Health officials are sounding the alarm over vaccine rates declining among older Americans.
Newly released data from the CDC’s National Center for Health Statistics (NCHS) shows the share of adults over 65 who received a flu vaccine in the past year dropped six percent in 2024, the latest data available, compared to the previous year.
From 2019 through 2023, about seven in 10 adults over 65 received their yearly influenza vaccine, which is between 30 and 75 percent effective at preventing the virus. But in 2024, that rate dropped to just two-thirds of older Americans, the NCHS data shows.
Additionally, as of 2024, about 3.5 percent fewer adults over 65 have had a pneumonia vaccine in their lifetime compared to 2019, dropping from 67 to 65 percent. This rate has also declined in just the past year from about 66 to 65 percent.
The pneumonia vaccine is only available in the US for children under two and adults over 50 because these groups are at the highest risk of developing severe illness and complications including complications like respiratory failure, bloodstream infections and sepsis. The shot is about 50 to 80 percent effective.
Most people only need one pneumonia vaccine in their lifetime, though immunocompromised individuals may receive multiple doses.
Vaccines against respiratory viruses are especially important in older Americans because they are most prone to hospitalization and death from the flu, the CDC states, due to having weakened immune systems.
The decline in vaccination is especially concerning this year as the new ‘super flu’ strain, H3N2 subclade K, ravages the US, especially retirement homes and long-term care facilities.
The latest CDC data shows a decrease in flu and pneumonia vaccination among adults over 65 (stock image)
NCHS said in its report: ‘Older adults face higher risks of certain diseases because immune systems tend to weaken with age, and they also are more likely to have other underlying health conditions. The majority of deaths from flu and pneumonia occur in adults age 65 and older.
‘Vaccination prevents illness and serious complications from these diseases.’
It’s unclear exactly why vaccination has declined in this age group, but experts suspect insurance and Medicare barriers, as well as growing distrust of doctors and vaccines in general, may be contributing.
Dr Peter Kowey, professor of medicine and clinical pharmacology at Thomas Jefferson University in Philadelphia, told the Daily Mail: ‘Vaccination rates are declining in all age groups, but it is most surprising that immunizations against potentially lethal diseases are declining in the elderly.
‘This is the group that has been identified as being most vulnerable to being hospitalized or dying from diseases like COVID-19, influenza and pneumonia.
‘Since elderly patients have more contact with health care providers, I fear that some practitioners and patients have been badly influenced by misinformation emanating from political leaders, social media and pseudo-scientists.
‘Vaccines save lives and they are safe. These facts have been proven beyond doubt in solid scientific studies across the board, without exception.’
The new figures show just 67 percent of adults over 65 have gotten a flu shot in the past 12 months, down from 71 percent in 2023.
Men older than 65 were slightly more likely to get the shot than women, with a vaccination rate of 68 percent compared to 66 percent.
The likelihood of getting the vaccine increased with age. About 63 percent of adults between ages 65 and 74 have gotten the vaccine in the past year compared to 72 percent of people ages 75 to 84 and 75 percent of those over 85.
The data also shows white non-Hispanic adults were seven percent more likely to get the shot than Black Americans and nine percent more likely than Hispanic adults over 65. About 68 percent of white, non-Hispanic older adults got the shot compared to 63 percent of Black Americans and 62 percent of Hispanic Americans in this age group.
Flu vaccine uptake also increased based on household income. About 58 percent of adults making less than 100 percent of the federal poverty level got the vaccine in the past year compared to 74 percent of those making 400 percent of this level.
The federal poverty level is $15,650 per year for a single-person household and $21,250 for two people, with increases of $5,500 for each additional household member.
As for the pneumonia vaccine, women over 65 were seven percent more likely than men to get the shot with rates of 67 percent compared to 62 percent.
Similar to the flu shot, vaccine uptake partly increased with age.
About 58 percent of adults between ages 65 and 74 have gotten a pneumonia vaccine in their lifetime compared to 74 percent of adults ages 75 to 84, a 24 percent difference. However, rates dipped slightly to 71 percent in people over 85 years old.
White adults were also significantly more likely to have received the vaccine than other racial and ethnic groups. About 68 percent of white adults over 65 said they have received the vaccine compared to 55 percent of Black adults and 49 percent of Hispanic adults.
Like the flu shot, uptake also increased alongside income level. Just 51 percent of those over 65 with incomes less than 100 percent of the federal poverty level have received the shot compared to 70 percent of those making four times the federal poverty level.
The CDC estimates adults over 65 make up between 70 and 85 percent of deaths from influenza and around 80 percent of pneumonia deaths.
Dr Kowey said: ‘Older people have more diseases that can be exacerbated by an infection. Heart and lung disease, for example, render elderly patients much more susceptible to severe manifestations like heart failure and pneumonia.
‘It takes much longer for older individuals to recover from a severe infection and return to a normal level of function.’
He urged healthcare providers to communicate these risks clearly to older patients. ‘As principled practitioners, we need to deliver a clear message about the clear need for vaccines,’ he said.
