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The National Adult Immunization Plan

Strengthening Adult Immunization Through Coordinated Action
      Despite the widespread availability of safe and effective vaccines, adult vaccination rates remain low in the U.S. and far below Healthy People 2020 targets.
      National Vaccine Advisory Committee
      A Pathway to Leadership for Adult Immunization: Recommendations of the National Vaccine Advisory Committee.
      U.S. DHHS
      Healthy People 2020.
      • Williams W.
      • Lu P.-J.
      • O’Halloran A.
      • et al.
      Vaccination Coverage Among Adults, Excluding Influenza Vaccination-United States, 2013.
      Vaccine-preventable diseases exert a heavy toll on adults aged 18 years and older. The Centers for Disease Control and Prevention (CDC) estimates that among U.S. adults, each year there are roughly 40,000 cases and 4,000 deaths attributable to invasive pneumococcal disease,

      Centers for Disease Control and Prevention. Active bacterial core surveillance. January 5, 2012. www.cdc.gov/abcs/reports-findings/survreports/spneu10.pdf. Accessed June 12, 2014.

      between 3,000 and 49,000 deaths due to seasonal influenza,
      Centers for Disease Control and Prevention
      Estimates of deaths associated with seasonal influenza—United States, 1976–2007.
      9,000 reported cases of pertussis,
      Centers for Disease Control and Prevention
      Notifiable diseases and mortality tables.
      approximately 3,000 reported cases of acute hepatitis B,

      Centers for Disease Control and Prevention. Viral hepatitis surveillance United States, 2010. Updated August 26, 2013. www.cdc.gov/hepatitis/Statistics/2010Surveillance/. Accessed June 12, 2014.

      and about 1 million cases of herpes zoster.
      Centers for Disease Control and Prevention
      Prevention of herpes zoster.
      The costs associated with these diseases and their sequelae are substantial. The health and productivity costs of influenza alone are estimated to be as high as $87 billion per year.
      • Molinari N.A.
      • Ortega-Sanchez I.R.
      • Messonnier M.L.
      • et al.
      The annual impact of seasonal influenza in the U.S.: measuring disease burden and costs.
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      References

        • National Vaccine Advisory Committee
        A Pathway to Leadership for Adult Immunization: Recommendations of the National Vaccine Advisory Committee.
        Public Health Rep. 2012; 127: 1-42
        • U.S. DHHS
        Healthy People 2020.
        U.S. DHHS, Washington, DC2011
        • Williams W.
        • Lu P.-J.
        • O’Halloran A.
        • et al.
        Vaccination Coverage Among Adults, Excluding Influenza Vaccination-United States, 2013.
        MMWR Surveill Summ. 2015; 64: 95-102
      1. Centers for Disease Control and Prevention. Active bacterial core surveillance. January 5, 2012. www.cdc.gov/abcs/reports-findings/survreports/spneu10.pdf. Accessed June 12, 2014.

        • Centers for Disease Control and Prevention
        Estimates of deaths associated with seasonal influenza—United States, 1976–2007.
        MMWR Surveill Summ. 2010; 59: 1057-1062
        • Centers for Disease Control and Prevention
        Notifiable diseases and mortality tables.
        MMWR Surveill Summ. 2013; 61: ND-719-ND-732
      2. Centers for Disease Control and Prevention. Viral hepatitis surveillance United States, 2010. Updated August 26, 2013. www.cdc.gov/hepatitis/Statistics/2010Surveillance/. Accessed June 12, 2014.

        • Centers for Disease Control and Prevention
        Prevention of herpes zoster.
        MMWR Surveill Summ. 2008; 57: 1-30
        • Molinari N.A.
        • Ortega-Sanchez I.R.
        • Messonnier M.L.
        • et al.
        The annual impact of seasonal influenza in the U.S.: measuring disease burden and costs.
        Vaccine. 2007; 25: 5086-5096https://doi.org/10.1016/j.vaccine.2007.03.046
        • Centers for Disease Control and Prevention
        Measles outbreak: California, December 2014–February 2015.
        MMWR Surveill Summ. 2015; 64 (. [#,63]?>Accessed December 1, 2015): 153-154
      3. Centers for Disease Control and Prevention. Advisory Committee on Immunization Practices. Recommended adult immunization schedule. www.cdc.gov/vaccines/schedules/hcp/adult.html. Published 2015. Accessed November 18, 2015.

      4. Trust for America’s Health. Adult Immunization: Shots to Save Lives [Issue Brief]. 2010:1-28.

        • Gerontological Society of America
        Roadmap to Action to Reach the Healthy People 2020 Goals for Adult Vaccination.
        Gerontological Society of America, Washington, DC2013
      5. U.S. DHHS. U.S. National Vaccine Plan. www.hhs.gov/nvpo/vacc_plan/. Published 2011. Accessed July 1, 2014.

        • Shen A.
        • Duggan-Goldstein S.
        • Sobzcyk E.
        • Buchanan A.
        • Wu L.
        Second National Immunization Congress 2010: addressing vaccine financing for the future in the United States.
        Hum Vaccin. 2011; 7: 1-7https://doi.org/10.4161/hv.7.1.13949
        • Hurley L.
        U.S. physicians’ perspective of adult vaccine delivery.
        Ann Intern Med. 2014; 160: 161-170https://doi.org/10.7326/M13-2332
        • IOM
        Priorities for the National Vaccine Plan.
        The National Academies Press, Washington, DC2010
        • National Prevention Council
        National Prevention Strategy.
        U.S. DHHS, Washington, DC2011
        • Agency for Healthcare Research and Quality
        National Quality Strategy.
        U.S. DHHS, Washington DC2011
      6. U.S. DHHS. National adult immunization plan. www.hhs.gov/nvpo/national-adult-immunization-plan/index.html. Published 2016. Accessed March 1, 2016.