Dennis W. Pullin, FACHE President and chief executive officer | Virtua Health
Dennis W. Pullin, FACHE President and chief executive officer | Virtua Health
The recent measles outbreak in Texas and evolving perspectives on vaccination safety and efficacy in the United States have prompted many, especially older Americans, to reconsider the necessity of vaccine boosters. The Centers for Disease Control and Prevention (CDC) offers recommendations for common vaccines, though individuals should consult healthcare professionals before receiving any vaccine.
For the Measles, Mumps, Rubella (MMR) Vaccine, two doses have been recommended since 1989 for all children. The first dose is typically administered between 12 and 15 months of age, with a second dose given between ages 4 and 6. Medical experts suggest that those born before 1957 likely possess natural immunity due to disease exposure. For those born after this date, a booster may be necessary if they did not receive both doses. Many older adults are uncertain about their vaccination history; in such cases, physicians might recommend a titer test to measure antibody levels as an indicator of immunity. If no immunity is detected, one dose of the measles vaccine may be advised.
Martin Topiel, MD, Virtua Health’s chief infection control officer, expressed concerns about potential outbreaks: “Every year, we see cases caused by an increasing number of people who are not vaccinated. Measles spreads very quickly, so it is important that you know if you have been vaccinated.”
The Tetanus, Diphtheria, Pertussis (Tdap) Vaccine protects against three serious bacterial infections: tetanus, diphtheria, and pertussis (whooping cough). Adolescents and adults who have not received this vaccine are urged to do so. The DTaP series involves five doses at specified intervals from infancy through early childhood. A Tdap booster is given at ages 11 to 12 years and then every ten years thereafter. Pregnant women are advised to receive a booster with each pregnancy; similarly, individuals frequently around infants or young children should also get a booster.
Polio remains a highly contagious viral disease that can lead to paralysis but can be prevented through vaccination. Polio vaccinations have long been part of the U.S. routine childhood immunization schedule with four recommended doses for children. Most U.S.-based adults were vaccinated as children; however, unvaccinated individuals are encouraged by the CDC to seek vaccination.
Understanding one's childhood vaccinations and adhering to recommended booster schedules is crucial. Consulting with a physician prior to obtaining any vaccines remains essential.