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 Adult immunization rates have remained well below target immunization rates despite increased availability of adult vaccines. The Advisory Committee on Immunization Practices (ACIP) recommends that adults receive influenza, pneumococcal, whooping cough, and shingles vaccines.1 Adults are also recommended to receive other vaccines based on age, risk status, and job type. Women are also recommended to receive specific vaccines during pregnancy. The Healthy People 2020 target for seasonal influenza vaccination for adults is 70%2, however only 43.6% of adults received a flu vaccine in the 2014-15 influenza season3. Similarly, the HP2020 target for pneumococcal vaccination for adults over age 65 is 90%4, but only 61.3% received the vaccine.5

One reason for low adult vaccination rates is that vaccines are typically associated with childhood health care, and are not part of regular adult preventive care—many adults are simply unaware that they should be vaccinated. Fifty-eight percent of Americans admit to a gap in awareness of their own vaccination needs, and 19% of Americans think vaccination (except for influenza) is generally not recommended for adults.6



ARIZONA: Flyer on vaccinating the whole family

The Arizona Partnership for Immunization (TAPI), with support from the Arizona Immunization Program, created a flyer on vaccinating all family members.



ARKANSAS: Community outreach through presentations to community groups

The medical director of the Arkansas Immunization Program gives immunization-related presentations to community organizations, such as the local Rotary Club.


  PHILADELPHIA: In-house communications coordinator

The Philadelphia Immunization Program created a position for a dedicated, in-house Communications Coordinator, to improve public and provider communication around childhood and adult immunization topics.
1 Kim DK, Bridges CB, Harriman KH. “Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older — United States, 2016”. Morbidity and Mortality Weekly Report 65.4 (2016): 88-90. Print.
2 “Immunization and Infectious Disease Objectives.” Healthy People 2020. US Department of Health and Human Services, 2014. Web.
3 “Influenza Coverage Rates in adults older than 18 years in 2014-15.”Center for Disease Control and Prevention. Center for Disease Control and Prevention, September 15, 2016. Web.
4 “Immunization and Infectious Disease Objectives.” Healthy People 2020. US Department of Health and Human Services, 2014. Web.
5 Williams WW, Lu P, O’Halloran A, et al. “Surveillance of Vaccination Coverage Among Adult Populations — United States, 2014.” Morbidity and Mortality Weekly Report 65.1 (2016): 1–36. Print.
6 “Adult Vaccination Save Lives.” National Foundation for Infectious Disease, March 2012. Web. 7 2015 AIM Annual Survey, 63 of 64 state/city/territorial Immunization Programs completed the survey that was administered online April - June 2015.

Chapter 1 Resources

Item Name Posted By Date Posted
AIM Data: Program use of general or social media PDF (485.54 KB)  more ] Administration 9/26/2016
Adult Immunization Resources by Every Child By Two Link Administration 9/26/2016
IAC Adult Immunization Resources Link Administration 9/26/2016
CDC Adult Immunization Resources Link Administration 9/26/2016
National Foundation for Infectious Disease Resourc Link Administration 9/26/2016
Communication Toolkit for Adults from the NPHIC Link Administration 9/26/2016
Quick Guide to Adult Vaccine Messaging from NAIIS Link Administration 9/26/2016
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