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    Disease Prevention and Health Guidelines

    Partnering for Your Best Health

    We’re here to partner with you in your complete health and wellness. At Sutter Health, you have a complete care team with you. We believe in partnering in your health wellness so you can feel your best.

    Find out when check ups, screenings and immunizations are generally recommended, then talk with your provider or care team about what’s right for you.

    Health Guidelines by Age
    Health Maintenance Guidelines - Birth to 17 years
    Health Maintenance Guidelines - 18 to 39 Years
    Health Maintenance Guidelines - 40 to 49 Years
    Health Maintenance Guidelines - 50 to 74 Years
    Health Maintenance Guidelines - 75 and older
    Printable 2017 Health Maintenance Guidelines Poster (PDF)

    Glossary of terms

    Birth to 17

    Check Ups

    Visits at 1, 2, 4, 6, 9, 12, 15 and 18 months of age. Annual visits from ages 2 to 6. Visits every other year for ages 6 to 17.

    Screening Tests

    Vision: Check once before age 5.
    Obesity: Monitor starting at age 6.
    Chlamydia/Gonorrhea: Check yearly for sexually active females ages 15 to 24 years.
    HIV/AIDS: Check between ages 15 and 65.

    Immunizations

    Two month series of vaccines can be given as early as 6 weeks.

    Immunizations

    Recommendations

    Hepatitis B

    Birth, 1 month, 6 months

    Haemophilus Influenza Type B

    2 month, 4 months, 6 months, 12 months

    Polio

    2 months, 4 months, 6 months, 4-5 years

    Diphtheria, Tetanus and Acellular Pertussis

    2 months, 4 months, 6 months, 18 months, 4-5 years
    Rotavirus2 months, 4 months, 6 months
    Pneumococcal2 months, 4 months, 6 months, 12 months
    Tdap/Td:11 years
    Measles, Mumps and Rubella 12 months, 4-5 years
    Varicella (Chickenpox)12 months, 4-5 years
    Hepatitis A12 months, 18 months
    Influenza (yearly) 6 months, 18 months, 2 years, 4-5 years, 11 years, 16 years
    Conjugated Meningococcal11years, 16 years
    Human Papillomavirus
    Females ages 9–26 and males 11–21 should receive the HPV series 0, 2 and 6 month intervals.
    11 years


    Human Papillomavirus (HPV): Females and males ages 11 to 14 years should receive a two-dose series, and females ages 15 to 26 and males ages 15 to 21 should receive a three-dose series.
    Pregnancy: If you are pregnant or able to get pregnant, take a daily vitamin or supplement containing 0.4 to 0.8 mg of folic acid. Talk to your doctor about more steps for a healthy pregnancy.

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    18 to 39 Years

    Wellness Check

    Check blood pressure, screen for healthy weight and assess overall health.

    Screening Tests

    HIV/AIDS: Check between ages 15 and 65.

    Immunizations

    Influenza (Flu): Yearly flu vaccine.
    Varicella (Chickenpox): A vaccine for adults born in 1980 or later.
    HPV (Human Papillomavirus): Unvaccinated females ages 15 to 26 and males ages 15 to 21 should receive a three-dose series.
    MMR (Measles, Mumps and Rubella): Adults ages 19 to 59 should have recorded in their chart at least one dose of the vaccine.
    Tdap/Td (Tetanus, Diphtheria and Pertussis/Tetanus and Diphtheria): Adults younger than age 65 should receive a tetanus vaccine (Tdap or Td) every 10 years.

    Men’s Health

    Cholesterol: Check every five years starting at age 35.

    Women’s Health

    Chlamydia/Gonorrhea: Check yearly for sexually active females ages 15 to 24 years.
    Cervical Cancer: Pap test every three years for all women ages 21 to 29. Pap test with HPV screening every five years for all women ages 30 to 65.
    Pregnancy: If you are pregnant or able to get pregnant, take a daily vitamin or supplement containing 0.4 to 0.8 mg of folic acid. Talk to your doctor about more steps for a healthy pregnancy.

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    40 to 49 Years

    Wellness Check

    Check blood pressure, screen for healthy weight and assess overall health.

    Screening Tests

    HIV/AIDS: Check between ages 15 and 65.

    Immunizations

    Influenza (Flu): Yearly flu vaccine.
    MMR (Measles, Mumps and Rubella): Adults ages 19 to 59 should have recorded in their chart at least one dose of the vaccine.
    Tdap/Td (Tetanus, Diphtheria and Pertussis/Tetanus and Diphtheria): Adults younger than age 65 should receive a tetanus vaccine (Tdap or Td) every 10 years.

    Men’s Health

    Cholesterol: Check every five years starting at age 35.

    Women’s Health

    Cervical Cancer: Pap test with HPV screening every five years for all women ages 30 to 65.
    Pregnancy: All females who are pregnant or able to get pregnant should take a daily vitamin or supplement containing 0.4 to 0.8 mg of folic acid. Talk to your doctor about additional steps for a healthy pregnancy.
    Breast Cancer Screening: Mammography is optional every other year. Talk to your doctor about your options for breast cancer screening. It’s your decision whether to start screening before the age of 50.

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    50 to 74 Years

    Wellness Check

    Check blood pressure, screen for healthy weight and assess overall health.

    Screening Tests

    HIV/AIDS: Check between ages 15 and 65.
    Hepatitis C: Check adults born between 1945 and 1965.
    Colon Cancer: Preferred Screening Options — A colonoscopy every 10 years, a stool FIT* test every year or a sigmoidoscopy every 10 years with annual FIT testing. Other Options— A CT colonography every five years or a FIT/DNA test every three years.
    *FIT= Fecal Immunochemical Test

    Immunizations

    Influenza (Flu): Yearly flu vaccine.
    MMR (Measles, Mumps and Rubella): Adults ages 19 to 59 should have recorded in their chart at least one dose of the vaccine.
    Tdap/Td (Tetanus, Diphtheria and Pertussis/Tetanus and Diphtheria): Adults younger than age 65 should receive a tetanus vaccine (Tdap or Td) every 10 years.
    Zoster (Shingles): Vaccine for adults at age 60.
    Pneumococcal (Pneumonia): At least two vaccinations (injections) one year apart beginning at age 65.

    Men’s Health

    Cholesterol: Check every five years.
    Prostate Cancer: Talk to your doctor about your risk. Regular screening is not recommended for men who have an average risk.

    Women’s Health

    Cervical Cancer: Pap test with HPV screening every five years for all women ages 30 to 65.
    Breast Cancer: Mammography every two years.

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    75 and older

    Wellness Check

    Check blood pressure, screen for healthy weight and assess overall health.

    Screening Tests

    Colon Cancer: The decision to screen for colorectal cancer in adults ages 76 to 85 years should be an individual one, taking into account the patient’s overall health and prior screening history.

    Immunizations

    Tdap/Td (Tetanus, Diphtheria and Pertussis/Tetanus and Diphtheria): Adults age 65 and older may receive a tetanus vaccine (Tdap or Td) every 10 years.

    Men’s Health

    Prostate Cancer: Talk to your doctor about your risk. Regular screening is not recommended for men who have an average risk.

    Women’s Health

    Breast Cancer: Mammography is optional after age 74.

    These guidelines may vary for patients with personal or family health risks or who take certain medications.

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    Glossary

    Body Mass Index: Your weight in relation to your height
    BMI = Weight (pounds) / Height (inches)² x 703
    Use our online BMI calculator to determine your BMI

    • BMI Range for Non-Asian Ethnicities
      Underweight: Under 19
      Healthy: 19 – 24.9
      Overweight: 25-29.9
      Obese: Greater than 29.9
    • BMI Range for Asian Ethnicities
      Underweight: Under 18.5
      Healthy: 18.5 - 23
      Overweight: 23.1 - 25
      Obese: Greater than 25

    World Health Organization (WHO) | The Asia-Pacifc Perspective: Redefining Obesity and its Treatment - February 2000

    Bone Density Test: A low dose x-ray to screen for risk of thinning and weakening of bones, which increase the risk of osteoporosis and fracture.
    Bone Density Test Overview

    Chlamydia/GC Screening Test: A screening test for detecting chlamydia and/or gonorrhea. Curable sexually transmitted infections that can cause scarring, infertility and chronic pelvic pain.
    Chlamydia Testing Overview
    Gonorrhea Test Overview

    Fecal Occult Blood Test: A screening test for hidden blood in the stool, which may be a sign of colon cancer. High sensitivity fecal occult test is preferred.
    Fecal Occult Blood Test (FOBT) Overview

    HIV Test: A blood test to detect the presence of human immunodeficiency virus – a treatable infectious disease.
    HIV Test Overview

    Lipid Screen: A blood test for assessing levels of fats and cholesterol that can increase the risk of heart disease and stroke.
    Cholesterol and Triglycerides Tests Overview

    Lower GI Endoscopy: Colonoscopy: An internal inspection of the entire colon to screen for cancer and polyps (pre-cancerous growths)
    Colonoscopy Test Overview

    Sigmoidoscopy: An internal inspection of the lower colon to screen for cancer and polyps (pre-cancerous growths)
    Sigmoidoscopy Test Overview

    Mammogram: A low dose breast x-ray to screen for breast cancer.
    Mammogram Overview

    Pap Test: A test for abnormal cervical cells which can indicate increased risk of cervical cancer. This is not a test for uterine or ovarian cancer. Pap smears are done during an internal pelvic examination.
    Pap Test Overview

    PSA (Prostate Specific Antigen): A blood test for measuring a protein produced by the prostate gland. High levels may indicate prostate cancer.
    PSA Overview

    Tdap: Tdap is currently recommended as a single dose for individuals age 11 through 64 years. Tdap is also recommended over age 6 years if prior DTaP cannot be documented and the individual has close contact with infants.
    Tdap (tetanus, diphtheria, acellular pertussis vaccine) Overview



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