The Clinical Advisor (01.30.13)
CDC reports that 2010–2011 adult immunization rates for hepatitis A, hepatitis B, herpes zoster, human papillomavirus (HPV), pneumococcal disease, and tetanus-diphtheria-pertussis (Tdap), are “unacceptably low” for US adults in comparison to the Healthy People 2020 goals.
Rates for HPV and Tdap vaccination increased slightly from 2010 to 2011. The proportion of women aged 19 to 26 who had at least one dose of HPV vaccine rose from 20.7 percent to 29.5 percent. Only 3 percent of males received HPV vaccination in 2011, the first year that CDC recommended the vaccine for males. In 2011, 12.5 percent of the general population and 26.8 percent of healthcare workers received Tdap vaccinations—an increase of 4.3 percent and 6.5 percent, respectively.
The goal for hepatitis A and hepatitis B vaccination coverage is 90 percent of US adults. Only 12.5 percent of 19- to 49-year-old adults received hepatitis A vaccination in 2011. Hepatitis B coverage increased to 35.9 percent of people aged 19 to 49.
The proportion of adults older than 60 who have been immunized for herpes zoster was 15.8 percent, well below the goal of 30 percent.
The goal for pneumococcal immunization of adults aged 65 and older is 90 percent; only 62.3 percent of this group has been vaccinated. High-risk populations aged 19 to 65 have 20.1 percent coverage.
Improved workplace and commercial access to vaccines, and reminder systems could increase vaccination rates. The report also advises that healthcare providers should offer recommended vaccinations as part of routine adult care. The survey, which had a 66-percent response rate, relied on self-reported data unconfirmed by medical records.
The full report, “Noninfluenza Vaccination Coverage Among Adults —United States, 2011,” was published online in the Morbidity and Mortality Weekly Report (2013; 62 (4):66–72).