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The 2019 update to the ACIP immunization schedule for adults (age, ≥19) includes a few scientific changes and a few design changes intended to make an increasingly complicated algorithm a little easier for clinicians to master. .
The live attenuated influenza vaccine (LAIV, FluMist) is back. This preparation was banned from the last two flu seasons for lack of efficacy but once again is an acceptable vaccination option. It should not be given to immunocompromised people, to pregnant women, or to anyone in close contact with severely immunocompromised people. Adults with diab…