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BIG SHOT IMMUNIZATIONS ARE NOT JUST FOR KIDS. IN 2009, THE PHILIPPINE SOCIETY OF INFECTIOUS DISEASES AND MICROBIOLOGY ISSUED THE HANDBOOK ON ADULT IMMUNIZATIONS FOR FILIPINOS. KNOW WHICH SHOTS TO CALL.
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mmunizations are part of standard care when we were children. These shots prevent diseases caused by bacteria or viruses, by boosting the body’s defenses to these germs.
and rubella or German measles) • Pneumococcal vaccine • Influenza vaccine • Human papillomavirus vaccine (a.k.a. cervical cancer vaccine)
But germs plague us even as adults, so we need to be protected with vaccines as well.
Vaccines for cholera, hepatitis A, meningococcus, rabies, typhoid fever, and yellow fever are also available. These should be given only to people who are at high risk of catching these diseases. Consult your doctor to know if these vaccines are good for you.
To date, there are 13 kinds of vaccines available for adults. Of these, 7 should be routinely given to adults. These 7 are an adult’s minimum required immunizations—you should never go without. These are: • • • •
Tetanus-diphtheria toxoid Hepatitis B Varicella (chickenpox) MMR (measles, mumps,
As for the 7 routinely given vaccines, see the table in the next page to know how these vaccines are given, and if you should or should not get these shots.
A Slice of Orange is a newsletter designed to help clarify basic health information and offer juicy tips on uplifting your health.
Editorial team Alvin Delfin Christine Llenes-Delfin Ivan Olegario, MD
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Routine Adult Immunization for Filipinos Vaccine type
Who should receive it
Schedule
Who should NOT receive it
Tetanus-diphtheria toxoid
All susceptible adults particularly: • Pregnant women • Health care workers
3 doses 0,1,6-12 months Booster every 10 years
• Severe allergic reactions to vaccine component or following prior dose • Moderate to severe illnesses
Hepatitis B
All adults particularly: • Immigrants from areas where Hepatitis B is prevalent • Hemodialysis patients • IV drug users • Homosexual males • Household contacts of Hepatitis B carrier • Recipients of blood products • Health care workers with frequent blood contacts
3 doses 0,1,6 months Alternate: 4 doses 0,1,2,12 months Booster is not routinely recommended
• Severe allergic reaction to a vaccine component or to a previous dose
Varicella (chickenpox)
All adults particularly: • Persons >13 years without history of varicella Infection or vaccination • All heath care workers • Teachers of young children • Non-pregnant women of child bearing age • International travelers • Military
Post-exposure prophylaxis given within 72 hours of exposure <13 years – 1 dose 13 years – 2 doses 0, 1 month
• Severe allergic reaction to a vaccine component (gelatin or neomycin) or to a previous dose • Moderate or severe acute illness • Pregnancy • Immunosuppression • Recently received a blood product • Untreated active tuberculosis • Adolescents on aspirin therapy
MMR (measles, mumps, and rubella or German measles)
All adults particularly: 2 doses • All susceptible adolescent and 0,1 month adults without documented evidence of immunity to any one of the components (especially non-pregnant women of child- bearing age)
• Severe allergic reaction to a vaccine component (gelatin or neomycin) or to a previous dose • Moderate or severe acute illness • Pregnancy • Immunosuppression • Recently received a blood product • Thrombocytopenia/ITP
Pneumococcal Vaccine
1. Persons >50 years of age Single dose 2. 50 years of age with: Revaccination may be • Chronic illness (heart or lung given after 5 years disease, diabetes, alcoholism, liver disease) • Immunocompromised condi- tions (lymphoma/leukemia, chronic kidney failure, trans- plants, chemo/radiation therapy, HIV/AIDS)
• Serious allergic reaction to vaccine component (thimerosal or phenol) or previous dose • Moderate or severe acute illness • Pregnancy (safety is unknown); if indicated give before pregnancy
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Vaccine type
Who should receive it
Influenza Vaccine
1. Persons at increased risk for Given every year complications: preferably from • Persons >50 years of age February to June � • Adults with the following risk factors: chronic heart, lung, kidney, or endocrine disease; immunosuppressed persons; residents of nursing homes and chronic care facilities; pregnant women on their 2nd or 3rd trimester without flu shot in the last 12 months
• Severe allergic reaction to a vaccine component of previous dose • Moderate or severe acute illness • History of severe acute illness • Guillian-Barre Syndrome
Human Papilloma Virus vaccine
1. All adolescent males and females Quadrivalent 10 years to 19 years 3 doses 0, 2, 6 month Catch-up vaccination: 1. Quadrivalent vaccine for women Bivalent 19 to 45 years old 3 doses 2. Bivalent vaccine for women 0, 1, 6 month 19 to 55 years old
• Moderate or severe illness (wait until symptoms improve) • Pregnancy • Severe allergic reaction to a vaccine component of previous dose
Who should NOT receive it
Special situations: 1. Abnormal Pap smears 2. Positive HPV DNA test 3. Genital warts 4. Immunosuppressed people 5. Breastfeeding women
Looking to enhance your corporate healthcare benefits? E-mail us at benefits@activelink-consult.com. The information in this newsletter is not intended as a substitute for professional medical care. Consult a doctor for all matters relating to your health, particularly for symptoms that may require diagnosis or medical attention. © 2010 ActiveLink
Benefits Made Better
ActiveLink 7/F Electra House Building 115-117 Esteban St., Legaspi Village, Makati City www.activelink-consult.com
The Orange wants to he ar from you! Dying to ask us your health related questio ns? Itching to share your pe rsonal health tips? Want to sugg est topics for future issues? Feel free to contac t us. You can e-m ail our team at orange@activ elink-consult.c om.