Philip Roy K, Di Pasquale Alberta
Division of Neonatology, Department of Pediatrics, Graduate Entry Medical School (GEMS), University of Limerick and University Maternity Hospital Limerick (UMHL), V94 C566 Limerick, Ireland.
Medical Department, W23, 20 Avenue Fleming, 1300 Wavre, Belgium.
Vaccines (Basel). 2020 Apr 14;8(2):185. doi: 10.3390/vaccines8020185.
Today, fewer children die each year from vaccine-preventable diseases than older adults. Health systems need new immunization strategies to tackle the burden of vaccine-preventable disease in an aging society. A life-course immunization (LCI) approach-which entails vaccination throughout an individual's lifespan-enables adults to age with reduced risk to disease, thereby enabling healthy, active and productive aging. We conducted an audience response system (ARS)-based survey to investigate HCP perspectives on LCI in an opportunistic sample of 222 health care professionals (HCPs) from around the world who attended a European infectious diseases conference. Survey results show that LCI is a priority for HCPs (77.4%-88.6%), with most of them stating the need to frame it as a part of a healthy lifestyle (91.0%-100.0%). Insufficient LCI recommendations by vaccine providers (12.9%-33.3%) and governments (15.2%-41.9%) and insufficient targeted budget allocation (6.1%-21.7%) were indicated as the main barriers to implement LCI, ahead of vaccine hesitancy (9.7%-15.2%). HCPs were willing to make LCI a gateway to healthy aging but need support to work together with other stakeholders involved in the vaccination journey. This could be a step towards equitable health care for all of society.
如今，每年死于疫苗可预防疾病的儿童比老年人少。卫生系统需要新的免疫策略来应对老龄化社会中疫苗可预防疾病的负担。一种终身免疫（LCI）方法——即在一个人的整个生命周期内进行疫苗接种——能使成年人随着年龄增长而降低患病风险，从而实现健康、积极且富有成效的老龄化。我们基于受众反应系统（ARS）进行了一项调查，以了解医疗保健专业人员（HCP）对LCI的看法，调查对象是来自世界各地参加欧洲传染病会议的222名医疗保健专业人员组成的机会样本。调查结果显示，LCI是HCP的优先事项（77.4%-88.6%），他们中的大多数人表示需要将其作为健康生活方式的一部分（91.0%-100.0%）。疫苗供应商（12.9%-33.3%）和政府（15.2%-41.9%）对LCI的建议不足以及针对性预算分配不足（6.1%-21.7%）被指出是实施LCI的主要障碍，高于疫苗犹豫（9.7%-15.2%）。HCP愿意将LCI作为实现健康老龄化的途径，但需要支持以便与参与疫苗接种过程的其他利益相关者共同努力。这可能是迈向全社会公平医疗保健的一步。
