DECEMBER 15, 2023

Responding to a Growing Challenge

Vaccination of Adults 60+

Kristin Shealy, MD, and Robert H. Hopkins Jr, MD

It is truly amazing to reflect on the advances in vaccinology for adults over the past 35 years. As recently as April 1991, we had a robust armamentarium of childhood vaccines, but the Advisory Committee on Immunization Practices (ACIP) adult vaccine schedule only included 4 vaccines (tetanus-diphtheria toxoids [Td], measles-mumps-rubella, influenza, and pneumococcal polysaccharide vaccine (PPSV23; Pneumovax23, Merck)1 (Table 1). The number of