Vaccines and Immunization, Versoix, Switzerland.
International Federation on Ageing, Toronto, Canada.
Vaccine. 2018 Feb 8;36(7):921-931. doi: 10.1016/j.vaccine.2017.12.029. Epub 2018 Jan 12.
Many industrialized countries have implemented routine immunization policies for older adults, but similar strategies have not been widely implemented in low- and middle-income countries (LMICs). In March 2017, the World Health Organization (WHO) convened a meeting to identify policies and activities to promote access to vaccination of older adults, specifically in LMICs. Participants included academic and industry researchers, funders, civil society organizations, implementers of global health interventions, and stakeholders from developing countries with adult immunization needs. These experts reviewed vaccine performance in older adults, the anticipated impact of adult vaccination programs, and the challenges and opportunities of building or strengthening an adult and older adult immunization platforms. Key conclusions of the meeting were that there is a need for discussion of new opportunities for vaccination of all adults as well as for vaccination of older adults, as reflected in the recent shift by WHO to a life-course approach to immunization; that immunization in adults should be viewed in the context of a much broader model based on an individual's abilities rather than chronological age; and that immunization beyond infancy is a global priority that can be successfully integrated with other interventions to promote healthy ageing. As WHO is looking ahead to a global Decade of Healthy Ageing starting in 2020, it will seek to define a roadmap for interdisciplinary collaborations to integrate immunization with improving access to preventive and other healthcare interventions for adults worldwide.
许多工业化国家已经实施了针对老年人的常规免疫政策,但类似的策略在中低收入国家(LMICs)并未得到广泛实施。2017 年 3 月,世界卫生组织(WHO)召开会议,确定了促进老年人接种疫苗的政策和活动,特别是在中低收入国家。与会者包括学术和行业研究人员、资助者、民间社会组织、全球卫生干预措施的实施者以及有成人免疫需求的发展中国家的利益攸关方。这些专家审查了老年人疫苗的性能、成人疫苗接种计划的预期影响,以及建立或加强成人和老年人免疫平台的挑战和机遇。会议的主要结论是,需要讨论为所有成年人以及为老年人接种疫苗的新机会,正如世卫组织最近向免疫生命历程方法转变所反映的那样;成年人的免疫接种应根据基于个人能力而不是年龄的更广泛模式来考虑;并将婴儿期以外的免疫接种作为一项全球优先事项,可成功纳入促进健康老龄化的其他干预措施。随着世卫组织展望 2020 年开始的全球健康老龄化十年,它将寻求为跨学科合作制定路线图,将免疫接种与改善全世界成年人获得预防和其他保健干预措施的机会结合起来。