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Public Health.

Melissa K Andrew1, Shanna Claire Trenaman1

  • 1Dalhousie University, Halifax, NS, Canada.

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Summary
This summary is machine-generated.

Vaccine recommendations for people living with dementia (PLWD) are inconsistent among advisory groups and advocacy organizations. Improved public health messaging is needed to ensure optimal vaccine uptake for this vulnerable population.

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Area of Science:

  • Geriatric medicine
  • Public health policy
  • Immunization strategies

Background:

  • Vaccination is crucial for people living with dementia (PLWD), yet vaccine uptake is suboptimal.
  • Public health messaging may not be tailored for PLWD, and awareness of their immunization needs can be limited.
  • National Immunization Technical Advisory Groups (NITAGs) may not fully consider PLWD as a high-priority group.

Purpose of the Study:

  • To assess geriatrician representation in NITAGs.
  • To determine if dementia is recognized as a high-risk condition in NITAG guidance.
  • To evaluate if dementia advocacy organizations recommend vaccination for PLWD.

Main Methods:

  • A jurisdictional scan of NITAGs and dementia advocacy organizations in eight countries and the WHO.
  • Review of NITAG member lists for geriatrician representation and published vaccine recommendations for dementia-related risk.
  • Website searches of dementia advocacy organizations for vaccine recommendations for PLWD.

Main Results:

  • Four of eight NITAGs had geriatrician members; some included dementia or chronic neurological conditions as high-risk.
  • Age-based recommendations were common, with specific mentions of dementia for certain vaccines (e.g., COVID-19, RSV).
  • Most dementia advocacy organizations mentioned COVID-19 vaccines, but few mentioned other vaccines or recommended them for PLWD.

Conclusions:

  • While geriatric representation in NITAGs is growing and PLWD are sometimes identified as high-risk, public health and advocacy messaging is suboptimal.
  • There is a missed opportunity to improve vaccine uptake among PLWD through better-tailored public health and advocacy efforts.
  • Enhanced strategies are needed to ensure PLWD benefit from recommended vaccinations, addressing current gaps in guidance and communication.