Adult Immunization for Influenza and Pneumococcal Infections
Alan W. Hampson, MSc
Int J Infect Dis 1997; 1(3):165-171.
Influenza and pneumococcal infections are important causes of morbidity and mortality in the older adult
population, particularly in developed countries. The causative agents pose unique challenges for the
formulation and manufacture of vaccines. Influenza vaccines must be regularly updated because of antigenic
changes in the circulating viruses, and pneumococcal vaccines that consist of capsular polysaccharides must
contain several antigens if they are to protect against multiple serotypes of Streptococcus pneumoniae.
Nevertheless, safe vaccines which provide a good measure of protection against the severe sequelae of
infection have been developed for both infections, and it has now been shown that these vaccines are more
cost-effective than most other medical interventions in the older adult population. However, in most
countries the vaccines remain largely under-utilized. Research toward improved vaccines is currently in
progress; however, to gain the greatest benefits from both current and future vaccines requires a better
understanding of the factors influencing their use.
Key Words: influenza, Streptococcus pneumoniae, vaccine
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