ADOLESCENT IMMUNIZATION RECOMMENDATIONS
Td (tetanus-diphtheria): Td is required at 7th grade if the student is at least 11 years old and it has been 5 years since last Dt aP or Td.

Tdap (Tetanus, diptheria, and acellular pertussis): It was licensed in 2005 and recommended for ages 11-64 years of age.  It is the first vaccine for adolescents and adults that protects against all three diseases. Recommended as an alternative to the Tetanus-Diptheria booster, given every 10 years.

Hepatitis B (if not given already) - three dose series.

Hepatitis A (if not given already) - two dose series.

Flu: yearly - for high risk adolescents with chronic diseases including diabetes, asthma, heart or lung problems, or on long term aspirin therapy.

Pneumonia: for high risk adolescents with chronic diseases including diabetes, asthma, heart or lung problems, or whose spleen has been removed.

ADULT IMMUNIZATION RECOMMENDATIONS
Td (tetanus-diphtheria): If you never had the primary series of three Td or DTP's you should receive 3 doses of Td vaccine. All adults need a Td booster every ten years.

Tdap (Tetanus, diptheria, and acellular pertussis): It was licensed in 2005.  It is the first vaccine for adolescents and adults that protects against all three diseases. Recommended as an alternative to the Tetanus-Diptheria booster, given every 10 years.

MMR (Measles, Mumps, Rubella): Adults born after 1956 should have received two doses of MMR vaccine. They are required for college students and day care workers.

Varicella (Chickenpox): Adults who never had the disease should receive two doses of varicella vaccine at least one month apart. .

Hepatitis A: Hepatitis A is spread through contaminated food and water (fecal - oral). Periodic outbreaks occur in the United States, sometimes involving food handlers. Montana is among the states with a moderate amount of Hepatitis A cases. The vaccine is two doses 6 - 12 months apart and is recommended for travelers to foreign countries, people who eat out frequently, food handlers and day care workers.

Hepatitis B: Hepatitis B is spread through contact with blood, objects contaminated with blood, body fluids, and sexual contact. The vaccine is three doses, the first two are one month apart and the third dose is five months later. It is recommended for health care workers, first responders, coaches and teachers and day care workers who may have contact with blood, athletes who may have contact with blood through contact sports, janitors and housekeepers who may have contact with blood or the risk of accidental needle sticks, and adults who travel frequently or for long periods to foreign countries which have a high incidence of Hepatitis B.

Influenza (flu): A yearly dose of flu vaccine is recommended for adults over 50 years of age and people of any age who have chronic heart, lung, or endocrine disorders (such as diabetes), people who have illnesses or take medications that suppress the immune system (cortisone, prednisone, chemotherapy, etc), pregnant women who will be in their second or third trimester during the flu season (December through April), and people with kidney disease. Medicare will be billed for people who have Medicare Part B.

Pneumococcal Pneumonia: Prevents a deadly form of bacterial pneumonia and often a serious complication of influenza. One dose is recommended for adults over age 65, and people of any age who have chronic heart, lung, or endocrine disorders (such as diabetes), people who have illnesses or take medications that suppress the immune system (cortisone, prednisone, chemotherapy, etc.), people whose spleen has been removed, and people with serious kidney disease. If one dose is received be fore age 65 another dose should be given after age 65 if at least five years have passed since the first dose. Some people with special health problems may require additional doses. Medicare will be billed for people who have Medicare Part B.