Stay Healthy, Stay On Top of Vaccinations

A second dose of MMR is recommended for adults who 1) are in an age group that is affected during a mumps outbreak; 2) are students in postsecondary educational institutions; 3) work in a health-care facility; or 4) plan to travel internationally. For unvaccinated health-care workers born before 1957 who do not have other evidence of mumps immunity, consider administering one dose on a routine basis and strongly consider administering a second dose during an outbreak.

Rubella component: Administer one dose of MMR vaccine to women whose rubella vaccination history is unreliable or who lack laboratory evidence of immunity. Women who do not have evidence of immunity should receive MMR vaccine upon completion or termination of pregnancy and before discharge from the health-care facility.

4. Varicella vaccination

All adults without evidence of immunity to varicella should receive two doses of single-antigen varicella vaccine. Special consideration should be given to those who 1) have close contact with persons at high risk for severe disease (e.g., health-care personnel and family contacts of immunocompromised persons) or 2) are at high risk for exposure or transmission (e.g., teachers; child care employees; college students; and international travelers).

Adults are likely to immune to varicella if they were born in the U.S. before 1980. Otherwise, consult your doctor about whether the shot is necessary.

5. Influenza vaccination

For adults suffering from cardiovascular or pulmonary problems or any condition that compromises respiratory function and women who are pregnant during the flu season may be at risk and should get the influenza vaccination. Residents of nursing homes and other long-term care and assisted-living facilities should also receive the treatment.

6. Pneumococcal polysaccharide vaccination

Adults diagnosed with chronic pulmonary disease (excluding asthma), chronic cardiovascular disease, diabetes mellitus, chronic liver disease, chronic alcoholism, chronic renal failure, asplenia, immunosuppressive conditions, and HIV should receive this vaccination.

7. Hepatitis A vaccination

People with chronic liver disease or who receive clotting factor concentrates are at increased risk of contracting Hepatitis A, as are homosexual males and illegal drug users. Vaccinations should take place in a two-dose schedule at either six to twelve months apart if the vaccine is Havrix or six to eighteen months apart if Vaqta is used. A vaccine that can battle both hepatitis A and hepatitis B, Twinrix, should be administered in three doses -- the second one month after the first and the third five months after that.

8. Hepatitis B vaccination

Persons with end-stage renal disease, including patients receiving hemodialysis, persons seeking evaluation or treatment for a sexually transmitted disease (STD), persons with HIV infection, persons with chronic liver disease, illegal drug users, male homosexuals and people with more than one sexual partner in the previous six months are at high risk for hepatitis B.

Consult a physician for vaccination guidelines.

9. Meningococcal vaccination

Adults with anatomic or functional asplenia, or terminal complement component deficiencies, first-year college students living in dormitories, international travelers are at high risk. Vaccination is required by the government of Saudi Arabia for all travelers to Mecca during the annual Hajj.

10. Herpes zoster vaccination

A single dose of zoster vaccine is recommended for adults aged under 60 years regardless of whether they report a prior episode of herpes zoster. Persons with chronic medical conditions may be vaccinated unless a contraindication or precaution exists for their condition.

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