Clinical Preventive Services for Normal-Risk Adults

Immunization

Tetanus-Diptheria (Td): every 10 Years, 18 years and older.

Varicella (VZV): Susceptible only two doses, 18 years and older.

Measles, Mumps, Rubella (MMR): Women of childbearing age-One dose, 18-50 years.

Pneumococcal: One dose, 65 years and older.

Influenza: Yearly, 50 years and older.

Chemoprevention

Discuss aspirin to prevent cardiovascular events:

Men: Periodically, 40 years and older.

Women: Periodically, 50 years and older.

Discuss breast cancer chemoprevention with women at high risk.

Counseling Calcium Intake: Women, periodically 18 years and older.

Folic Acid: Women of childbearing age, 18-50 years. Tobacco cessation, drug and alcohol use, STDs and HIV, nutrition and physical activity, sun exposure, oral health, injury prevention and poly-pharmacy: Periodically, >18 years. Upper age limits should be individualized for each patient.

Weight

Normal body mass index (weight (kg)/height (sq. meters) for Indian Americans is <23

Waist circumference <90 cm or 36 inches (men); <80 cm or 32 inches (women)