Department of Health Sciences, University of Florence, Viale GB Morgagni, 48, 50134 Florence, Italy.
Vaccine. 2018 Aug 28;36(36):5358-5365. doi: 10.1016/j.vaccine.2017.07.100. Epub 2017 Aug 12.
Adult immunization is a priority for public health, particularly in countries where an aging population has become increasingly more numerous. Protection against diseases which typically affect adults (like flu, pneumococcal diseases and Herpes zoster), the shift of age of infections which originally affected children (like measles), the decreasing protection with time for infections which need periodical booster doses of vaccines (Tdap), the availability of vaccines which can also impact on adult health (HPV) are only some examples of the importance of implementing targeted vaccination strategies. The possibility to reach high coverage with immunizations that can guarantee a fundamental improvement of health for adults and the elderly can only be achieved through a coordinated effort where all stakeholders, under the coordination of public health, contribute to issue recommendations; create a functioning database for vaccine coverage registration; promote formative courses for healthcare workers and continuous information for the public; increase vaccines uptake among healthcare workers, who need to give the first testimony on the relevance of immunization.
成人免疫接种是公共卫生的重点，特别是在人口老龄化日益严重的国家。预防通常影响成年人的疾病（如流感、肺炎球菌疾病和带状疱疹）、感染年龄的转变（如麻疹）、需要定期加强剂量疫苗（Tdap）的感染保护随时间的降低、可以影响成人健康的疫苗（HPV）的可用性，这些只是实施有针对性的免疫接种策略的重要性的一些例子。只有通过协调一致的努力，才能实现通过免疫接种达到高覆盖率，从而为成年人和老年人的健康带来根本改善，这种协调一致的努力需要所有利益相关者在公共卫生的协调下，共同提出建议；为疫苗接种覆盖率登记创建一个有效的数据库；为医疗保健工作者提供培训课程，并为公众提供持续的信息；提高医疗保健工作者对疫苗的接受程度，他们需要就免疫接种的重要性提供第一手证据。
