Among all of the challenges of clinical preventive medicine, immunization offers the most clear-cut benefits and greatest likelihood for success. Nonetheless, vaccines often are not regarded as examples of high-technology medical care (which they are),1 and their use among adults has not been widespread. In contrast, almost all children in the United States receive their required childhood immunizations by the time of school entry. So successful has this been that a substantial proportion of the remaining morbidity and mortality from these vaccine-preventable diseases of childhood now occurs in older adolescents and adults. Thus successful implementation of adult immunization programs is still one of the major challenges in prevention facing physicians.
KeywordsInfluenza Vaccine Tetanus Toxoid Pneumococcal Vaccine Pneumococcal Infection Measle Vaccine
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