Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions
Influenza Vaccination Coverage & Herd Immunity
Vaccine; 2018 Jun 27; Logan, et al
Education regarding herd immunity and local vaccination coverage may be a useful tool for increasing willingness to vaccinate, a recent study found. Researchers surveyed Minnesota residents aged ≥18 years in 2016 and asked them to identify the definition of herd immunity, to report their history of and plans to receive influenza vaccine, to report their concern about influenza, and to estimate the reported influenza vaccination coverage in their county. After providing educational information about herd immunity and local vaccination rates, researchers then reassessed vaccination plans and concerns. They found:
- 554 participants were included (median age 57 years, 66% female, 91% white, 93.3% non-Hispanic Latino).
- Overall, 37.2% of participants did not know about herd immunity and 75.6% thought that the influenza vaccination coverage in their county was higher than was reported.
- Those not knowledgeable about herd immunity were significantly less likely to report plans to be vaccinated at baseline.
- The proportion of those not knowledgeable about herd immunity who were willing to be vaccinated increased significantly by 7.3 percentage points after learning about herd immunity and influenza vaccination coverage.
- Educating participants eliminated the significant difference in the proportion planning to be vaccinated between the groups.
Logan J, Nederhoff D, Koch B, et al. ‘What have you HEARD about the HERD?’ Does education about local influenza vaccination coverage and herd immunity affect willingness to vaccinate? Vaccine. 2018;36(28):4118-4125. doi:10.1016/j.vaccine.2018.05.037.
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Vaccination for Prevention of Herpes Zoster, Ann Intern Med; ePub 2019 Feb 19; Prosser, et al
ACIP Updates Adult Immunization Schedule, Ann Intern Med; 2019 Feb 5; Kim, Hunter, et al
Influenza Vaccination Safety During Hospitalization, Mayo Clin Proc; ePub 2019 Jan 8; Tartof, et al
Acellular Pertussis Vaccine Is Safe & Effective, JAMA Pediatr; 2018 Nov; Wood, Nolan, et al
Influenza and Pertussis Vaccination in Pregnancy, Vaccine; ePub 2018 Nov 3; Wilcox, Bottrell, et al
This study is another example that information on immunizations has a large impact on patients’ decisions to be vaccinated themselves. Herd immunity is a very large concept of the public health use of vaccines. Since most of the vaccines are not 100% effective, having a large percentage of the population vaccinated can reduce outbreaks. As we are crafting patient information to help people with the decisions regarding vaccination, we should include information on herd immunity. There are people among us that cannot receive immunizations for a variety of medical reasons and herd immunity helps to keep them safe. — John Russell, MD