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Adult immunization policies in advanced economies: vaccination recommendations, financing, and vaccination coverage

Journal Article · · International Journal of Public Health
 [1];  [2];  [3];  [4];  [5]
  1. U.S. Department of Health and Human Services, Washington, DC (United States). National Vaccine Program Office; OSTI
  2. Centro Nazionale di Epidemiologia, Sorveglianza e Promozione della Salute, Rome (Italy). Istituto Superiore di Sanita. Reparto Malattie Infettive
  3. Oak Ridge Inst. for Science and Education (ORISE), Oak Ridge, TN (United States). Health Communication and Technical Training Program. Health Communication and Marketing Group
  4. Centro Nazionale di Epidemiologia, Sorveglianza e Promozione della Salute, Rome (Italy). Istituto Superiore di Sanita. Reparto Malattie Infettive
  5. Centers for Disease Control and Prevention (CDC), Atlanta, GA (United States). National Center for Immunization and Respiratory Diseases. Immunization Services Division
Objectives: While many countries have robust child immunization programs and high child vaccination coverage, vaccination of adults has received less attention. The objective of this study was to describe the adult vaccination policies in developed countries. Methods: From 2010 to 2011, we conducted a survey of 33 advanced economies as defined by the International Monetary Fund. The survey asked about national recommendations for adults for 16 vaccines or vaccine components, funding mechanisms for recommended adult vaccines, and the availability of adult vaccination coverage estimates. Results: Thirty-one of 33 (93.9 %) advanced economies responded to the survey. Twelve of 31 (38.7 %) reported having a comprehensive adult immunization schedule. The total number of vaccines or vaccine components recommended for adults ranged from one to 15 with a median of 10. Seasonal influenza (n = 30), tetanus (n = 28), pneumococcal polysaccharide (n = 27), and hepatitis B (n = 27) were the most frequently recommended vaccines or components. Conclusions: Approximately two-thirds of survey respondents do not have a comprehensive adult vaccine schedule, and most do not measure vaccination coverage. We found that a funding mechanism is available for most recommended adult vaccines.
Research Organization:
Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, TN (United States)
Sponsoring Organization:
USDOE Office of Science (SC)
Grant/Contract Number:
AC05-06OR23100
OSTI ID:
1816639
Journal Information:
International Journal of Public Health, Journal Name: International Journal of Public Health Journal Issue: 6 Vol. 58; ISSN 1661-8556
Publisher:
SpringerCopyright Statement
Country of Publication:
United States
Language:
English

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Cited By (8)

The cost of vaccination throughout life: A western European overview journal April 2016
Evaluation of medicine retail outlets for sale of typhoid fever vaccine among adults in two urban and rural settings in western Kenya: a proof-of-concept study journal September 2016
Adult vaccination: Now is the time to realize an unfulfilled potential journal June 2015
Tetanus–diphtheria–acellular pertussis vaccination for adults: an update journal January 2017
Vaccination programs for older adults in an era of demographic change journal March 2018
Mortality from tetanus between 1990 and 2015: findings from the global burden of disease study 2015 journal February 2017
Health expenditure, child and maternal mortality nexus: a comparative global analysis journal July 2018
Vaccination Programs for Adults in Europe, 2019 journal January 2020

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