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.