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Integration of vaccination of older adults in a life course programme 

Integration of vaccination of older adults in a life course programme
Chapter:
Integration of vaccination of older adults in a life course programme
Author(s):

Jean-Pierre Michel

and Fiona Ecarnot

DOI:
10.1093/med/9780198701590.003.0089_update_001

Update:

Updated thoroughly throughout;

Figures updated with recent data;

New section on ‘Possible effects of infant vaccines and boosters on dementia onset in adulthood’;

New chapter author.

Updated on 24 September 2020. The previous version of this content can be found here.
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date: 21 October 2020

Vaccines represent the medical intervention that has yielded the greatest benefit on human health and longevity. Focusing on life course immunization means adopting a temporal and societal perspective towards the health of individuals and cohorts. Increasing numbers of epidemiological examples from influenza, pertussis, and pneumococcal vaccines, but also CMV, diphtheria, pertussis, and varicella vaccines provided (or administered) at a young age testify to the importance of community protection against preventable infectious diseases and chronic diseases at the level of the oldest adults, who exhibit immunosenescent defects. In parallel, the current low vaccine coverage rate among healthcare workers disadvantages their older patients, as well as themselves and their relatives. Thus, a vaccination programme focusing only on old adults will be less effective than a global life course immunization program fully integrated into a comprehensive lifecourse ‘healthy ageing’ program.

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