Adults Need Vaccines, Too!

Why We Need to Set the Standard to Educate Ourselves About & Encourage

Vaccination in Our Communities

What Do Vaccines Do?

• Protect you from diseases, many of them infectious

• Protect anyone you come in contact with who cannot be vaccinated – Very young infants– People with medical conditions

• When vaccines work in our communities, what happens?– Do we appreciate prevention?

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• ACTRESS ANGELINA JOLIE -CHICKENPOX

• NATIONAL HOCKEY LEAGUE -MUMPS

• DISNEYLAND- MEASLES

Vaccine Preventable Diseases In The News: A Reminder That Diseases Can Strike If We Don’t Vaccinate

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Adults Need Vaccines…Really?

Healthy adults largely unaware they should beseeking vaccination • Simply haven’t heard about other vaccine-preventable

diseases (whooping cough, shingles, HPV, etc.) that affect adults– Adult vaccination services beyond influenza/pneumococcal may not

be offered by all healthcare providers• Not enough providers recommending adult immunization• The role of pharmacies in adult vaccination expanding (beyond flu)• Vaccinations are increasingly offered at work sites and for travel abroad

Sources: 1) Vaccines and Adults: Al Lifetime of Health; Vaccine Education Center, CHOP & AMA, Fall 2013. 2) Adult Vaccination Saves Lives; NFID, March 2012.

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Adults Need Vaccines…Really?

Healthy adults largely unaware they should be seeking vaccination • Commonplace misperception that “vaccines are for kids” or “I’m

healthy, I don’t need a flu shot…[and/or] that’s for older, frail people, not me”– In reality, adults are 100 times more likely to die of diseases vaccines

can prevent

Sources: 1) Vaccines and Adults: Al Lifetime of Health; Vaccine Education Center, CHOP & AMA, Fall 2013. 2) Adult Vaccination Saves Lives; NFID, March 2012.

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Adults Need Vaccines…Really?

• Adults don’t get vaccines because they don’t think they need them

• Adults worry about how they will pay for them• Adults haven’t been encouraged to get

vaccinated, except for a yearly flu shot

IT IS IN OUR BEST INTEREST – AS ADULTS – TO TAKE CHARGE OF OUR OWN PREVENTIVE HEALTH CARE BY LEARNING ABOUT RECOMMENDED VACCINES,

SEEKING THEM OUT & ENCOURAGING OTHERS TO GET IMMUNIZED!

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Adult Vaccine Personal Stories

Provide your own personal story or example of a person with a vaccine preventable illness or

who benefited from vaccination.[Personal stories are important to put a face on why vaccines are

important. You can insert your own example here or see other examples in the appendix at the end of this slide set.]

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Adult Vaccines

Flu (Influenza)Td/Tdap (Tetanus,

Diphtheria, Pertussis)Shingles (Zoster)PneumococcalMeningococcal

MMR (Measles, Mumps, Rubella)

HPV (Human Papillomavirus)

Chickenpox (Varicella)Hepatitis AHepatitis B

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• All adults need: – Influenza (flu) vaccine every year– Td or Tdap vaccine: Every adult should get the Tdap vaccine once, a Td

(tetanus, diphtheria) booster shot every 10 years, and women should get the Tdap vaccine each time they are pregnant

– Zoster vaccine at age 60– One or two pneumococcal vaccines at age 65

• Other vaccines you may need as an adult are determined by factors such as:– Health conditions (e.g., diabetes, heart disease)– Job (e.g., if you are a healthcare worker)– International travel– Vaccines you have received or maybe did not get as a child

Adult Vaccines

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1. Disease knows no age: Vaccines are recommended for adults starting at 19 years old and pre-teens starting at 11!

• Young and healthy people can get sick, too

2. Many adults may no longer be protected by vaccines received in childhood or weren’t fully immunized as a child

• Booster doses for some vaccines (e.g., whooping cough) are recommended to remain protected

Why Adults Need Vaccines, Too

Source: Adapted from National Foundation for Infectious Diseases (NFID)’s 10 Reasons To be Vaccinated (http://www.adultvaccination.org/10-reasons-to-be-vaccinated)

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3. Getting immunized protects not just you, but other vulnerable people in your community, such as: • Babies too young to get vaccinated• Older grandparents/family members • Co-workers who can spread germs to others

4. Some “newer” vaccines are just for adults and teens• Shingles (a.k.a. “zoster”) is a good example of a painful disease

with possible life-long after-affects one can avoid by getting vaccinated

• Human Papillomavirus (HPV) vaccine (depending on type) can prevent cervical cancer in young women and genital warts/anal cancer in both sexes

Why Adults Need Vaccines, Too

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5. Adults and teens are, in general, sexually active• Hepatitis B is easily transmitted through some bodily fluids and

is preventable• Human Papillomavirus (HPV) is the most common sexually

transmitted infection

6. Many adults with health conditions are highly vulnerable to vaccine-preventable diseases (VPDs)

• Pregnant women• Those with asthma, heart/lung disease or diabetes • Those with HIV/weakened immune system or liver disease

Why Adults Need Vaccines, Too

Source: Adapted from National Foundation for Infectious Diseases (NFID)’s 10 Reasons To be Vaccinated (http://www.adultvaccination.org/10-reasons-to-be-vaccinated)

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7. We are living longer than ever before: 1 in 5 Americans will be 65 years of age by 2030• As we age, our immune systems weaken, making us even more

vulnerable to infection• Influenza, invasive pneumococcal disease, and shingles all have

higher rates of attack in older adults8. Vaccine-preventable diseases are expensive

• Being sick with the flu can last up to 15 days and cause adults to miss an average of six work days

• Adults who get hepatitis A lose an average of one month of work

Why Adults Need Vaccines, Too

Source: Adapted from National Foundation for Infectious Diseases (NFID)’s 10 Reasons To be Vaccinated (http://www.adultvaccination.org/10-reasons-to-be-vaccinated)

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9. Vaccines are recommended by the nation’s top doctors• Vaccines are safe, but vaccine preventable diseases kill about

50,000 US adults each year• Most adult vaccines are covered by private insurance and those

65 years of age or older are eligible for Medicaid. Adults without health insurance can visit www.HealthCare.gov or contact their local health department for information about vaccine coverage

10. Like diet and exercise, vaccines are an important part of staying healthy • Vaccines play a vital role in helping the immune system and

keeping adults healthy, just like eating wholesome foods and exercising regularly

Why Adults Need Vaccines, Too

Source: Adapted from National Foundation for Infectious Diseases (NFID)’s 10 Reasons To be Vaccinated (http://www.adultvaccination.org/10-reasons-to-be-vaccinated)

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1. CDC. Estimates of deaths associated with seasonal influenza – United States, 1976-2007. MMWR. 2010;59(33):1057-1062.

2. CDC. Notifiable Diseases and Mortality Tables. MMWR 2015. 63(53): ND-733 – ND-746.3. CDC. Active Bacterial Core Surveillance.

http://www.cdc.gov/abcs/reports-findings/survreports/spneu10.pdf.

Some Sobering Facts…From 3,000 - 49,000 deaths & more then 200,000 hospitalizations per year1

>28,000 cases per year in 2013 and 2014Infants exposed to infected adults are at greatest risk of death

Nearly 40,000 cases of invasive pneumococcal disease resulting in 4,000 deaths in 20103

INFLUENZA

PERTUSSIS

PNEUMOCOCCAL

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More Sobering Facts…

Every year, 1 million people experience this painful condition1

Shingles attach rates increases with age; many people can develop a painful after-shingles condition called postherpetic neuralgia, or “PHN”, where pain can last for months.

Caused by a virus that attacks the liver, causing lifelong infection, cirrhosis (scarring) of the liver, liver cancer, liver failure, and death2

There are about 35,000 cases, 90% among adults

SHINGLES

HEPATITIS B1. CDC. Viral Hepatitis Surveillance United States, 2010. National Center for

HIV/AIDS, Viral Hepatitis, STD& TB Prevention/Division of Viral Hepatitis. 2. CDC. Prevention of Herpes Zoster. MMWR 2008. 57(RR-5): 1-30.

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• Adult vaccine rates in diverse racial and ethnic communities continue to be lower, for example– Tetanus, Diphtheria, Pertussis (Tdap) for adults 19 or older

• African American: 12.6%; Hispanic/Latino: 10.2%; Asians: 15.5%; Whites: 19.7%

– Shingles (Herpes Zoster) for adults 60 or older• African Americans: 10.7%; Hispanic/Latino: 9.5%; Whites: 27.4%

– Human Papillomavirus (HPV) for women 19 – 26 years• African Americans: 30.6%; Hispanic/Latino: 30.3%; Asians: 19.8%; Whites:

41.7%

More Sobering Facts…

Source: Vaccine Coverage Rates Among Adults: MMWR: 2015, Vol. 64/No. 4, pp. 95-102

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What Are Immunization Standards?

Immunization standards were developed to guide healthcare providers in improving vaccination rates • Vaccines are recommended by nation’s top medical experts

– Standards are based on extensive review of disease patterns, who is at risk, how vaccines work and for how long, etc.

• Standards outline the healthcare provider’s role in counseling patients on recommended vaccines – If your healthcare provider isn’t talking to you about vaccines, then

ask them!

Bottom line: It is very important to get vaccines as recommended to get the maximum benefit!

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What can we - as a community - do to encourage adults to get immunized? • Create an environment that encourages other adults to:

– Set an example for others by educating themselves about recommended vaccines

– Ask healthcare providers or pharmacists about what vaccines are needed• Be persistent in seeking vaccination as not all healthcare providers offer

vaccination

– Remind family, loved ones, and co-workers about the importance of being up-to-date on vaccines that adults need

Setting Our Own “Standards”

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If At First You Don’t Succeed

While primary providers may or may not offer immunizations, as adults, we should set the standard for ourselves and our communities!• What can we do?

– Take the CDC Quiz, use it to ask your HCP about getting vaccinated: http://www2a.cdc.gov/nip/adultimmsched/

– If your regular HCP does not offer vaccination, ask him/her for a referral

– Or, speak to your local pharmacist or health department

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• Physicians’ offices• Pharmacies• Clinics/Other• Workplace (if offered)• Public Health Department(s)• Health Map: http://vaccine.healthmap.org

Where Can Adults Get Recommended Vaccines?

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The following sample list of websites are a good place to start:

Centers for Disease Control and Prevention (CDC)• http://www.cdc.gov/vaccines/adults/index.html• http://www.cdc.gov/vaccines/adults/find-pay-vaccines.html#pay-vaccines• http://www2a.cdc.gov/nip/adultimmsched/

American College of Obstetricians & Gynecologists (ACOG)• http://www.immunizationforwomen.org/

Immunization Action Coalition (IAC)/Vaccine Information You Need• http://www.immunize.org/• www.vaccineinformation.org

National Foundation for Infectious Diseases (NFID)• http://www.adultvaccination.org/

Getting More Information…

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AppendixAdditional slides – may be useful for some audiences

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PERSONAL STORIES OF VACCINE PREVENTABLE DISEASES –DO YOU HAVE ONE?

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Meet Christian Olson: Instructional Designer & Father of Four“What the Pneumonia Vaccine Gave Me”• Feels “lucky to be alive” – was extremely

vulnerable to pneumonia – Suffered through pneumonia multiple times as a

child due to underdeveloped lungs resulting from premature birth

• Physician recommended pneumococcal vaccine to prevent the onset of pneumonia

• Thanks to vaccination, only developed pneumonia 3-4 times instead of 30+ times over the last 15 years

For Christian’s full story, visit: http://www.voicesforvaccines.org/what-the-pneumonia-vaccine-gave-me/

“I’ve heard people say the pneumococcal vaccine is

unnecessary, even wasteful. I can only shake my head. There’s

nothing wasteful or unnecessary about giving a child—or anyone else—a chance to live a happy,

healthy life.”

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Meet Linda Ohri:Associate Professor, Pharmacy

“Practicing What You Preach”

• Linda has a close friend who is 86 years young, and a dynamic testament on how to grow older gracefully

• Unfortunately, Linda discovered she wasn’t practicing

what she preached in her personal relationships

• When Linda’s 86-year friend developed pneumococcal pneumonia, she realized she hadn’t asked her about getting immunized!

See more at: http://www.nfid.org/real-stories-real-people/linda-pneumococcal.html#sthash.fqmJhIIQ.dpuf

“When my friend developed pneumonia, I realized I had never talked to her about the benefits and safety of the pneumococcal polysaccharide vaccine (PPV23)! “

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Meet Joan:Special Education Teacher

“The Pain of Shingles”

• Joan developed severe pain in her back and the doctors could not initially figure out what was wrong then the rash started several days later.

• She had contracted shingles, but not the traditional rash that is common to many at disease onset.– In some cases, rash happens after the pain

• The pain was so severe it kept her awake at night. Joan says that she would have sought vaccination if she had known it was recommended.For Joan’s full story, visit:

http://www.nfid.org/real-stories-real-people/joan-shingles.html

“If I had known that a vaccine is recommended for everyone my age, I would have gotten it.

Believe me, if you could understand the pain of shingles, you’d get the

vaccine, too.”

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Jacob Ryan Schmidt: A competitive martial arts expert

“A Son’s Life Cut Short by Influenza”• Jacob was strong as a bull and enjoying

life.• In 2010, at the age of 27, he

succumbed to complications from H1N1 influenza.

• His lungs collapsed; he developed an infection. His organs were shutting down. After about five weeks of influenza ravaging his body, Jacob died.

For Jacob’s full story, visit:http://www.nfid.org/real-stories-real-people/jacob-influenza.html#sthash.qbrBJ6AE.dpuf

“Jacob was not someone you’d expect to fall ill to

influenza. He was healthy and athletic, and built like

a freight train.”

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Meet Dr. William Cochran: A Pediatric Gastroenterologist

“A Doctor’s Personal Experience with Whooping Cough”

• Dr. Cochrane came down with a severe cough where he could not catch his breath and would even pass out.

• He coughed so long and hard that he cracked several ribs.

• He learned that he had pertussis or “whooping cough”

• It took him three months to recover.

For Dr. Cochrane’s full story, visit:http://www.nfid.org/real-stories-real-people/cochran-pertussis.html

“Anyone – doctor, parent, grandparent, caregiver, who comes into contact with infants should be sure they are up to date on their immunizations to spare those too young to be protected through vaccination .”

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