1. The Impact of Vaccines: Personal Stories Women in Government Learning Exchange on Adult Vaccine Policies August 1, Diane C Peterson Immunization Action Coalition

2. Vaccines that adults need routinely
Human papillomavirus (age 26 & younger)
Influenza – every year
Measles, mumps, rubella (age 60 & younger)
Pneumococcal—2 types ( age 65 & older)
Tetanus-diphtheria AND pertussis (whooping cough)
Varicella (chickenpox)
Zoster (shingles) (age 60 & older)

3. Are they getting them? Human Papillomavirus (HPV)
Females yrs: 42%
Males yrs: 16%
Influenza (>18yrs): %
MMR (<60 yrs) ???
Pneumo (>65 yrs): 64%
Td/Tdap (>19 yrs): 23%
Varicella ???
Zoster (>60 yrs): 31%
CDC. MMWR Surveillance Summaries 2017;66(11);1-28.

4. Vaccines that are needed by adults with risk factors
Hepatitis A
Hepatitis B
Meningococcal ACWY
Meningococcal B
Haemophilus influenzae type b (Hib)
Pneumococcal (<65 yrs)

5. Meningococcal Disease
A bacterial infection (13 serotypes)
Case-fatality rate is 10-15%; long-term sequelae (e.g., amputations) is 20%
MenACWY (improved) vaccine: 2005; MenB vaccine: 2014
Vax recommended for adolescents/teens, college students living on campus, travelers, community outbreak, certain medical conditions.

6. Personal Stories: Meningococcal disease

7. Pertussis (Whooping Cough)
Combined tetanus-diphtheria (Td) for adults: 1953
Increase in pertussis cases due to transmission from adolescents and adults
Adolescent/adult pertussis component added in 2005
Recommendation for 1-time vax for adults through age 64; cautious approach for vax of pregnant women
Continuing pertussis cases, especially in young infants
Recommendations expanded to include:
Pregnant women (during each pregnancy)
Adults of all ages (including 65+)
Vaccination rate: 23% of adults

8. Personal Stories: Whooping Cough (pertussis)

9. Herpes Zoster (Shingles)
Caused by reactivation of Varicella Zoster virus
30% of adults will develop shingles; risk increases with age
Shingles rash appears on one side of face or body
Main symptom: Pain!!!
Herpes zoster vaccine licensed: 2006
Vax recommended for all adults age 60 years and older without a contraindication, including
Those with or without a history of chickenpox
History of shingles
A 98-year-old unvaccinated great-grandmother
Vaccination rate: 31%

10. Personal Stories: Herpes zoster (Shingles)

11. Why your work is important.
Christina, died at age 23 from bacterial meningitis
Christine, diagnosed at age 30 with cervical cancer
Why your work is important.
Alice, died at age 29 from influenza
Barry, a veteran fire-fighter, died at age 44 years from influenza

12. Thank you!!! Diane Peterson, diane@immunize.org
Immunization Action Coalition