Vaccines: focus on adults - Summa Health System

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INFLUENZA VACCINEReduction in Hospitalizations for Cardiac disease andStrokes (Nichols et a. NEJM 348, April 3, 2003)• Observational studies of large cohorts (140,000;146,000), ’98-’99 AND ’99-’00, 3 HMOs, age 65• Vaccination against influenza associated withreduction in hospitalization for :• Cardiac disease (19% both seasons)• Cerebrovascular disease (16%; 23%)• Pneumonia and Influenza (32%; 29%)• All cause Death (48%; 50%)• Possible mechanisms: infect cause alterations inclotting factors, platelet aggregation, amount ofinflammatory- response cytokines which enhancethrombosis
Influenza ‘Nuts and Bolts’ 1• Vaccination season: Soon as available to ~April 1• <strong>Vaccines</strong> approved by FDA for 6 manufacturers; June 2011- shipping• Late season vaccination important and underutilized• Most disease in mid-south in January-March• LAIV , TIV, HD-TIV: 1 dose for adults• Kids
Page 1 and 2: Vaccines:f
Page 3 and 4: Ten Great Public HealthAchievements
Page 5 and 6: U.S. Measles Outbreak Sees Cases At
Page 7 and 8: VACCINE PREVENTABLE DEATHSFOR ADULT
Page 9 and 10: ADULT VACCINES• PneumococcalInact
Page 11 and 12: Why Adults are not vaccinated
Page 13 and 14: Who influences adults decisionsto g
Page 15 and 16: Is it for fear of needles?Not for m
Page 17 and 18: Before vaccines, millions died of M
Page 19 and 20: Institute of Medicine Report-August
Page 21 and 22: ACIP Adult Immunization Schedulehtt
Page 23 and 24: INFLUENZA VACCINE-Importance• Inf
Page 25: INFLUENZA VACCINEHigh Dose• Fluzo
Page 29 and 30: Adverse effects: rare or notassocia
Page 31 and 32: Benefits/Obligations of Influenza v
Page 33 and 34: Pneumococcal Vaccines</stro
Page 35 and 36: PNEUMOCOCCAL VACCINEPolysaccharide
Page 37: Clin Infect Dis. 2008; 46: 1015-23
Page 40 and 41: Recommendations for PCV13 and PPSV2
Page 42 and 43: PNEUMOCOCCAL VACCINE13 valent conju
Page 44 and 45: polysaccharide VACCINERevaccination
Page 46 and 47: ACIP Recommendations: Tdap Vaccine
Page 48: Herpes Zoster(Shingles)• Approx 1
Page 51 and 52: Zoster Vaccine (Zostavax )• Singl
Page 53 and 54: Human Papillomavirus (HPV) Vaccine
Page 55 and 56: MENINGOCOCCAL VACCINE• Vaccine ch
Page 57 and 58: Adult vaccines: Retail cost• Pneu
Page 59 and 60: The wars of the world: Saving lives
Page 62: Vaccine Messages• Clear and unamb
Page 65 and 66: Which vaccines are appropriate forE
Page 67: What should 30 y/o pregnantfemale r

Vaccines: focus on adults - Summa Health System

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