In Australia, public attention is focused on raising the level of vaccination of children and infants. But the largest group of people without vaccination - adults.
Of the 4.1 million unvaccinated Australians 92% (3.8 million) were adults, and only a small fraction - children. Improving adult vaccination rates reduce the risk of morbidity and mortality.
The government provides free medication for flu, pneumococcal pneumonia and shingles for people over 65 years, as well as separate vaccinations for persons with underlying medical conditions.
However, recent studies show that only 51% of adults in Australia each year to state-funded vaccination, compared with 93% of children and 73% of Australian teenagers. Migrants, refugees and travelers at risk due to lack of vaccination.
public health efforts aimed at mandatory measures and financial sanctions to improve immunization rates in infants, but it does not affect the adult population. In addition to the low vaccination rates among adults, it is in the adult population of the highest infection rates. The risk of transfer of viruses are hospitals, care centers and child care institutions for the elderly. The goal of vaccination staff in these conditions - personal protection and protection of patients, including children.
vaccination rates against influenza among staff still remains low. Rates among day care workers make up less than 50%. Some hospitals have provided resources and personnel to conduct intensive immunization campaigns, which increased the vaccination rate up to 70-80%.
Many regions of Australia laid the foundations for the introduction of compulsory vaccination against influenza. In 2007, the New South Wales passed a law according to which health professionals must demonstrate evidence of protection against a number of diseases preventable through vaccination.
In other states, such recommendations for health professionals, but they differ in the covered vaccines or personnel. So far, influenza vaccination is still highly recommended, but not required.
Compulsory vaccination remains controversial strategy. Mandatory measures really work, but raises ethical issues. In addition, some argue that the evidence of use for the patient too high.
Lack of understanding of immunization of adults is due to many factors, including the difficulty of access, lack of information about vaccination and faith in vaccination in adults.
A number of strategies, including the removal of financial barriers, fixing the indigenous population status and additional recommendations will help to improve vaccination rates. To improve the performance necessary to allocate resources and to develop health promotion programs.