Increasing Adult Vaccination Rates What Works
 

ACIP Recommendations

Vaccine guidelines published by the Advisory Committee on Immunization Practices (ACIP):
ttp://www.cdc.gov/vaccines/pubs/ACIP-list.htm

Adult Immunization Webcast

This webcast of a live satellite broadcast covers the impact of vaccine-preventable diseases on adults, recommended vaccines for adults, coverage among various demographic and risk groups, and strategies to improve coverage levels: http://www.cdc.gov/vaccines/ed/webcasts.htm

American Medical Association

CDC Travel Information

Reference material for international travel, including vaccine recommendations for travel to various countries:
http://wwwn.cdc.gov/travel/default.aspx

Guide to Community Preventive Services

The Community Guide summarizes research about selected population-based interventions. The Task Force on Community Preventive Services makes recommendations as to the effectiveness and feasibility of the interventions to improve vaccination coverage:
http://www.thecommunityguide.org/vaccines/universally/index.html

Guide to Contraindications and Precautions to Commonly Used Vaccines in Adults

The Immunization Action Coalition provides information in an easy-to-use table listing the contraindications and precautions for vaccines given to adult patients:
http://www.immunize.org/catg.d/p3072.pdf

Guide to Contradications to Vaccinations

Provides common symptoms and conditions to help providers determine whether a vaccine is contraindicated.
http://www.cdc.gov/vaccines/recs/vac-admin/contraindications.htm

Guidelines for Vaccinating Pregnant Women

From the recommendations of the Advisory Committee on Immunization Practices (ACIP):
http://www.cdc.gov/vaccines/pubs/preg-guide.htm

Healthcare Personnel Vaccination

The Immunization Action Coalition provides a one-page guide on "Healthcare Personnel Vaccination Recommendations":
http://www.immunize.org/catg.d/p2017.pdf
Influenza Vaccination of Health-Care Personnel, Recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP):
http://www.cdc.gov/mmwr/PDF/rr/rr5502.pdf

Healthy People 2010

Developing Healthy People 2020 Objectives Immunization and Infectious Diseases
http://www.healthypeople.gov/hp2020/Objectives/TopicArea.aspx?id=30&TopicArea=Immunization+and+Infectious+Diseases

Images of Diseases (Vaccine-Preventable Diseases Only)

Provides photos of vaccine-preventable diseases: http://www.cdc.gov/vaccines/vpd-vac/photo-all-vpd.htm

Immunization Schedules

Current, recommended vaccination schedules: Summary of Recommendations for Adult Immunization: http://www.immunize.org/catg.d/p2011.pdf

Adult Immunization Scheduler: This tool can be used to determine the vaccines adults 19 years of age and older need according to the recommended Adult Immunization Schedule:http://www.cdc.gov/vaccines/recs/Scheduler/AdultScheduler.htm

Long-Term Care

Guidelines and Recommendations: Infection Control Measures for Preventing and Controlling Influenza Transmission in Long-Term-Care Facilities:
http://www.cdc.gov/flu/professionals/infectioncontrol/pdf/longtermcare.pdf

Sneller V, Izurieta H, Bridges C, et al. Developing and implementing an immunization program in long-term care facilities. Journal of the American Medical Directors Association 2000;1(5, Supplement):S4-S13.

Data from the 2004 National Nursing Home Survey:
In 2004, nursing homes used different strategies to promote influenza vaccination among employees. Three of these strategies (offering free vaccinations, furloughing employees with influenza-like illness, and requiring proof of vaccination) were significantly associated with staff influenza vaccination rates increasing to 60%. Only 1% of surveyed facilities did not use at least one of the strategies. Data from the 2004 National Nursing Home Survey can be found in CDC’s Morbidity and Mortality Weekly Report under “QuickStats.” MMWR, January 25, 2008 / 57(03);74.

The Pink Book: Epidemiology and Prevention of Vaccine-Preventable Diseases

This textbook provides clinical and epidemiological information about vaccine-preventable diseases and discusses recommendations for vaccine use. Chapter 3 offers a discussion of strategies to increase immunization levels.
http://www.cdc.gov/vaccines/pubs/pinkbook/default.htm

Selected References

Effective Strategies

Briss, PA, et al. Reviews of evidence regarding interventions to improve vaccination coverage in children, adolescents, and adults. American Journal of Preventive Medicine 2000;18(1s):97-140.

Bratzler DW, Houck PM, Jiang H, et al. Failure to vaccinate Medicare inpatients: A missed opportunity. Archives of Internal Medicine 2002;162:2349-2356.

Ndiaye S, Hopkins D, Shefer A, et. al.  Interventions to improve influenza, pneumococcal polysaccharide, and hepatitis B vaccination coverage among high-risk adults, American Journal of Preventive Medicine.  June 2005;28:5S. http://journals.elsevierhealth.com/periodicals/AMEPRE/issues

Shefer A, Briss P, Rodewald L, et al. Improving immunization coverage rate ates: an evidence-based review of the literature. Epidemiologic Reviews 1999;21:96-142.

Task Force on Community Preventive Services. Introducing the Guide to Community Preventive Services: methods, first recommendations and expert commentary. American Journal of Preventive Medicine 2000;18(1, Supplement):1-142.

Task Force on Community Preventive Services. Vaccine-preventable diseases: improving vaccination coverage in children, adolescents, and adults. A report on recommendations of the Task Force on Community Preventive Services. Morbidity and Mortality Weekly Report 1999;48(RR-8):1-15. http://www.cdc.gov/mmwr/preview/mmwrhtml/rr4808a1.htm

Standing Orders

Centers for Disease Control and Prevention. Notice to readers: Facilitating influenza and pneumococcal vaccination through standing orders programs. Morbidity and Mortality Weekly Report 2003;52(04):68-69. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5204a4.htm

Centers for Disease Control and Prevention. Use of standing orders programs to increase adult vaccination rates. Recommendations of the Advisory Committee on Immunization Practices. Morbidity and Mortality Weekly Report 2000;49(RR01):15-26. www.cdc.gov/mmwr/preview/mmwrhtml/rr4901a2.htm

Standards for Adult Immunization Practices

These standards have been developed to guide the delivery of immunizations for adults: http://www.cdc.gov/vaccines/recs/vac-admin/rev-immz-stds.htm

Strategies List

These strategies or tools can assist in increasing adult vaccination rates. For each strategy, there is a definition, description of advantages and disadvantages, steps for implementation, and studies documenting effectiveness. Examples of materials that can be used with each strategy are also included. Strategies List

Vaccine Adverse Event Reporting System

(VAERS) VAERS is a nationwide system established to facilitate reporting adverse events following immunization: http://www.vaers.hhs.gov/

Vaccine Information Statements

These statements are provided to patients at the time of vaccination.http://www.cdc.gov/vaccines/pubs/vis/default.htm

The Immunization Action Coalition website provides the Vaccine Information Statements translated into numerous languages. http://www.immunize.org/vis/#index

Vaccine Storage and Handling Toolkit

This Toolkit is a comprehensive resource and reference manual from CDC providing guidelines on vaccine storage and handling. The Toolkit is available on the National Center for Immunization and Respiratory Diseases website at: http://www2a.cdc.gov/nip/isd/shtoolkit/splash.html. The Toolkit is also available as a CD and may be ordered from NIP Publications at: http://wwwn.cdc.gov/pubs/ncird.aspx.