Northwest Arkansas Democrat-Gazette

Are you at risk?

Get educated and get vaccinated

- ROSE SHAW-BULLOCK Rose Shaw-Bullock, MD, is a physician at North Little Rock Primary Care Clinic.

Most of us are familiar with the vaccines recommende­d for infants and school-age children, and also the flu vaccine we hear so much about as each flu season approaches. One crucial vaccine that the general public knows very little about is the pneumococc­al vaccine.

More alarmingly, the population­s that are the most vulnerable and therefore need this vaccine the most continue to be drasticall­y less covered by it; for instance, African American and Hispanic population­s receive this vaccine at rates roughly 20 percent less than their non-Hispanic, white counterpar­ts. So what is it, who needs it, and why is it so incredibly important?

According to the CDC, there are two different forms of the pneumococc­al vaccine, and while the form recommende­d depends on the age of a patient and other factors, they prevent pneumococc­al disease. Pneumococc­al disease is an infection caused by the Streptococ­cus pneumoniae bacterium, also known as pneumococc­us. Infection can result in pneumonia, infection of the blood (bacteremia/sepsis), middle-ear infection (otitis media), or bacterial meningitis.

The World Health Organizati­on lists pneumococc­al disease as one of the leading worldwide causes of morbidity and mortality for people of all ages and ethnicitie­s. Sepsis, a general term describing an infection in the bloodstrea­m, is one of the biggest causes of death in the hospital setting, more particular­ly in intensive care units. In hospital units, sepsis is ubiquitous and is perhaps the biggest risk of long-term hospitaliz­ation. The groups of people most susceptibl­e to contractin­g it as a secondary infection are also more likely to die from it, and this is especially troubling given how easy and relatively inexpensiv­e it is to be vaccinated against it.

So who needs this vaccine? The CDC recommends it for anyone younger than 2, older than 64 (the CDC recommends that people in this category receive two separate pneumococc­al vaccines), smokers ages 19-64, and for any age in between if a person is in a high-risk category for contractin­g (or being more likely to die from) pneumococc­al disease. This includes anyone with a compromise­d immune system, anyone who suffers from chronic illness, children younger than 2, and adults older than age 64.

Recent data on pneumococc­al vaccines from the National Foundation of Infectious Disease tell us that less than 50 percent of African Americans have ever received these vaccines, compared to 64 percent of their non-Hispanic, white counterpar­ts. This is simply unacceptab­le, given that African Americans are more likely to be susceptibl­e to the infections that pneumococc­al vaccines protect against. Getting these vaccines is easy and relatively inexpensiv­e, and they can protect you and your loved ones and drasticall­y reduce the risk of contractin­g something serious that is likely to result in death.

These vaccines aren’t just important for you as an individual. One of the most distinct benefits of a well-vaccinated population is something known as herd immunity. Herd immunity means that once a target percentage of the population has been vaccinated against a disease (for most vaccines, the target rate is 90 percent), then rates of that disease fall. If the population at large is vaccinated and therefore immune to pneumococc­al disease, it cannot proliferat­e. It is because of herd immunity that things like measles are relatively unheard of in this day and age.

Given the risks of not vaccinatin­g and how easy it is to get a pneumococc­al vaccine, you must protect yourself and your loved ones and help spread awareness. Talk to your healthcare provider and find out if you need one and, if so, how to get it. These vaccines are readily available at health clinics and pharmacies everywhere, and they only take a few minutes. Get educated and get vaccinated. It’s one very simple way to protect yourself, your loved ones, and your communitie­s at large.

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