As we age, our health needs can change. One area many people think about is immunisation and whether vaccinations may be suitable for them. Decisions about vaccinations are personal and can be influenced by your health history, cultural beliefs, personal values, and conversations with healthcare professionals.
We provide the following information to older people so they can make informed choices about their health and wellbeing.
Understanding vaccinations
Vaccinations are designed to help the body’s immune system recognise and respond to certain diseases. They have been used around the world to reduce the impact of a number of infectious illnesses. Many people choose to be vaccinated because they believe it may help lower their risk of illness or complications from certain diseases.
If you have questions or concerns about vaccinations, it is important to discuss them with a trusted healthcare professional who can provide advice relevant to your individual circumstances.
Common vaccinations
Influenza (flu)
Influenza is a contagious viral illness that affects the respiratory system. Symptoms can include:
- Fever
- Sore throat
- Cough
- Muscle aches
- Headaches
- Fatigue
Older people can be more vulnerable to complications from influenza, which is why many choose to receive an annual flu vaccination. People 65+ can access the specific vaccines for free.
Shingles
Shingles is caused by the same virus that causes chickenpox. The virus can remain inactive in the body for many years before reactivating later in life.
Shingles can cause:
- A painful rash
- Ongoing nerve pain
- Scarring
- Eye complications in some cases
The likelihood of developing shingles increases with age, and vaccination is one option that some people choose to discuss with their healthcare provider. The government offers a free vaccination at age 65. Outside of this year, you can pay privately for a vaccination.
Tetanus, diphtheria and whooping cough
A combined vaccination is available to help protect against three serious diseases.
Tetanus is caused by bacteria that can enter the body through cuts or wounds and may lead to severe muscle stiffness and spasms.
Diphtheria is a highly contagious infection that can affect breathing and swallowing.
Whooping cough (pertussis) is a respiratory illness that can cause prolonged coughing and breathing difficulties.
Protection from some vaccinations can decrease over time, which is why booster doses are recommended within New Zealand’s immunisation schedule. People aged 65 may be eligible for a free booster.
COVID-19
COVID-19 continues to circulate in New Zealand and can cause more serious illness in some older adults, particularly those with underlying health conditions. Vaccination recommendations change over time, so it is worth discussing current guidance with your doctor, nurse, or pharmacist.
Pneumococcal disease
Pneumococcal disease is caused by bacteria that can lead to serious infections such as pneumonia, meningitis, and bloodstream infections. Some people with specific health conditions may be eligible for funded vaccination, while others may choose to discuss whether vaccination is appropriate for them.
Respiratory Syncytial Virus (RSV)
RSV is a common respiratory virus that can cause more severe illness in older adults. Vaccines are available in New Zealand and may be worth discussing with your healthcare provider, particularly if you are over 60 or have existing health conditions.
MMR (Measles, Mumps and Rubella)
Some adults may not have received two doses of the MMR vaccine or may be unsure of their vaccination status. If you are uncertain, your healthcare provider can advise whether vaccination is recommended.
How do you decide?
Health information can sometimes be confusing, particularly when there are differing opinions available online and in the community. If you are considering vaccination, or have concerns about it, talking with your doctor, nurse, pharmacist, or other trusted healthcare professional can help you understand the potential benefits, risks, and considerations relevant to your own situation.
Health information is widely available online and through social media, but not all of it is accurate, balanced, or based on reliable sources. Misinformation and “fake news” can spread quickly, particularly on social media platforms, where posts may be shared without fact-checking or important context.
If you come across health claims online, consider checking where the information comes from, whether it is supported by reputable health organisations, and whether it has been reviewed by qualified health professionals.
Taking time to seek information from trusted sources can help you feel more confident and informed when making healthcare decisions.
Everyone’s healthcare journey is different, and informed decisions are best made when people feel respected, listened to, and supported.
Contact your GP, practice nurse, pharmacist, or healthcare provider for personalised advice about vaccinations and your health needs.
