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Adult Immunization Schedule


In October 2008, ACIP approved the Adult Immunization Schedule for 2009. No new vaccines were added to the schedule; however, several indications were added to the pneumococcal polysaccharide vaccine footnote, clarifications were made to the footnotes for human papillomavirus [HPV], varicella, and meningococcal vaccines, and schedule information was added to the hepatitis A and hepatitis B vaccine footnotes.

Changes for 2009 are as follows:

  • For HPV, healthcare personnel are not at increased risk because of occupational exposure, but they should be vaccinated as recommended based on age. Vaccination for HPV may begin at 9 years of age.

  • Adults who previously received only 1 dose of varicella vaccine should receive a second dose.

  • Additional indications for pneumococcal polysaccharide vaccination (PPSV) are asthma and cigarette smoking. Vaccine use in Alaska Natives and American Indians has been clarified.

  • Additional schedule information is included for the 4-dose combined hepatitis A/hepatitis B vaccine.

  • For meningococcal vaccine, the revaccination interval is 5 years. Note: Adults previously vaccinated with the meningococcal polysaccharide vaccine who continue to be at increased risk for infection may need to be revaccinated with the meningococcal conjugate vaccine after 5 years.


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