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Emergency Departments Could Triple Vaccination Coverage Among Underserved Adults

Stakeholders are urging comprehensive screening and delivery programs in emergency departments to address equity gaps revealed by the first national ED-based vaccine surveillance study

Overview

  • A University of California, Riverside–led survey of 3,285 non-critical adult patients across 10 emergency departments in eight U.S. cities marks the first national ED-based vaccine surveillance study.
  • Researchers found 49% of participants were unaware of recommended vaccines and 86% had missed one or more doses, with African Americans, uninsured individuals and those without primary care most affected.
  • About half of unvaccinated patients said they would accept vaccines if offered during their ED visit, underscoring emergency departments as key venues for preventive care.
  • Modeling indicates that widespread ED-based screening and delivery programs could boost full vaccination rates among adult ED patients from 14% to nearly 48%.
  • Investigators and public health officials are calling for automated screening workflows and mobile outreach pilots to scale ED vaccine initiatives and close coverage gaps.