Adult Vaccination
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Adult Vaccination
The lack of data, both on coverage of adult population with vaccines as well as on burden of vaccine preventable diseases in this population group is a major challenge. The limited data suggests that the adult vaccination coverage in country is negligible. Inspite of scientific advances, the vaccine coverage beyond the pediatric age group has remained sub optimal leaving a significant gap in the protection provided by the vaccines to the community at large. The vaccination of adult is a natural next step to maximize the full benefits of the proven and lifesaving interventions that are vaccines.
With the COVID 19 pandemic and development of vaccines against it, the concept of prevention got a shot in the arm and a paradigm shift to increase general awareness and relevance about the role of vaccines in the prevention of morbidity and mortality in adult populations too.
It is time now that adult vaccinations and their practice need to be planned and implemented to become an inclusive national heaalth priority.
Why adults need vaccines?
- Waning of Protection Provided by Childhood Vaccination.
- Many adults as children may have missed the vaccines.
- Vaccines which were not available when they were growing, for which protection can be offered now.
- Reduction in natural immunity due to extensive vaccination coverage in children can cause shift in epidemiology of disease from children to adults making them more vulnerable to disease.
- Globalization and an increased need to travel for leisure, religious gatherings or business have exposed adults to amplified jeopardy of infectious diseases.
- Certain occupation makes them more vulnerable to diseases like health care workers, people working in food industry or lab personnel.
- Increasing co-morbidities and life style diseases like Diabetes, Hypertension, Asthma, Chronic lung diseases, Chronic liver disease, Chronic renal disease, Immunosuppressed Conditions, Cancers, Various medicines makes adults highly vulnerable to VPDs
- Vaccines help to keep you healthy and Vaccine works at all age
Recommended Vaccines for Adults (under 45 years) with Prioritization
| Priority | Vaccines |
|---|---|
| Mandatory ( For all) | Influenza, Tdap HPV (Females) |
| Catch Up (If missed during younger age) | MMR, Varicella, Hepatitis A, Hepatitis B, Typhoid |
| High Risk (Special situations or high risk group) | Pneumococcal, Rabies, Meningococcal, JE, Yellow Fever, Cholera, Polio |
Unlike routine childhood immunizations, the needs and recommendations for adults would vary and be based upon on the age, prior vaccinations, existing health conditions, medication history, life style, occupation, travel and exposure.
| Vaccine | Dose/s | Schedule |
|---|---|---|
| Influenza | 1 | 1 dose every year |
| Tdap | 1 | 1 dose every 10 years |
| Cervical Cancer | 3 | For females (upto 45 years) For males to prevent for Penile and other cancers (upto 26 years) |
| Hepatitis B | 3 | 0 -1- 6 months |
| Hepatitis A | 2 | 0 – 6 months or single dose of live vaccine |
| MMR | 2 | 2 dose at 4-8 weeks interval |
| Varicella | 2 | 2 doses at 4-8 weeks interval |
| Typhoid (TCV) | 1 | Single dose |
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Emvac is a visionary, indigenous initiative founded to address the sole purpose of adding life to years. With a mission to provide high-quality vaccinations for adults and adolescents, for promoting public health and preventing the spread of infectious diseases.
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Infectious Disease Physician
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