作者: WALTER W. WILLIAMS
DOI: 10.7326/0003-4819-108-4-616
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摘要: A substantial proportion of vaccine-preventable diseases occur among adults. Each year, there are more than 20,000 influenza-associated deaths during epidemics, approximately 40,000 related to pneumococcal disease, and one five cases diphtheria. More 300,000 hepatitis B infections annually, mostly in patients 15 29 years old. From 1982 1986, 96% with tetanus were age 20 older. Among young adults, 5% 20% susceptible rubella measles, outbreaks where these persons congregate. Most adults not immunized, despite recommendations for vaccines against diseases. Vigorous efforts needed implement strategies reduce disease incidence, morbidity, death