1. The situation of vaccines for the prevention of infections in adults: An opinion paper on the situation in Spain.
- Author
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Bouza E, Ancochea-Bermúdez J, Campins M, Eirós-Bouza JM, Fargas J, García Rojas A, Gracia D, Gutiérrez Sánchez A, Limia A, López JA, Magro MC, Mirada G, Muñoz P, Olier E, Ortiz de Lejarazu R, Urbiztondo L, and Palomo E
- Subjects
- Adult, Forecasting, Haemophilus Infections epidemiology, Haemophilus Infections prevention & control, Haemophilus influenzae type b, Hepatitis B epidemiology, Hepatitis B prevention & control, Humans, Incidence, Influenza, Human prevention & control, Meningococcal Infections epidemiology, Meningococcal Infections prevention & control, Neisseria meningitidis, Papillomavirus Infections epidemiology, Papillomavirus Infections prevention & control, Spain epidemiology, Streptococcal Infections epidemiology, Streptococcal Infections prevention & control, Streptococcus pneumoniae, Varicella Zoster Virus Infection epidemiology, Varicella Zoster Virus Infection prevention & control, Bacterial Vaccines administration & dosage, Communicable Disease Control, Infection Control, Vaccination Coverage statistics & numerical data, Viral Vaccines administration & dosage
- Abstract
The childhood immunization schedule is well known and generally well implemented in developed countries. For various reasons, the same is not true of vaccines aimed at preventing infections in adults, in which vaccination coverage is incomplete and generally very deficient. In order to assess the situation of adult vaccination in Spain, the Fundación de Ciencias de la Salud has brought together a series of experts in different fields, including doctors, nurses, representatives of patient associations, health managers and economists, health authorities and journalists to deal with this issue. The format was that of a round table in which a series of questions previously formulated by the coordinators were to be answered and debated. The document presented is not an exhaustive review of the topic, nor is it intended to make recommendations, but only to give a multidisciplinary opinion on topics that could be particularly debatable or controversial. The paper reviews the main vaccine-preventable adult diseases, their clinical and economic impact, the possibilities of reducing them with vaccination programmes and the difficulties in carrying them out. The role of nursing, pharmacy services, patient associations and the health administration itself in changing the current situation was discussed. Prospects for new vaccines were discussed and we speculated on the future in this field. Finally, particularly relevant ethical aspects in decision-making regarding vaccination were discussed, which must be faced by both individuals and states. We have tried to summarize, at the end of the presentation of each question, the environment of opinion that was agreed with all the members of the table., (©The Author 2019. Published by Sociedad Española de Quimioterapia. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)(https://creativecommons.org/licenses/by-nc/4.0/).)
- Published
- 2019