The vaccine inoculation At the end of the 18th century, it represented a before and after in the treatment of diseases and the reduction of morbidity. And although, over the years, a kind of social awareness has been created around the importance of childhood vaccination, this vaccine culture has not taken root in the adult population, a problem that extends to health professionals. . Alleviating this circumstance has been, for some time, one of the main pending challenges of the National system of health (SNS). There are two great pillars that must promote change: transversal collaboration between health departments and non-health in favor of community interventions and the use of technology.
The 2nd Conference Present and Future of Public Health organized by Medical Writing It concluded with a discussion table, the third, in which the keys to whether or not the initiatives currently being carried out to implement adult vaccination in the health calendar were analyzed.
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Catalina Lorenzo Gabarrón, former Health Minister of the Region of Murcia.
The event, for whose celebration there has been the collaboration of GSK, MS, Novo Nordisk y Pfizerhas included the general director of Public Health and Addictions of the Ministry of Health of the Region of Murcia, José Jesús Guillén Pérez; the president of the Spanish Association of Vaccinology (AEV), Jaime Jesus Perez Martin; the president of the Spanish Society of General and Family Physicians (SEMG), Pilar Rodríguez Ledo; the general director of Public Health of the Ministry of Health of the Government of Castilla y León, Sonia Tamames Gómez; and the deputy director general of Prevention and Health Promotion of the Ministry of Health of the Community of Madrid, Marta Molina Olivas. The former Minister of Health of the Region of Murcia Catalina Lorenzo Gabarrón has acted as moderator.
Late-created adult vaccination schedule
“Las vaccines “They are one of the most cost-effective measures that have brought longevity to our culture, beyond hygiene and nutritional issues,” Rodríguez began by highlighting, who lamented that, despite this, “their integration into day-to-day life is a bit voluntary.” ” once the child and adolescent vaccination schedule is completed, at 14 years of age. “From there, Getting vaccinated depends on the will of each patient and each professional.”, ha subrayado.
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José Jesús Guillén, general director of Public Health and Addictions of the Murcia Health Department.
This is contributed to by the fact that, according to Pérez, much less time has been spent working on adult awareness compared to childhood awareness. “The first vaccination schedules for children date back to 1975, while The first recommendations for adults are from 2004”, he specified.
In addition, it is worth adding another circumstance pointed out by Molina: “As the adult vaccination schedule has been worked on relatively recently, it is a big cultural change, and adapting to that takes time.” For the person responsible for Prevention and Health Promotion of the Community of Madridthe difficulty lies in the fact that it implies, among other things, “making vaccination at all ages as something transversal to all healthcare”, something that “professionals have not yet integrated”.
Lack of awareness about the importance of vaccines
According to Guillén, all these ingredients create a perfect storm that leads to the fact that the adult population, although “it does perceive the risk of the disease,” is not aware “of the danger of not getting vaccinated”.
For Tamames, this is aggravated by the progressive increase in life expectancy: “Fortunately, the population reaches the ages at which adult vaccination is offered, between 60 and 65 years old, with an increasingly better state of health, and that is why it is not aware that it is at that moment when begins its decline”.
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Pilar Rodríguez Ledo, president of the Spanish Society of General Physicians and Family.
In this sense, Pérez has pointed out the importance of increasing the “transparency in prevention”: “We must produce and share as much disease data as the disease burden and sequelae avoided.” Furthermore, according to Guillén, it is necessary to improve vaccination coverage to cover this growing population spectrum over 60 years of age. “We have to culturally transmit to the entire society that vaccination is a pillar of a healthy lifestyle,” Molina added.
However, serving a larger population range also entails a higher investment, something that Tamames has warned about. Given this, he has advocated for the SNS to “advance in the availability of more precise analytical accounting that allows us to transfer the savings generated by vaccination to Public Health budgets.” He has also asked that “an availability of price to pay be established so that innovation is homogeneous throughout the SNS.”
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Marta Molina Olivas, deputy director general of Prevention and Health Promotion of the Ministry of Health of the Community of Madrid.
Community interventions and technology, keys to creating an adult vaccination culture
Guillén has highlighted the need to carry out a “active capture” similar to what is done with children. “We need to learn vaccine communication to address reluctance,” said Rodríguez, who has proposed holding “community interventions” to achieve this, in addition to leaving the idea of partial vaccinations: “Not being desirable, it is better to be partially vaccinated than not to be vaccinated. I don’t see everything black or white, there are some grays.” =”600″ height=”240″ layout=”responsive” alt=”AMP”>
Sonia Tamames, general director of Public Health of the Ministry of Health of the Government of Castilla y León.
“People get vaccinated because the health professional tells them to. If they don’t restart it, they won’t do it. We lack courses on how communicate and anticipate reluctance that can be had,” Molina added, along the same lines. Tamames has agreed with this, although he has acknowledged that the schedules for people between 60 and 65 years old are “overloaded,” “which is making the vaccines that are administered seasonally, such as flu and covid, “They are displacing others such as herpes zoster and pneumococcus.”
The president of the SEMG has also pointed out that “electronics and technological means” can help when it comes to “automate” the schedule for inoculating vaccines for adults: “It’s a shame that we don’t use technology in this sense. We cannot continue to be at the mercy of a professional remembering whether or not a patient is due for a vaccine in these times of electronic medical records and interoperability.”
More awareness among health professionals
Finally, Pérez has opted to launch “active recruitment” initiatives with the involvement of health professionals, as happened during the coronavirus pandemic, when “the health care system was put at the service of the population”, thanks to which “awareness was raised” in society regarding the importance of vaccination. =”600″ height=”240″ layout=”responsive” alt=”AMP”>
Jaime Jesús Pérez, president of the Spanish Association of Vaccinology.
Molina has highlighted that, from the Community of Madrid, several editions of its vaccination course are promoted every year, which are mainly attended by Nursing staff. “Many times we miss our fellow physicians”he lamented.
In any case, he added that, apart from offering training, it is necessary to have “prior awareness” for health professionals in the face of “make things easier for them” due to their workload. Furthermore, he has pointed out the importance of promoting collaboration between Primary Care and hospital centers, but also of establishing alliances with “other professionals from scientific societies and occupational risk prevention services.”
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Debate on actions for the proper implementation of vaccination in adults on the Medical Writing set.
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2023-12-13 18:00:00
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