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eAPICON 2021: Need for white paper on adult immunization in India

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Dr NK Ganguly    07 March 2021

  • Current scenario in India – No coordinated public health infrastructure to support an adult immunization program as there is for children; little coordination among healthcare providers in terms of vaccine provision; despite availability of vaccines, many adults remain unvaccinated because they are unaware of the need for adult vaccines or are misinformed about vaccines and the diseases they are designed to prevent; considerable controversy exists regarding adult immunization especially in developing countries, like India.
  • Barriers and challenges of adult immunization – Lack of recognition of the importance of adult immunization; lack of recommendation from healthcare providers; lack of healthcare provider knowledge about adult immunization and recommended vaccines; misrepresentation/misunderstanding of the risks of vaccine and benefits of disease prevention in adults; lack of understanding of vaccine safety and efficacy; missed opportunities for vaccination in healthcare providers’ offices, hospitals and nursing homes; lack of publicly-funded vaccine and reimbursement to vaccine providers; lack of coordinated immunization programs for adults.
  • Need for adult immunization – Vaccination recommended: Prevent vaccine-preventable diseases and their sequel; primary focus of vaccination programs: Historically directed to childhood immunizations; For afults, chronic diseases have been the primary focus of preventive and medical healthcare; Increased emphasis on preventing infectious diseases; Adult vaccination coverage: low for most of the routinely recommended vaccines; probability of exposure to infectious agents: increased manifold, owing to globalization and increasing travel opportunities both within and across countries; urgent need to address the problem of adult immunization.
  • Mission of white paper – Making adult immunization a public health issue in India to improve patient outcome in adults in India.

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