Immunizations Everyone Every Age Joan Bowe, RN, BSN Director,
Personal Health Division Chair, AICCO Slide 2 j Vaccine4me.com
Slide 3 Historical Perspective Baby shots, tetanus boosters, flu
and outbreak related efforts 1970s: OPV, DTP, M, M, R and Td 1980s:
MMR Vaccinations valued because diseases still seen as worse threat
Slide 4 Current Scenario Vaccine-preventable diseases not seen much
in U.S. but still common elsewhere just an airplane away Numerous
combination vaccines ACA and first dollar coverage Slide 5
Infant/Childhood Vaccines Slide 6 1983 Immunization Schedule Slide
7 1996 Schedule Slide 8 2010 schedule 2005 immunization schedule
Slide 9 How Many Vaccines Can A Baby Handle? Given an estimate of
the B cells required to protect against a protein 10,000 vaccines
at one time. Giving 11 vaccines at one time uses.1% of the immune
capabilities Offit, Quarles, Berger, et al Pediatrics, 109:1, 2002,
124-129 Slide 10 So How Good/Bad Are We? For childrens vaccination
status getting all shots recommended by age 2 by age 3 Ohio ranks
in bottom third of country. 68.1% Highest is Maine 84.7% Herd or
community immunity is considered achieved at ~90% Slide 11 Slide 12
Slide 13 Adolescent Vaccines Slide 14 Best Age/Need for Boosters
Identified need for boosters has added many of the vaccines to the
adolescent age 12 17 Risk behaviors have determined the rest
Routinely scheduled doctor visits also play a part in the vaccine
schedule Slide 15 Adult Vaccines Slide 16 2002-03 adult schedule
first one published. Slide 17 Compared to Children: Adults age 65
and over are 100x more likely to die of a vaccine preventable
disease. McLaughlin, Pfizer, State Immun Conf 2015 Slide 18 Direct
and Indirect Costs of VPD Age 50 and Older in Ohio - 2013
DiseaseDir. Cost $M Indirect Cost $M Flu 498.3 128.0 Pneumo 183.4
17.6 H. Zoster 72.9 125.3 Pertussis 6.6 9.0 Total $761.2M $279.8M
Slide 19 Vaccination rates - national Pneumococcal vaccine
