1、Respiratory infection in residential aged care:drivers of low vaccination rates and potential solutions for change10:15Dr Rod Pearce AMGP and Medical Officer of Health for the Eastern Health Authority in Adelaide,Chair of the Immunisation CoalitionRespiratory Infections in Age CareDr Rod Pearce AMCh
2、air immunisation Coalition.Previous member ATAGI Director Medical Benevolent Association(SA)Australian Association of GPAustralian General Practice NetworkMedic Alert Foundation AustraliaPast Director HeadspaceAustralian GP Accreditation Ltd(AGPAL)Royal District Nursing Service(RDNS)ACE Division of
3、GP(Medicare Local)Past Chair AMA Council of General PracticeGP Supervisors Association,LMO Committee(DVA)Past President AMA(SA)General Practitioner(including Rural 25 year Award)Member of the Order of Australia 2012Residential Aged CareWhy are vaccine rates falling?What can we do about itThe big 3 R
4、espiratory Killers Influenza RSV Covid-19Influenza Highly contagious,outbreaks common Can lead to pneumonia,hospitalization,death Even mild flu can de-stabilise chronic conditionsRSV Once considered mainly childrens virus,now known to cause serious illness in the elderly No long term immunity New va
5、ccines may lead to changesCovid-19 Changed everything High mortality in aged care Continues to circulate,6 monthly vaccines recommended Seasonal riskThe cost and consequences Infections in RACF cause Hospital transfers(often traumatic and unwanted)Isolation and decline in mental health Staff Shortag
6、es and burnout Public scrutiny and family distress Prevention is far better/cheaper than treatmentVaccination in RACF Coverage influenza pre.2020.90%now 65%Coverage Covid possibly 50%RSV uptake minimal Staff vaccination rates lower than residentsVaccination in RACF matters Herd immunity within facil