The Community Health Nurse Determines That the Adult Population in the Community

The community health nurse determines that the adult population in the community has an increased incidence of vaccine preventable disease. Which factors may contribute to low vaccination levels among adults? Select all that apply.

A) Lack of comprehensive vaccine delivery systems to the public and private sectors for adults (similar to the Vaccines for Children program for children) .
B) Lack of statutory requirements for vaccination of adults.
C) Health care providers may lack current information about recommended adult immunizations and may miss opportunities to vaccinate adults during contacts in offices, outpatient clinics, and hospitals.
D) Adults fear injections for immunizations but do not worry about adverse effects after vaccination.
E) A multitude of comprehensive vaccination programs exist in settings where healthy adults congregate such as workplaces and other locations.