHealth is the National EHR programme aiming to roll out EHRs by 2030 nationwide.

This is bad (from my perspective, as someone who's moved a lot and thus has medical records scattered all over).

> It will be a no-opt-out centralised EHR and combined social care record.

This is probably the right approach, even though I'm sceptical that it will be delivered effectively.