Report on WHO meeting on immunization in older adults: Geneva, Switzerland, 22-23 March 2017.
Report on WHO meeting on immunization in older adults: Geneva, Switzerland, 22-23 March 2017.
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DOI：
10.1016/j.vaccine.2017.12.029
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发表时间：
2018-02-08
期刊：
影响因子：
5.5
通讯作者：
Ortiz JR
中科院分区：
文献类型：
--
作者：
Teresa Aguado M;Barratt J;Beard JR;Blomberg BB;Chen WH;Hickling J;Hyde TB;Jit M;Jones R;Poland GA;Friede M;Ortiz JR
许多工业化国家已对老年人实施了常规免疫政策，但类似的战略尚未在低收入和中等收入国家广泛实施。2017年3月，世界卫生组织（世卫组织）召开了一次会议，以确定促进老年人接种疫苗的政策和活动，特别是在中低收入国家。与会者包括学术界和工业界研究人员、资助者、民间社会组织、全球卫生干预措施的实施者以及有成人免疫需求的发展中国家的利益攸关方。这些专家审查了疫苗在老年人中的表现，成人疫苗接种计划的预期影响，以及建立或加强成人和老年人免疫平台的挑战和机遇。会议的主要结论是，有必要讨论为所有成年人以及老年人接种疫苗的新机会，卫生组织最近对免疫接种采取生命周期办法就反映了这一点;应根据个人能力而不是实际年龄，从更广泛的模式来看待成年人的免疫接种;婴儿期后的免疫接种是全球优先事项，可以成功地与其他干预措施结合起来，以促进健康老龄化。随着世卫组织展望2020年开始的全球健康老龄化十年，它将寻求确定跨学科合作路线图，将免疫接种与改善全球成年人获得预防和其他卫生保健干预措施的机会相结合。
Many industrialized countries have implemented routine immunization policies for older adults, but similar strategies have not been widely implemented in low- and middle-income countries (LMICs). In March 2017, the World Health Organization (WHO) convened a meeting to identify policies and activities to promote access to vaccination of older adults, specifically in LMICs. Participants included academic and industry researchers, funders, civil society organizations, implementers of global health interventions, and stakeholders from developing countries with adult immunization needs. These experts reviewed vaccine performance in older adults, the anticipated impact of adult vaccination programs, and the challenges and opportunities of building or strengthening an adult and older adult immunization platforms. Key conclusions of the meeting were that there is a need for discussion of new opportunities for vaccination of all adults as well as for vaccination of older adults, as reflected in the recent shift by WHO to a life-course approach to immunization; that immunization in adults should be viewed in the context of a much broader model based on an individual’s abilities rather than chronological age; and that immunization beyond infancy is a global priority that can be successfully integrated with other interventions to promote healthy ageing. As WHO is looking ahead to a global Decade of Healthy Ageing starting in 2020, it will seek to define a roadmap for interdisciplinary collaborations to integrate immunization with improving access to preventive and other healthcare interventions for adults worldwide.
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