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Report finds adult vaccination levels remain low

Thursday February 2, 2012
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Between 2008 and 2010, coverage remained low for routinely recommended vaccinations for adults ages 19 and older, according to a report from the Centers for Disease Control and Prevention.

Compared with 2009, vaccination increased in 2010 for only three vaccines. Tetanus, diphtheria and acellular pertussis coverage increased to 8.2% from 6.6%.

Herpes zoster vaccination for non-Hispanic whites and non-Hispanic Asians ages 60 and older increased more than five percentage points to 16.6% and 12.7%, respectively.

And women ages 19 to 26 reporting receipt of at least one dose of human papillomavirus vaccine increased to 20.7% from 17.1%.

Vaccination coverage for pneumonia, hepatitis A and hepatitis B did not differ significantly from 2009 estimates.

For the three vaccines in the report that are included in Healthy People 2020 objectives for vaccine coverage, vaccination levels remain well below the target levels of 90% for pneumococcal vaccine coverage for people 65 and older, and 60% for people ages 18 to 64 at high risk; 30% for herpes zoster; and 90% for hepatitis B (for HCP).

"These data indicate little progress was made in improving adult coverage in the past year and highlight the need for continuing efforts to increase adult vaccination coverage," the report's authors wrote.

With approximately 45,000 adults dying annually from vaccine-preventable diseases each year, according to the CDC, "wider use of practices shown to improve adult vaccination is needed."

Successful vaccination programs "combine education of potential vaccine recipients and publicity to promote vaccination, increased access to vaccination services in medical and complementary settings such as workplaces and commercial establishments (e.g. pharmacies), and use of practices shown to improve vaccination coverage," according to the report.

Such practices include reminder-recall systems, efforts to remove administrative and financial barriers to vaccination, use of standing order programs for vaccination and assessment of practice-level vaccination rates with feedback to staff members, according to the report.

The report appears in the Feb. 2 issue of the Morbidity and Mortality Weekly Report. To read it, visit http://1.usa.gov/zhuTOm.


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