The situation of vaccines for the prevention of infections in adults: An opinion paper on the situation in Spain.

Emilio Bouza · Julio Ancochea · Magda Campins · JM Eiros-Bouza · J. Fargas · García Rojas A +10 more

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Vaccine Coverage and Hesitancy Intramuscular injections and effects Immune responses and vaccinations

Abstract

The childhood immunization schedule is well known and generally well implemented in developed countries. For various reasons, the same is not true of vaccines aimed at preventing infections in adults, in which vaccination coverage is incomplete and generally very deficient. In order to assess the situation of adult vaccination in Spain, the Fundación de Ciencias de la Salud has brought together a series of experts in different fields, including doctors, nurses, representatives of patient associations, health managers and economists, health authorities and journalists to deal with this issue. The format was that of a round table in which a series of questions previously formulated by the coordinators were to be answered and debated. The document presented is not an exhaustive review of the topic, nor is it intended to make recommendations, but only to give a multidisciplinary opinion on topics that could be particularly debatable or controversial. The paper reviews the main vaccine-preventable adult diseases, their clinical and economic impact, the possibilities of reducing them with vaccination programmes and the difficulties in carrying them out. The role of nursing, pharmacy services, patient associations and the health administration itself in changing the current situation was discussed. Prospects for new vaccines were discussed and we speculated on the future in this field. Finally, particularly relevant ethical aspects in decision-making regarding vaccination were discussed, which must be faced by both individuals and states. We have tried to summarize, at the end of the presentation of each question, the environment of opinion that was agreed with all the members of the table.

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References

2011Wakefield's article linking MMR vaccine and autism was fraudulent 2017Surveillance of Vaccination Coverage among Adult Populations — United States, 2015 1988Immunization Policies and Vaccine Coverage Among Adults 2017How close are countries of the WHO European Region to achieving the goal of vaccinating 75% of key risk groups against influenza? Results from national surveys on seasonal influenza vaccination programmes, 2008/2009 to 2014/2015 2008Media Coverage of the Measles-Mumps-Rubella Vaccine and Autism Controversy and Its Relationship to MMR Immunization Rates in the United States 2017Web-based Social Media Intervention to Increase Vaccine Acceptance: A Randomized Controlled Trial 2016Immunization in the United States: Recommendations, Barriers, and Measures to Improve Compliance: Part 1: Childhood Vaccinations.2018Recommended Immunization Schedule for Adults Aged 19 Years or Older, United States, 2018*

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