Abstract

In October 2018, the Advisory Committee on Immunization Practices (ACIP)* voted to recommend approval of the Recommended Immunization Schedule for Adults, Aged 19 Years or Older, United States, 2019. The 2019 adult immunization schedule, available at https://www.cdc.gov/vaccines/schedules,† summarizes ACIP recommendations in two tables and accompanying notes. The 2019 adult immunization schedule has been approved by the CDC Director, the American College of Physicians, the American Academy of Family Physicians, the American College of Obstetricians and Gynecologists, and the American College of Nurse-Midwives.

Highlights

  • Advisory Committee on Immunization Practices (ACIP)’s recommendations on use of each vaccine are developed after in-depth reviews of vaccine-related data, including disease epidemiology and burden, vaccine efficacy and effectiveness, vaccine safety, quality of evidence, feasibility of program implementation, and economic analyses of immunization policy [1]

  • The 2019 adult immunization schedule is a product of extensive formal usability testing of 2017 and 2018 adult immunization schedules, including in-depth interviews with 48 primary care physicians, nurse practitioners, physician assistants, pharmacists, nurses, and medical assistants, who reported being familiar with the adult immunization schedule, and an Internet survey of 251 internal medicine and family medicine physicians to assess their impressions and preferences on redesigned drafts of the adult immunization schedule [2]

  • In addition to incorporating new ACIP recommendations on influenza, hepatitis A, and hepatitis B vaccinations, each vaccination section in the 2019 adult immunization schedule was revised for clarity, brevity, and, for vaccines that appear in the 2019 child and adolescent immunization schedule [3], consistency between the two schedules

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Summary

Introduction

ACIP’s recommendations on use of each vaccine are developed after in-depth reviews of vaccine-related data, including disease epidemiology and burden, vaccine efficacy and effectiveness, vaccine safety, quality of evidence, feasibility of program implementation, and economic analyses of immunization policy [1]. Changes in recommended use of vaccines can occur between annual updates to the adult immunization schedule. * Recommendations for routine use of vaccines in children, adolescents, and adults are developed by ACIP.

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