65 OR OLDER? 1


Even healthy adults 65 and
older are at increased risk. 1,4
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It can take weeks for the symptoms to resolve. 2^ The coughs and fatigue may last for weeks or longer. 4

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At 65 or older you may be at greater risk for pneumococcal pneumonia.5​​​​​​​

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The National Adult Immunization Schedule (NAIS) by the Ministry of Health (MOH) Singapore recommends pneumococcal vaccination for adults 65 and older to help prevent pneumococcal pneumonia. 6

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You can catch it from a cough or close contact,7 anywhere, any time of the year.8​​​​​​​

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^Streptococcus pneumoniae is one of the most common pathogens found in community acquired pneumonia (CAP) 9


1. Shea KM, et al. Rates of Pneumococcal Disease in Adults with Chronic Medical Conditions. Open Forum Infect Dis. 2014 May 27;1(1):ofu024

2. Wyrwich .WK, et al. Observational longitudinal study of symptom burden and time for recovery from community-acquired pneumonia reported by older adults surveyed nationwide using the CAP Burden of Illness Questionnaire. Patient Related Outcome Measures 2015:6 215–223.

3. Tomczyk.S, et al. Use of 13-Valent Pneumococcal Conjugate Vaccine and 23-Valent Pneumococcal Polysaccharide Vaccine Among Adults Aged ≥65 Years: Recommendations of the Advisory Committee on Immunization Practices (ACIP) MMWR.2014;63:37

4. American lung association-pneumococcal pneumonia.
https://www.lung.org/lung-health-diseases/lung-disease-lookup/pneumonia/pneumococcal#:~:text=Common%20symptoms%20of%20pneumococcal%20pneumonia,last%20for%20weeks%2C%20or%20longer. (Accessed 25th Aug 2020)

5. Pelton.SI, et al. Decline in Pneumococcal Disease Attenuated in Older Adults and Those with Comorbidities Following Universal Childhood PCV13 Immunization.CID 2019;68(11):1831–8

6. National Adult immunization schedule https://www.moh.gov.sg/news-highlights/details/moh-establishes-national-adult-immunisation-schedule-extends-use-of-medisave-for-vaccines-under-the-schedule (Accessed 6th Aug 2020)

7. CDC How to prevent pneumococcal factsheet, https://www.cdc.gov/pneumococcal/resources/prevent-pneumococcal-factsheet.pdf (Accessed 3rd Aug 2020)

8. American Lung association- DYK you can still get pneumonia in summer.
https://www.lung.org/blog/you-can-still-get-pneumonia-in-summer#:~:text=In%20fact%2C%20pneumococcal%20pneumonia%20can,pneumonia%20is%20called%20pneumococcal%20pneumonia (Accessed 6th Aug 2020)

9. Jain.S, et al. Community-Acquired Pneumonia Requiring Hospitalization among U.S. Adults N Engl J Med 2015;373:415-27.