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The U.S. Advisory Committee on Immunization Practices (ACIP) has approved the adult immunization schedule for 2009 (Figure). Recommended vaccines are influenza, pneumococcus, tetanus, diphtheria, pertussis, hepatitis A and B, measles, mumps, rubella, varicella, meningococcus, human papillomavirus (HPV), and zoster. Notable new recommendations are as follows:
Asthma and cigarette smoking were added as indications for pneumococcal vaccination.
Influenza immunization is recommended for most adults and all children (age, 5–18 years).
A number of clarifications were made; for example, healthcare personnel are not at higher-than-average risk for HPV infections, second doses of varicella vaccine should be given to adults who received first doses prev…