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Previous Volume 328:1252-1258 April 29, 1993 Number 17 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In the United States, the immunization of adults does not receive the same priority as the immunization of children, although deaths from vaccine-preventable diseases occur predominantly in adults. About 50,000 to 70,000 adults die each year from pneumococcal infection, influenza, or hepatitis B (Table 1),¹ as compared with about 1000 children who die from diseases targeted by childhood immunizations. Reasons for the poor record of immunization of adults include lingering doubts on the part of both the public and health care providers about the efficacy and safety of vaccines; uncertainty about specific recommendations; concern about liability; inadequate reimbursement; . . . [Full Text of this Article]

The Major Vaccines

Pneumococcal Vaccine

Influenza Vaccine

Hepatitis B Vaccine

Other Widely Used Vaccines

Tetanus-Diphtheria Toxoid

Measles-Mumps-Rubella Vaccine

Vaccines for Special Groups

Rabies Vaccines

Bacille Calmette-Guerin

Haemophilus influenzae Type b Conjugate Vaccine

Vaccines for International Travelers

Poliomyelitis Vaccine

Typhoid Fever Vaccine

Cholera Vaccine

Japanese Encephalitis Vaccine

Vaccines Soon to Be Licensed

The Challenge

Source Information

From the Department of Medicine, State University of New York at Stony Brook (P.G.), and the Department of Preventive Medicine, Vanderbilt University School of Medicine, Nashville (W.S.).

Address reprint requests to Dr. Gardner at the Office of Academic Affairs, Stony Brook Health Sciences Center, State University of New York at Stony Brook, Stony Brook, NY 11794.

References

Related Letters:

Immunization of Adults
Rothstein E. P., Bernstein H. H., Long S. S., Gluckman S. J., Krause D. S., Gardner P., Schaffner W.
Extract | Full Text  
N Engl J Med 1993; 329:1046-1048, Sep 30, 1993. Correspondence

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