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Should UK Pneumococcal Vaccine Eligibility Criteria Include Alcohol Dependency in Areas with High Alcohol-Related Mortality?

Mooney, John, Imarhiagbe, Michael and Ling, Jonathan (2018) Should UK Pneumococcal Vaccine Eligibility Criteria Include Alcohol Dependency in Areas with High Alcohol-Related Mortality? Vaccines, 6 (2). pp. 25-29. ISSN 2076-393X

Item Type: Article


A recently reported steep increase in the incidence of invasive pneumococcal disease (IPD) in adults in the North East of England was primarily associated with pneumococcal sero-types found in the 23-valent pneumococcal polysaccharide vaccine (PPSV23). This region also has one of the highest rates of alcohol-related premature mortality and morbidity in the UK. Given that alcohol dependence is long acknowledged as one of the strongest risk factors for IPD mortality, we feel there is an increasingly compelling case to look again at the divergence of UK vaccine guidance from that of the World Health Organisation and the Centre for Disease Control in the USA, in the non-inclusion of alcoholism as an indicator condition that would potentially benefit from receiving PPSV23 vaccine. Such a re-think would represent a responsible evaluation of vaccination guidance in the face of newly emerging epidemiological findings and would have the potential to save lives in a very marginalised and vulnerable section of the population. We propose therefore that alcohol dependency (now referred to as alcohol use disorder), should be re-considered an indicator condition for receiving pneumococcal vaccine in North East England, where mortality from pneumococcal disease has been rising and which already has an excessive burden of alcohol-related mortality.

PDF (Commentary: Pneumococcal Vaccine Policy & Alcohol Dependency)
IPD_Alcohol_Vaccines-06-00025 (1).pdf - Published Version
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Depositing User: John Mooney


Item ID: 9238
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ISSN: 2076-393X
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ORCID for John Mooney: ORCID iD
ORCID for Jonathan Ling: ORCID iD

Catalogue record

Date Deposited: 09 May 2018 09:28
Last Modified: 20 Jan 2023 10:09


Author: John Mooney ORCID iD
Author: Jonathan Ling ORCID iD
Author: Michael Imarhiagbe

University Divisions

Faculty of Health Sciences and Wellbeing
Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences


Sciences > Health Sciences

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