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Adult immunization: The need to address

机译：成人免疫：需要解决的问题

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Vaccination is recommended throughout life to prevent vaccine-preventable diseases and their sequel. The primary focus of vaccination programs has historically been directed to childhood immunizations. For adults, chronic diseases have been the primary focus of preventive and medical health care, though there has been increased emphasis on preventing infectious diseases. Adult vaccination coverage, however, remains low for most of the routinely recommended vaccines. Though adults are less susceptible to fall prey to traditional infectious agents, the probability of exposure to infectious agents has increased manifold owing to globalization and increasing travel opportunities both within and across the countries. Thus, there is an urgent need to address the problem of adult immunization. The adult immunization enterprise is more complex, encompassing a wide variety of vaccines and a very diverse target population. There is no coordinated public health infrastructure to support an adult immunization program as there is for children. Moreover, there is little coordination among adult healthcare providers in terms of vaccine provision. Substantial improvement in adult vaccination is needed to reduce the health consequences of vaccine-preventable diseases among adults. Routine assessment of adult patient vaccination needs, recommendation, and offer of needed vaccines for adults should be incorporated into routine clinical care of adults.
机译：建议终生接种疫苗，以预防疫苗可预防的疾病及其后遗症。历史上，疫苗接种计划的主要重点一直放在儿童免疫方面。对于成年人来说，慢性病一直是预防和医疗保健的主要重点，尽管人们越来越重视预防传染病。但是，对于大多数常规推荐的疫苗，成人疫苗接种率仍然很低。尽管成年人不太容易沦为传统传染病的牺牲品，但由于全球化和国家内部以及国家/地区之间旅行机会的增加，接触传染病的可能性有所增加。因此，迫切需要解决成人免疫问题。成人免疫企业比较复杂，包括各种各样的疫苗和非常不同的目标人群。没有针对儿童的成人免疫计划的协调公共卫生基础设施。此外，成人保健提供者之间在疫苗供应方面几乎没有协调。为了减少成年人中疫苗可预防疾病的健康后果，需要大幅度改善成人疫苗接种。对成人患者的疫苗接种需求的常规评估，建议和成人所需疫苗的提供应纳入成人的常规临床护理中。

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