Washington, D.C. February 4, 2010 - A new report, Adult Immunization: Shots to Save Lives, released today by the Trust for America's Health (TFAH), the Infectious Diseases Society of America (IDSA), and the Robert Wood Johnson Foundation (RWJF) found that more than 30 percent of adults ages 65 and older had not been immunized against pneumonia in 36 states as of 2008. The U.S. Centers for Disease Control and Prevention (CDC) and other experts recommend that all seniors should be vaccinated against pneumonia, which is a one-time shot for most individuals, since seniors who get the seasonal flu are at risk for developing pneumonia as a complication.
Nationally, 33.1 percent of seniors had not been immunized against pneumonia, and even in the state with the highest immunization rate - Oregon - more than one quarter (26.8 percent) of seniors were not immunized. Washington, D.C. had the lowest number of seniors immunized, with nearly half (45.6 percent) of seniors not immunized.
Overall, the Adult Immunization report found millions of American adults go without routine and recommended vaccinations each year, which leads to an estimated 40,000 to 50,000 preventable deaths, thousands of preventable illnesses, and $10 billion in preventable health care costs each year. In addition to low rates of pneumonia immunizations, only 2.1 percent of eligible adults have had the tetanus, diphtheria, and whooping cough vaccine; only 10 percent of eligible adult women have had the human papillomavirus (HPV) vaccine; and only 36.1 percent of all adults were vaccinated against the seasonal flu in 2008.
"Thousands of lives could be saved each year if we could increase the number of adults who receive routine and recommended vaccinations," said Jeffrey Levi, PhD, Executive Director of TFAH. "We need a national strategy to make vaccines a regular part of medical care and to educate Americans about the effectiveness and safety of vaccines."
"Today, the vast majority of vaccine-preventable diseases, hospitalization and deaths occur among adults. This is tragic, because currently-available vaccines can prevent many of these illnesses," said William Schaffner, MD, FIDSA, chair of IDSA's Immunization Work Group and co-author of the report.
The report identified several key reasons why adult vaccination rates remain low in the United States despite the recommendation of medical experts, including:
"This country has a first-rate system for immunizing children, but too many adults are falling through the cracks," said Richard J. Whitley, MD, FIDSA, president of IDSA. "Clearly, we need to build a better system for immunizing adults."
"Thousands of adults die each year from vaccine preventable diseases, yet adult vaccination rates remain low," said Litjen (LJ) Tan, MS, PhD, Director of Medicine and Public Health for the American Medical Association. "The health care community can take a lead role in raising immunization rates by educating their adult patients on the safety and efficacy of vaccines and letting them know that getting vaccinated is one of the best ways to protect themselves and loved ones from disease."
The report outlines a number of policy recommendations to increase rates of adult vaccinations. Some top recommendations include:
The full report is available on TFAH's Web site at www.healthyamericans.org , IDSA's Web site at www.idsociety.org, and RWJF's Web site at www.rwjf.org . The report was supported by a grant from RWJF.
Percent of Seniors NOT Vaccinated Against Pneumonia by State
Rates listed are the number of adults aged 65 and older who have not been vaccinated against pneumonia. 1= Lowest vaccination rate; 51 = Highest vaccination rate. Rankings are based on combining three years of data (2006-2008) from the U.S. Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System to "stabilize" data for comparison purposes. The pneumococcal vaccine is a one-time shot.
1. District of Columbia (45.6%); 2. Illinois (40.4%); California (39.0%); 4. Florida (37.6%); 5. New York (36.7%); 6. New Jersey (36.5%); 7. Texas (36.3%); 8. (tie) Alabama (36.0%), Alaska (36.0%), Georgia (36.0%), and South Carolina (36.0%); 12. Arkansas (35.8%); 13. New Mexico (35.4%); 14. (tie) Idaho (35.3%) and South Dakota (35.3%); 16. Kentucky (34.8%); 17. Tennessee (34.6%); 18. Michigan (34.2%); 19. (tie) Maryland (33.9%) and Nevada (33.9%); 21. Louisiana (33.7%); 22. Connecticut (33.4%); 23. Mississippi (33.2%); 24. (tie) Indiana (33.1%) and West Virginia (33.1%); 26. Missouri (32.7%); 27. Hawaii (32.1%); 28. Utah (32.0%); 29. Virginia (31.9%); 30. Arizona (31.8%); 31. Ohio (31.6%); 32. Kansas (31.5%); 33. North Carolina (31.2%); 34. Vermont (31.0%); 35. North Dakota (30.6%); 36. Massachusetts (30.4%); 37. Pennsylvania (30.3%); 38. (tie) Delaware (30.0%) and Washington (30.0%); 40. Iowa (29.9%); 41. Nebraska (29.8%); 42. Wyoming (29.7%); 43. (tie) Maine (29.5%) and Wisconsin (29.5%); 45. Minnesota (29.2%); 46. Oklahoma (28.9%); 47. (tie) Montana (28.8%) and New Hampshire (28.8%); 49. Rhode Island (28.2%); 50. Colorado (27.4%) and 51. Oregon (26.8%).
Trust for America's Health is a non-profit, non-partisan organization dedicated to saving lives by protecting the health of every community and working to make disease prevention a national priority. www.healthyamericans.org
The Infectious Diseases Society of America (IDSA) is an organization of physicians, scientists, and other health care professionals dedicated to promoting health through excellence in infectious diseases research, education, patient care, prevention, and public health. The Society, which has more than 9,000 members, was founded in 1963 and is based in Arlington, Va. For more information, see www.idsociety.org .
The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation's largest philanthropy devoted exclusively to improving the health and health care of all Americans, the Foundation works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, meaningful and timely change. For more than 35 years the Foundation has brought experience, commitment, and a rigorous, balanced approach to the problems that affect the health and health care of those it serves. Helping Americans lead healthier lives and get the care they need—the Foundation expects to make a difference in our lifetime. For more information, visit www.rwjf.org .