Slide 1: Title Slide • Slide Title: Lifelong Protection: The 2026 Blueprint for Adult Immunisation in Malaysia • Subtitle: Implementing the 4th Edition MSIDC Guidelines & National Policy Updates • Visual Suggestion: A clean medical theme with the corporate colors of Malaysia's healthcare sector (Teal/Blue) and a subtle graphic representing life-course immunity. • Presenter Notes: Welcome everyone. Today we are looking at the critical pivot Malaysia is making from a childhood-centric model to a comprehensive, life-course adult immunization strategy, updated with the latest July 2026 clinic standards. Slide 2: Why Adult Immunisation Matters in 2026 • Slide Title: The Shift to Life-Course Immunisation • Bullet Points: • Waning Immunity: Childhood vaccine efficacy declines significantly over decades. • Ageing Nation Status: Malaysia's shifting demographics increase vulnerability to infectious diseases. • Comorbidity Risks: High national prevalence of diabetes, hypertension, and obesity drastically increases vaccine-preventable disease (VPD) severity. • Economic Impact: Mitigating avoidable adult hospitalizations protects workforce productivity and healthcare infrastructure. • Visual Suggestion: A dual-axis layout contrasting standard childhood schedules against the new comprehensive adult age categories. Slide 3: Major 2026 Policy Milestones (MOH Malaysia) • Slide Title: National Influenza Immunisation Expansion • Bullet Points: • Free Flu Vaccines: Fully funded routine influenza shots now expanded via the government. • Universal Senior Tier: Available to ALL Malaysian citizens aged 60 and above, regardless of underlying health conditions. • High-Risk Adult Tier: Available to citizens aged 50 to 59 living with at least one chronic comorbidity (e.g., diabetes, heart disease, chronic kidney disease). • Digital Integration: Bookings, tracking, and allocations integrated into the national MySejahtera platform. • Visual Suggestion: An illustrative timeline showing the transition from previous narrow criteria to the massive 2026 universal rollouts. Slide 4: Core Schedule – Young Adults to Middle Age (18–49 Years) • Slide Title: Immunisation Priorities: Ages 18 to 49 • Bullet Points: • Tdap Booster: 1 dose of Tdap (Tetanus, Diphtheria, Pertussis) followed by a Td booster strictly every 10 years. • HPV Vaccine: 2–3 doses recommended up until age 45 if not completed during school years. • MMR & Varicella: 1–2 doses for individuals lacking documented historical childhood evidence or laboratory titers. • Hepatitis B: 3-dose catch-up series recommended for unvaccinated adults. • Visual Suggestion: Icons highlighting workplace and familial immunity, focusing on protecting vulnerable infants at home. Slide 5: Core Schedule – Older Adults & Seniors (Ages 50 to 65+) • Slide Title: Immunisation Priorities: Ages 50 to 65+ • Bullet Points: • Annual Influenza: 1 dose yearly for all seniors to combat immunosenescence. • Pneumococcal (PCV20): 1 standalone do