![]() ![]() When more than one dose of a vaccine is required for optimal protection, the health care provider should arrange follow-up to encourage completion of the vaccine series. where vaccine can be obtained if the health care provider is unable to provide the vaccine.possible consequences of declining a vaccine.cost of the vaccine if it is not publicly funded.expert recommendations regarding the use of vaccines.Health care providers should provide adults under their care with factual information about immunization, including: ![]() Refer to Immunization of persons with chronic diseases and Immunization of immunocompromised persons in Part 3 for further information on how health conditions may modify vaccine recommendations. When considering immunization, the person's medical history will help to determine whether other immunizations are needed in addition to routinely recommended vaccines. Health care providers have a responsibility to ensure that adults under their care have continuing and updated protection against vaccine preventable diseases through appropriate immunization. lack of availability of up-to-date records and recording systemsĪdult immunization is an emerging issue that has seen an increasing emphasis in clinical care and health professional training programs.lack of regulatory or legal requirements.lack of coordinated immunization programs for adults.lack of publicly funded vaccine and reimbursement to vaccine providers.missed opportunities for vaccination in health care providers' offices, hospitals and nursing homes.lack of understanding of vaccine safety and efficacy.misrepresentation and misunderstanding of the risks of vaccine and benefits of disease prevention in adults.lack of health care provider's knowledge about adult immunization and recommended vaccines.lack of recommendations from health care providers.lack of recognition of the importance of adult immunization.Despite these advances, the vaccination rates of adults in Canada are low, with the result that many adults remain vulnerable to vaccine preventable diseases.Ĭommon reasons for incomplete immunization in adulthood include: In recent years, new vaccines such as herpes zoster and human papillomavirus have become available for adults. Some vaccines are needed by all adults and other vaccines may be required due to individual risk resulting from occupation, travel, underlying illness, lifestyle or age. For example, adults who are in contact with infants should be prioritized to receive pertussis and influenza vaccination to reduce the risk of transmission of these infections to infants who are too young to be fully protected. In addition, immunization of adults prevents infection and, therefore, subsequent exposure of young children and others at increased risk of vaccine preventable diseases. Prevention of infection by immunization is not just for children adults require immunization to restore waning immunity against some vaccine preventable diseases and to establish immunity against other diseases that are more common in adults. Table 2: Adult immunization - recommendations for specific risk situations.Table 1: Adult immunization - recommendations for routine immunization in healthy adults at low risk. ![]()
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