Lee J S
Congressional Research Service, Education and Public Welfare Division (7440), Library of Congress, Washington, DC 20540-7440, USA.
Milbank Q. 1996;74(2):285-307; discussion 309-16.
Pneumonia and influenza (P&I) are the sixth leading cause of death in the United States. Despite universal coverage under Medicare, one-half to three-quarters of elderly adults fail to get vaccinated against P&I disease. Hepatitis B vaccine is also widely underutilized by adults. Although more than 100 times as many adults as children die from vaccine-preventable disease, the Centers for Disease Control and Prevention (CDC) currently allocates the vast majority of federal immunization funds to childhood programs. Top CDC officials say this is in accordance with the will of the Congress and the President. However, analysis of legislative documents shows that there is no legal bar or restriction to the use of federal funds to support adult immunization. CDC has the authority to use federal immunization funds to enhance adult immunization services, but the agency has yet to make adult immunization a priority. A commentary follows.
肺炎和流感是美国第六大死因。尽管医疗保险提供全面覆盖，但仍有一半至四分之三的老年人未接种肺炎和流感疫苗。乙肝疫苗在成年人中也未得到广泛使用。虽然死于疫苗可预防疾病的成年人数量是儿童的100多倍，但疾病控制与预防中心（CDC）目前将绝大多数联邦免疫资金分配给儿童项目。CDC高级官员表示，这是符合国会和总统意愿的。然而，对立法文件的分析表明，在使用联邦资金支持成人免疫方面没有法律障碍或限制。CDC有权使用联邦免疫资金来加强成人免疫服务，但该机构尚未将成人免疫作为优先事项。以下是一篇评论。
