Periodic 3. Intentional self harm (suicide)
Diphtheria and reduced tetanus toxoids and 4. Assault (homicide) acellular pertussis vaccine booster (once between ages 11–18 years)||
Hepatitis B vaccine (one series for those not 5. Diseases of the heart previously immunized)
Human papillomavirus vaccine (one series for 6. Congenital malformations, deformations, and chromosomal those not previously immunized, ages 9–26 abnormalities years)
Inﬂuenza vaccine (annually) 7. Chronic lower respiratory diseases
Measles–mumps–rubella vaccine (for those not 8. Cerebrovascular diseases previously immunized) *See Table 8.5.
†Urine-based sexually transmitted disease screening is an efficient means for accomplishing such screening without a speculum examination.
‡Physicians should be aware of and follow their states’ HIV screening requirements. For a more detailed discussion of HIV screening, see Branson BM, Handsfield HH, Lampe MA, Janssen RS, Taylor AW, Lyss SB, et al. Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings. Centers for Disease Control and Prevention (CDC). MMWR Recomm Rep 2006;55(RR-14):1–17; quiz CE1–4. See also Routine human immunodeficiency virus screening. ACOG Committee Opinion No. 411. American College of Obstetricians and Gynecologists. Obstet Gynecol 2008;112:401–3. §Only for those with a family history of familial adenomatous polyposis or 8 years after the start of pancolitis. For a more detailed discussion of colorectal cancer screening, see Levin B, Lieberman DA. McFarland B, Smith RA, Brooks D, Andrews KS, et al. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. American Cancer Society Colorectal Cancer Advisory Group; US Multi-Society Task Force; American College of Radiology Colon Cancer Committee. CA Cancer J Clin 2008;58:130–60. ||For more information on the use of Td and Tdap, see Broder KR, Cortese MM, Iskander JK, Kretsinger K, Slade BA, Brown KH, et al. Preventing tetanus, diphtheria, and pertussis among adolescents: use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccines recommendations of the Advisory Committee on Immunization Practices (ACIP). Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 2006;55(RR-3):1–34. ¶Leading causes of mortality are provided by the Mortality Statistics Branch at the National Center for Health Statistics. Data are from 2004, the most recent year for which final data are available. The causes are ranked. From American College of Obstetricians and Gynecologists. Primary and preventive care: periodic assessments. ACOG Committee Opinion No. 452. Obstet Gynecol 2009;144:1444–1451.
Guide to Clinical Preventive Services