The University of Colorado School of Medicine recently
released the results of a study showing that adult vaccination rates for vaccine
preventable diseases are remaining low. This news came after the report that
adults make up 95% of the annual death rate for vaccine preventable diseases.
The death rate is currently at 30,000 people per year. These facts represent a
growing public health concern.
Laura Hurley, MD, MPH is an assistant professor of medicine
at the CU School of Medicine and was the lead author. “Our study suggests that
missed opportunities for adult vaccination are common because vaccination
status is not being assessed at every (physician’s) visit, which is admittedly
an ambitious goal. Also, most physicians are not stocking all recommended
vaccines.”
There are eleven recommended adult vaccines. Estimates have
shown that only 62-65% of adults over age 65 received a pneumococcal or
influenza vaccine. A dismal 20% of high-risk adults between the ages of 19 and
65 received a pneumococcal vaccine and only 16% of those 60 or older got their
shingles vaccine.
“Physicians reported a variety of barriers to vaccine
stocking and administration, but financial barriers dominated the list,” Hurley
continues. “Physicians in smaller, private practice often assume more risks
from stocking expensive vaccine inventories and may be particularly affected by
these financial barriers.” Physicians also struggle to get reimbursed by
insurance companies, a problem that discourages them from stocking vaccines. Physicians
choose to refer patients to pharmacies or public health facilities for
vaccination.
“I feel we need to take a more systematic approach to this
issue,” Hurley concludes. “As the population ages this could easily grow into a
more serious public health issue.”
Vaccine Watch recommends all adults speak with their
physician about recommended vaccines and take the necessary steps to insure
they are protected from vaccine preventable diseases.
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