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Adult Vaccines and Immunization Update, 2019-2020

(Some of) What's New in Vaccines, 2019 INFLUENZA: Fluzone high dose (4x standard dose antigen) and Fluad adjuvanted trivalent formulations for older patients; quadrivalent intranasal vaccine back online for up to age 50 ZOSTER: Shingrix now preferred over Zostavax for all immunocompetent patients PNEUMONIA: Administer pneumococcal 13-valent conjugate vaccine before pneumococcal polysaccharide vaccine (PPSV23 [protects against 23 types of pneumococcal bacteria] = Pneumovax whenever possible because higher antibody responses are achieved against serotypes common to both vaccines when given in this order. In 2018, the ACIP added homelessness to the list of indications for routine hepatitis A vaccine due to multiple outbreaks in this population Beverly E. Sha, MD of Rush University Medical Center in Chicago discusses recent ACIP adult immunization updates with JAMA Fishbein Fellow and infectious diseases physician Angel N. Desai, MD. #vaccines Learn more at: https://Ja.ma/2019VaccineUpdate. 0:00 Influenza 1:32 Herpes zoster (shingles) 3:40 Human papillomavirus (HPV) 5:03 Pneumococcal disease 7:17 Hepatitis A