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Health Indicator Report of Immunizations - Pneumonia, Adults

Pneumococcal disease is caused by bacteria that can spread from person to person through close contact. It can cause ear infections, and it can also lead to more serious infections of the lungs (pneumonia), blood (bacteremia), and covering of the brain and spinal cord (meningitis). Anyone can get pneumococcal disease, but children under two years of age and adults aged 65 years and older, people with certain medical conditions, and cigarette smokers are at the highest risk. Before there was a vaccine, the United States saw: *more than 700 cases of meningitis *about 13,000 blood infections *about 5 million ear infections *about 200 deaths [[br]] Treatment of pneumococcal infections with penicillin and other drugs is not as effective as it used to be, because some strains of pneumococcal are resistant to these drugs. This makes prevention of the disease, through vaccine even more important^1^. [[br]] [[br]] ====Pneumococcal Vaccines==== There are two pneumococcal vaccines that are licensed for use in the United States by the Food and Drug Administration (FDA): * pneumococcal conjugate vaccine (PCV13 or Prevnar 13) * pneumococcal polysaccharide vaccine (PPSV23 or Pneumovax23)[[br]] [[br]] The pneumococcal conjugate vaccine (PCV13) is recommended for: *All children younger than 2 years old *People 2 years or older with certain medical conditions *Adults 65 years or older also can discuss and decide, with their doctor, to get PCV13. [[br]] The pneumococcal polysaccharide vaccine (PPSV23) is recommended for: * All adults 65 years or older * People 2 through 64 years old with certain medical conditions * Adults 19 through 64 years old who smoke cigarettes [[br]] Most people need only one dose of PPSV23. A second dose of PPSV23, and another type of pneumococcal vaccine called PCV13, are recommended for certain high-risk groups. Your health care provider can give you more information. People 65 years or older should get a dose of PPSV23 even if they have already gotten one or more doses of the vaccine before they turned 65^2^. A 2006 study published in the medical journal Clinical Infectious Diseases found that hospital patients who received the pneumococcal vaccine were 40 to 70 percent less likely to die than unvaccinated patients. In the study, vaccinated patients had a lower risk of respiratory failure, kidney failure, heart attack, and other complications. Vaccinated patients in the study also spent an average of two fewer days in the hospital^3^.[[br]] [[br]] ---- 1. Centers for Disease Control and Prevention (CDC). "Pneumococcal Conjugate (PCV13) VIS. Retrieved from: [https://www.cdc.gov/vaccines/hcp/vis/vis-statements/pcv13.html] [[br]] 2. Centers for Disease Control and Prevention (CDC). ''Pneumococcal Polysaccharide Vaccine (PPSV23): What You Need to Know'' Retrieved from: [https://www.cdc.gov/vaccines/hcp/vis/vis-statements/ppv.html][[br]] 3. Vila-Crcoles, et al. Protective Effects of the 23-Valent Pneumococcal Polysaccharide Vaccine in the Elderly Population: The EVAN-65 Study. ''Clinical Infectious Diseases''. Retrieved from: [http://cid.oxfordjournals.org/content/43/7/860.full]

Percentage of Adults 65+ Who Reported Having Ever Received Pneumococcal Vaccination, Utah and U.S., 1997-2019

Notes

Beginning in 2011, BRFSS data include both landline and cell phone respondent data along with a new weighting methodology called iterative proportional fitting, or raking. This methodology utilizes additional demographic information (such as education, race, and marital status) in the weighting procedure. Both of these methodology changes were implemented to account for an increased number of U.S. households without landline phones and an under-representation of certain demographic groups that were not well-represented in the sample. More details about these changes can be found at: [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf]

Data Sources

  • Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
  • U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services

Definition

Percentage of adults 65+ who reported receiving a pneumococcal vaccination at any point in their lifetime.

Numerator

Number of survey respondents age 65+ who reported receiving a pneomococcal vaccine anytime during their life.

Denominator

Number of survey respondents age 65+.

Healthy People Objective IID-13.1:

Increase the percentage of noninstitutionalized adults aged 65 years and older adults who are vaccinated against pneumococcal disease
U.S. Target: 90.0 percent

How Are We Doing?

Lifetime pneumococcal vaccination rates for Utah adults 65+ have significantly improved since 1997 when data were first collected on the BRFSS. The 1997 rate was 48.5% (95% confidence interval, 42.2%-54.8%) and by 2019 the rate had increased to 76.1% (74.2-77.9%). However, due to a change in the BRFSS methodology in 2011, it is not possible to know if this is a significant change.

How Do We Compare With the U.S.?

In 2019, the pneumococcal vaccination rate for adults age 65+ in the U.S. (50 states plus D.C.) was 71.7%, while the Utah rate was 76.1%.

Available Services

Additionally, the UIP continues to administer the Adult High Risk (AHB) Initiative which provides the following vaccines for uninsured adults who are at risk for contracting hepatitis B: *Hepatitis A & B vaccine *Human Papillomavirus vaccine *Pneumococcal polysaccharide vaccine *Tetanus, diphtheria & pertussis vaccine [[br]] [[br]] Adults at high risk for contracting Hepatitis B may be able to access PPSV vaccine through this program.
Page Content Updated On 10/28/2020, Published on 10/06/2021
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Thu, 21 October 2021 2:36:34 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Wed, 6 Oct 2021 15:41:04 MDT