Abstract
Currently, despite the extensive experience of countries and health professionals in vaccination fields, there are many unresolved issues. This is especially true of vaccination in elderly people. Today there is a need to develop clear vaccination programs at all levels, especially at the state level, taking into account all the features of the elderly population. The author also presents specific issues of vaccination, such as vaccination for influenza and Herpes Zoster prevention, pneumococcal vaccination and others. The question of optimization of vaccination taking into account its positive impact on the prognosis, quality and life expectancy is discussed. Vaccination coverage, unfortunately, remains low, as does the degree to which the population as a whole is convinced of the need for vaccination.