Scribd Logo
Upload

Welcome to Scribd!

  • 76 views

    Vaksinasi Dewasa Sby 14

    Uploaded by

    Ku Ha Ku
    The document provides information about Prof. Dr. Eddy Mart Salim including his date of birth, education background, current position, and areas of expertise. It includes his credentials and specializations in allergy, immunology, and internal medicine. The bottom section provides several bullet points about the roles and successes of vaccination in eradicating smallpox and the importance of immunizing not just children but also adolescents and adults.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Vaksinasi Dewasa Sby 14

    Uploaded by

    Ku Ha Ku
    76 views51 pages
    The document provides information about Prof. Dr. Eddy Mart Salim including his date of birth, education background, current position, and areas of expertise. It includes his credentials and specializations in allergy, immunology, and internal medicine. The bottom section provides several bullet points about the roles and successes of vaccination in eradicating smallpox and the importance of immunizing not just children but also adolescents and adults.

    Original Title

    VAKSINASI DEWASA SBY 14

    Copyright

    © © All Rights Reserved

    Available Formats

    PPT, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document provides information about Prof. Dr. Eddy Mart Salim including his date of birth, education background, current position, and areas of expertise. It includes his credentials and specializations in allergy, immunology, and internal medicine. The bottom section provides several bullet points about the roles and successes of vaccination in eradicating smallpox and the importance of immunizing not just children but also adolescents and adults.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    76 views51 pages

    Vaksinasi Dewasa Sby 14

    Uploaded by

    Ku Ha Ku
    The document provides information about Prof. Dr. Eddy Mart Salim including his date of birth, education background, current position, and areas of expertise. It includes his credentials and specializations in allergy, immunology, and internal medicine. The bottom section provides several bullet points about the roles and successes of vaccination in eradicating smallpox and the importance of immunizing not just children but also adolescents and adults.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    You are on page 1of 51

    Nama : Eddy Mart Salim

    Gelar : Prof., Dr, SpPD-KAI,


    Tgl/Lahir : 22 Maret 1950
    Pendidikan :
    Dokter Umum : FKUNSRI 1978
    SpPD : FKUNSRI 1991
    Alergi-Imunologi : FK UI 1991-1993
    KAI : PAPDI 1996
    Guru Besar IP Dalam: 2005
    Jabatan : Ka Div. Alergi Imunologi Klinik
    Penyakit Dalam FKUNSRI/RSMH Plg
    Prof Dr Eddy Mart Salim, SpPD, K-AI
    Div Allergy & Clin Imm
    Internal Med. Sriwijaya Univ.
    Palembang
    2014
     Keberhasilan Vaksinasi Cacar (Small pox)
    telah membuktikan peran yang sangat besar
    dari vaksinasi dalam mengapuskan penyakit
    ini dimuka bumi.
     Dahulu kita mengenal imunisasi umumnya

    dikakukan terhadap bayi dan anak. Akhir


    akhir ini imunisasi juga dilakukan terhadap
    remaja maupun dewasa, untuk mencegah
    bermacam penyakit yang sering menyerang
    usia tersebut

    ALV/PRN/22/16/
    Adult Vaccination

     Rationale
     Key Vaccines
     Benefits
     Recommendations
     Implementation Policies
    Diagram bakteri dgn lokasi berbagai antigen yg menginduksi
    imunitas
    RATIONALE FOR
    ADULT VACCINATION
    Why Vaccinate Adults?
     High risk group:
    - elderly (>60 y.o.)- waning immunity1 : important in
    tetanus, pertussis, flu
    - chronic diseases (diabetes, asthma, heart disease)—prone
    to complications in flu and pneumococcal diseases1-3
    - occupational hazards- health workers, laboratory workers,
    soldiers, college students-transmission of
    flu,meningococcal diseases,hepatitis A and B, varicella1-3
    -pregnant women-increased risk for complications of
    influenza2,3

    1.Zimmerman RK, et. al. ed.Vaccines Across the Life Span. 4th ed. 2007
    2. AAP. Pickering LK, ed. Red Book:2003 Report og the Committee on Infectious
    Diseases. 26th ed. Elk Grove Village,IL: AAP;2003:68
    3. CDC. Pink Book, 10th ed, 2008
    Waning Immunity:
    Incidence of Pertussis

    Clin Pediatr 2006;45:785-794


    Invasive Pneumococcal Disease
    Incidence by Age Group, 1998 and 2002

    1998 2002
    250
    200
    Rate *

    150
    100
    50
    0
    <1 1 2-4 5-17 18-34 35-49 50-64 65+
    Age Group (Yrs)
    * Rate per 100,000 population
    Source: Active Bacterial Core Surveillance/EIP Network

    CDC, Pink Book, 10th ed, 2008


    Complications: Influenza Hospitalisation
    Rates
    60
    Hospitalisation rate/10,000 population

    50

    40

    30

    20

    10

    0
    <5 5–9 10–19 20–34 35–44 45–54 55–64 65
    Age (yrs)
    Glezen et al. 1987
    Pneumonia Pada Usia Lanjut
    INSIDENS DAN KEMATIAN
    • Insidens : 4 to 8 /1 000 per tahun
    • Angka Kematian : 40 %
    FAKTOR PENYERTA
    • Penyakit jantung, paru, ginjal, DM
    • Gizi buruk, gangguan imunologis
    PENGOBATAN SULIT
    • Gambaran klinik tidak jelas
    • Penggunaan antibiotik harus hati-hati
    Precent influenza vaccination in persons 65,
    Australia, 1997, by state Source: IMS Australia
    80

    60
    % vaccinated

    40

    20

    0
    Australia NSW Vic Q’ld SA WA Tas
    INFLUENZA SURVEILLANCE
    USE OF SEASONAL INFLUENZA VACCINE IN ASIA
    PACIFIC REGION
    Seasonal influenza vaccine use in
    selected APACI member countries
    Country Influenza vaccine
    Recommended Selection based on Recommended
    formulation surveillance data timing
    India Northern Yes Any
    Indonesia Most current No Any
    Philippines Southern Yes Before June
    Singapore Most current No Any
    Taiwan Northern Yes October
    Vietnam Most current No August
    Why Vaccinate Adults?
     High Risk Behavior and Lifestyle
    smoking predisposes to pneumococcal infections
    drug abuse-hepatitis B
    multiple sex partners- hepatitis B, cervical cancer
    homosexuality- hepatitis A and B
     Travellers- influenza, meningococcal, typhoid

    fever, hepatitis A and B

    Zimmerman RK, et. al. ed.Vaccines Across the Life Span. 4 th ed. 2007
    Age of Infection of Acute and
    Chronic Hepatitis B Virus Infection

    Adolescent Children Perinatal Adult

    6%
    8% 58%
    12%
    84% 4%
    4%

    24%

    Acute infection Chronic infection

    CDC Sentinel Sites. 1989 data.


    CDC, Pink Book,10th ed, 2008
    Prevalence of Low Risk and High Risk HPV Types
    Among Females Aged 14 to 59 Years, NHANES 2003-
    2004

    JAMA 2007;297:813-819
    KEY VACCINES
    FOR ADULTS
    Key Vaccines: Adults
     Influenza
     Pneumococcal
     Tetanus/Diphtheria
     Human Papillomavirus
     Hepatitis B (high risk groups)
     Hepatitis A (travel to endemic areas)
     Meningococcal (high risk groups)
     Typhoid (travel to endemic areas)
     MMR (catch-up)
     Varicella (catch-up)
    1.Zimmerman RK, et. al. ed.Vaccines Across the Life Span. 4th ed. 2007
    2. AAP. Pickering LK, ed. Red Book:2003 Report og the Committee on Infectious
    Diseases. 26th ed. Elk Grove Village,IL: AAP;2003:68
    3. CDC, Pink Book, 10th ed. 2008
    BENEFITS OF ADULT
    VACCINATION
    Decline of Influenza-Associated Deaths in
    the Elderly After Flu Vaccination

     Retrospective Cohort Study in Netherlands (1992-


    2003)

     Average Influenza-Associated Mortality:


    pre-vaccination:131/100,000 persons
    post-vaccination:105/100,000 persons
    ( Relative Risk: 0.80)

    Jansen. Vaccine 2008; 26: 5567-5574


    Flu Vaccination in adults provides
    cost-effective benefit

    Illness

    Visits to physicians

    Prescribed
    medications

    Lost work days due


    to illness

    Lost work days due


    to physician visits

    0 0,1 0,2
    Vaccinated (N = 582) Placebo (N = 596)

    Bridges CB, Thompson WW, Meltzer MI. Effectiveness of and cost-benefits of influenza vaccnation of healthy working
    adults: a randomized controlled trial. JAMA 2000; 284: 1655-63
    HBV Disease Burden in the United
    States
     Prevaccine era
     estimated 300,000 persons infected annually, including
    24,000 infants and children
     2005
     estimated 51,000 infections

    CDC, Pink Book, 2008


    Benefits of mass vaccination

     Hepatitis A vaccine is 94–100% effective in


    preventing disease
     Mass vaccination decreases hepatitis A
    incidence among children and adults
     Controls recurrent outbreaks in areas of
    moderate to high endemicity

    JAMA 1994; N Engl J Med 1992


    Qureshi H, dkk  2070 jemaah haji Pakistan 1999
    54% mendapat vaksinasi influenza
    selama pengamatan 33 hari:

    Vaksinasi Tidak vaksinasi


    Influenza Like Illness 34% 64%
    Antibiotik 18% 41%
    RECOMMENDED
    IMMUNIZATION
    SCHEDULES FOR
    ADULTS
    Sejarah Satgas Imunisasi Dewasa
     Kongres PAPDI Manado 2003 : Konsensus
    Imunisasi Dewasa
     Pembentukan Satgas Imunisasi Dewasa
     Pelatihan Imunisasi Dewasa di beberapa kota untuk
    tenaga dokter
     Pelatihan Imunisasi Dewasa untuk dokter
    perusahaan
     Menerbitkan buku Pedoman Imunisasi Dewasa
     Konsensus bersama : influenza, HPV
    ALV/PRN/22/16/07/11
    Actions to Strengthen Implementation of
    Adult Immunization

     Increase demand for adult immunization by


    improving public and provider (doctor) awareness
     Strengthen health care systems to deliver vaccines
    to adults and adolescents
     Surveillance
     Research studies

    Clin Infect Diseases 2007;44:1529-31


    Factors that would influence unvaccinated high-risk
    individuals to accept vaccination

    If my doctor suggested it -
    If I knew about its effectiveness -
    If I received a reminder letter -
    If I was provided with free vaccine -
    If I saw information about vaccination -
    If I heard information about vaccination -
    If my pharmacist suggested it -
    If I knew someone who has it yearly -
    If I became at risk -
    None -
    Don’t know -
    Other -
    0 10 20 30 40 50 60 70
    % respondents
    Health Care Workers, Influenza vaccination

     Variation between Asia Pacific countries

     Hongkong 20-50%

     Korea, Taiwan 80-90%

     New Zealand 35%

     Singapore 39%

     Australia 26-38%

     Indonesia less than 10%


    ALV/PRN/22/16/07/11
    Klinik Imunisasi Dewasa
    Gedung IRM lantai 4 RSUPN - CM
    Jl. Diponegoro No. 71
    Jakarta Pusat 10430
    Telpon :
    021 3918301 pesawat 6608
    021-31902822 Fax. 021-3904546
    Dr. Sukamto
    Dr. Iris Rengganis
    Prof. Samsuridjal Djauzi
    Dr. Erwanto (Bogor dan sekitarnya)
    E-mail :
    alergi@centrin.net.id
    sukamto_koesnoe@yahoo.com
    Website: www.imunisasidewasa.com
    Conclusions

     Adults also need protection from vaccine-preventable


    diseases
     Adult vaccination contribute to decreasing the burden
    of most infectious diseases
     Several bodies recognize the importance of
    implementing immunization policies and schedules
    for adults
    PB PERALMUNI
    TERIMA KASIH
    “EVERY YEAR, TENS OF
    THOUSANDS OF ADULTS AND
    HUNDREDS OF THOUSANDS MORE
    ARE HOSPITALIZED DUE TO
    DISEASES THAT COULD BE
    PREVENTED BY VACCINATION.”

    Clin Infect Diseases 2007;44:1529-31

    You might also like