Medical societies: Adults need vaccines(the following five proposals: Prim...),Health

• Primary and subspecialty physicians should conduct an immunization review at appropriate adult medical visits to educate patients about the benefits of vaccination and to assess whether the patient's vaccination status is current, referring to the Advisory Committee on Immunization Practices Adult Immunization Schedule.

• When appropriate, physicians should provide or refer patients for recommended immunizations.

• Physicians who administer vaccines should ensure appropriate documentation in the medical record. In addition, documentation of vaccination in other settings, patient refusal and any contraindications is advisable. The use of immunization registries and electronic data systems facilitates access to accurate and complete immunization data.

• Physicians who refer patients for vaccination also should review and document the vaccination status of their patients whenever possible.

• Consistent with the CDC Advisory Committee on Immunization Practices and multiple subspecialty organizations, physicians and their staff should be immunized consistent with CDC recommendations, with particular attention to annual influenza immunization.

The list of vaccines that adults should discuss with their physicians includes influenza, pneumococcal, tetanus-diptheria-pertussis, hepatitis A, hepatitis B, measles-mumps-rubella, chickenpox (varicella), meningococcal, human papillomavirus, and shingles (zoster). Specific recommendations vary depending on age and other factors.

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