03 Jun Understanding Adult Immunization Schedules
It can be difficult to fully understand adult immunizations and their associated schedules. INsight will track the specific immunization records for each worker within the system.
The starting point for being an adult, according to the Centers for Disease Control and Prevention, is having to be 19 years of age. Note that Figure 1 shows thirteen recommended immunizations for adult, but the last chart shows, by state, the five immunizations required for workers in hospitals.
Each year, the Advisory Committee on Immunization Practices (ACIP) reviews the recommended adult immunization schedule to ensure that the schedule reflects current recommendations for the licensed vaccines.
The Advisory Committee on Immunization Practices (ACIP) annually reviews the recommended Adult Immunization Schedule to ensure that the schedule reflects current recommendations for the licensed vaccines. The primary changes include:
The 2015 adult immunization schedule contains the following changes from the 2014 schedule:
- Figure 1, the recommended adult immunization schedule by vaccine and age group, has been revised to designate PCV13 for adults aged 65 years or older as “recommended” (from the previous “recommended if some other risk is present”). Figure 2, showing vaccines that might be indicated for adults on the basis of medical and other indications, is unchanged.
- The footnotes for pneumococcal vaccination have been revised to provide algorithmic, patient-based guidance for the health care provider to arrive at appropriate vaccination decisions for individual patients.
- The footnote for influenza vaccination has been updated to indicate that adults aged 18 years or older (changed from adults aged 18 through 49 years) can receive RIV. A list of currently available influenza vaccines can be found at http://www.cdc.gov/flu/protect/vaccine/vaccines.htm.
- ACIP Recommendation for Human Papillomavirus Vaccination (effective 3/27/2015)
- 9vHPV, 4vHPV, or 2vHPV for routine vaccination of females 11 or 12 years* of age and females through 26 years of age who have not been vaccinated previously or who have not completed the 3-dose series.
- 9vHPV or 4vHPV for routine vaccination of males 11 or 12 years* of age and males through 21 years of age who have not been vaccinated previously or who have not completed the 3-dose series.
- 9vHPV or 4vHPV vaccination for men who have sex with men and immunocompromised men (including those with HIV infection) through age 26 years if not vaccinated previously.
The recommended adult immunization schedule has been approved by the Advisory Committee on Immunization Practices (ACIP), the American Academy of Family Physicians (AAFP), the American College of Obstetricians and Gynecologists (ACOG), the American College of Physicians (ACP), and the American College of Nurse-Midwives (ACNM).
|States||Hepatitis B||Influenza||MMR||Varicella||Pneumococcal||Medical(M),Religious(R), or Philosophical(P) Exemptions|
|AK||Ensure||No||Ensure||No||No||Yes � (M)|
|CO||No||Ensure||No||No||No||Yes � (M)|
|ME||Ensure||Offer||Ensure||Ensure||No||Yes � (M), (R) & (P)|
|MD||No||Offer||Ensure||No||No||Yes � (M) & (R)|
|NH||No||Ensure||No||No||No||Yes � (M) & (R)|
|NY||Offer||No||Ensure||No||No||Yes � (M)|
|RI||Offer||Offer||Ensure||Ensure||No||Yes � (M)|