Facing Down the Triple Threat of Influenza and Pneumococcal Disease in African Americans: Focusing on Prevention

Abstract

Although anyone can get influenza or pneumococcal disease, African Americans face a triple threat from these serious vaccine-preventable illnesses. Compared with other racial and ethnic groups, African Americans: (1) have higher rates of influenza and pneumococcal morbidity and mortality; (2) are more likely to have underlying health problems that increase the risk of complications from these infections; and (3) are less likely to get vaccinated against them. This triple threat means African Americans bear a disproportionate burden of influenza and pneumococcal disease, underscoring the urgent need to act. As physicians, we must take the lead in improving the diagnosis and management of underlying conditions, being vigilant in controlling infections, and increasing vaccination rates to protect our patients. To meet the considerable challenges before us, we must use approaches known to promote vaccination within our usual practice settings and also find ways to extend our efforts beyond our clinic walls and engage the larger African American community.