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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 so you can feel your best... from head to toe.

    We want to give you as much information as possible about what you can do to stay healthy. This guide shares what screenings and immunizations you and your family members need at any given stage.

    This is not only a guide, but a conversation starter for you and your care team. You can work with your doctor to find out the wellness steps specific to you. That’s how we do our part to make health care personal—because we believe health care is not about the symptoms, it’s about the individual.
    14 Tips for Maintaining Your Health

    Health Guidelines by Age
    Health Maintenance Guidelines - Birth to 18 years
    Health Maintenance Guidelines - 19 to 39 Years
    Health Maintenance Guidelines - 40 to 49 Years
    Health Maintenance Guidelines - 50 to 70 Years
    Health Maintenance Guidelines - 71 and older
    Glossary of terms
    Health Maintenance Guidelines Poster (PDF)

    Birth - 18 Years

    Recommendations
    A regularly scheduled check up at each of the following ages:

    • 1, 2, 3, 6, 12 and 18 months
    • Annually from ages 2-6; every other year from ages 6-17
    Vision screening and BMI: At or before age 5
    Folic Acid: Girls of child bearing age (15-18) should take a daily supplement (0.4-0.8mg) of folic acid.

    Screening Tests - Birth - 18 years
    ScreeningRecommendations
    TB (Tuberculosis)Assessment determining risk factors

    Chlamydia for sexually active women

    Annually, starting at age 15
    HIV Testing Discussion

    Routine discussion starting at age 13

    HPVFemales age 9–26 should receive the HPV series 0, 2 and 6 month intervals (optional for males).



    Immunizations - Ages Birth to 18 years

    Immunizations

    Recommendations

    Hep B: Hepatitis B

    Birth, 1 month, 6 months,

    HIB (Haemophilus influenza type B)

    2 month, 4 months, 6 months, 12 months

    Polio

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

    DTaP: Diphtheria, Tetanus and acellular Pertussis

    2 months, 4 months, 6 months, 18 months, 4-5 years
    Pneumococcal2 months, 4 months, 6 months, 12 months
    Tdap/Td:Age 11 years
    MMR: Measles, Mumps and Rubella12 months, 4-5 years
    Varicella (Chickenpox)12 months, 4-5 years
    Hepatitis A12 months, 18 months
    Flu: Influenza (yearly)6 months, 18 months, 2 years, 4-5 years, 11-18 years
    Conjugated Meningococcal11-18 years
    HPV: Human Papillomavirus. Given to females age 9-26 yrs. at 0, 2 and 6 month intervals. Routine vaccination at 11 to 12 yrs.Girls, 11-18 years
    Note: Two-month series of vaccines can be given as early as six weeks.
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    19 to 39 Years

    Check Up
    Check blood pressure, weight and height to calculate body mass index (BMI) and health risks.

    <
    Screening Tests - Ages 19-39

    Screening

    Recommendations

    HIV Testing Discussion

    Routine discussion
    Diabetes Screening

    All non-Caucasians; All Caucasians with sustained blood pressure greater than 135/80, or BMI greater than or equal to 25, or history of gestational diabetes, or family history of diabetes.

    Assessment of Risk of TB

    To determine risk factors.

    WOMEN'S HEALTH
    Folic Acid
    Women of child bearing age (15-45)
    should take a daily supplement (0.4-0.8mg) of
    folic acid.

    WOMEN'S HEALTH
    Chlamydia/GC for sexually active women
    Yearly through age 24

    WOMEN'S HEALTH
    Pap Test
    Every three years
    (First Pap test should be performed at age 21 or 3 years after first sexual contact, whichever comes first.)
    MEN'S HEALTH
    Lipid Testing
    At age 35



    Immunizations - Ages 19-39

    Immunizations

    Recommendations

    Tdap/Td

    Tdap required once in a lifetime. Then, Td is required every 10 years

    HPV (Human Papillomavirus)

    Females age 9 to 26 years should receive the HPV series at 0, 2 and 6 month intervals

    Influenza

    Yearly

    VZV (Chicken pox, Varicella Vaccine)

    Individuals born in 1980 or later should receive a second vaccine



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    40 to 49 Years

    Check Up
    Check blood pressure, weight and height to calculate body mass index (BMI) and health risks.



    Screening Tests - Ages 40-49

    Screening

    Recommendations

    Hep C

    Screening for those born between 1945-1965

    HIV

    Routine discussion
    Diabetes

    All non-Caucasians; All Caucasians with sustained blood pressure greater than 135/80, or BMI greater than or equal to 25, or history of gestational diabetes, or family history of diabetes.

    Lipid Testing

    Men - every five years
    Women - Optional beginning at as 45

    WOMEN'S HEALTH
    Pap Test
    Every three years from age 21. At age 30, may switch to every 5 years with HPV screening.
    WOMEN'S HEALTH
    Folic Acid
    Women of child bearing age (15-45) should take a daily supplement (0.4-0.8mg) of folic acid.
    WOMEN'S HEALTH
    Mammogram
    Optional yearly

    Optional yearly

    MEN'S HEALTH
    Lipid Testing
    Every five years



    Immunizations - Ages 40-49

    Immunizations

    Recommendations

    Tdap/Td

    Tdap required once in a lifetime. Then, Td is required every 10 years.

    Influenza

    Yearly




    NOTE
    Annual mammography in this age group has been confirmed to decrease mortality but is not recommended by all professional organizations due to differing risk-benefit analyses. Options for breast cancer screening should be discussed with your provider yearly.

    The United State Preventive Services Task Force (USPSTF recommends against routine screening mammography in women age 40–49. The decision to start regular screening mammography before age 50 should be an individual on and take patient context into account, including the patient’s values regarding specific benefits and harms.

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    50 to 70 Years

    Check Up
    Check blood pressure, weight and height to calculate body mass index (BMI) and health risks.



    Screening Tests - Ages 50-70

    Screening

    Recommendations

    Hep C

    Screening for those born between 1945-1965

    HIV

    Routine discussion
    Diabetes

    All non-Caucasians; All Caucasians with sustained blood pressure greater than 135/80, or BMI greater than or equal to 25, or history of gestational diabetes, or family history of diabetes.

    Lipid Testing

    Men - every five years until age 70
    Women - Optional every five years until age 70

    Colorectal Cancer ScreeningAt age 50, then every ten years

    Option #1: Colonoscopy every 10 years.
    Option #2: Fecal Occult Blood Testing every 3 years with sigmoidoscopy every 5 years.
    Option #3: Annual Fecal Occult Blood Testing

    WOMEN'S HEALTH
    Pap Test
    Every 3 years from age 21. At age 30, may switch to every 5 years with HPV screening. Screening may be discontinued after age 65.
    WOMEN'S HEALTH
    Mammogram
    Every two years

     

    WOMEN'S HEALTH
    Bone Density Test
    At age 65
    MEN'S HEALTH
    PSA (Prostate Specific Antigen)
    Current evidence does not recommend routine PSA screening for average risk men.



    Immunizations - Ages 50-70

    Immunizations

    Recommendations

    Tdap/Td

    Tdap required once in a lifetime. Then, Td is required every 10 years.

    Influenza

    Yearly

    Zoster (Shingles)At age 60
    Pneumococcal VaccineAt age 65



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    71 and older

    Check Up
    Check blood pressure, weight and height to calculate body mass index (BMI) and health risks.



    Screening Tests - Ages 71 and over

    Screening

    Recommendations

    Assessment for TB

    To determine risk factors

    Diabetes

    All non-Caucasians; All Caucasians with sustained blood pressure greater than 135/80, or BMI greater than or equal to 25, or history of gestational diabetes, or family history of diabetes.

    Colorectal Cancer (Options)

    Until age 75; Colonoscopy every 10 years; Fecal Occult Blood Testing every 3 years with sigmoidoscopy every 5 years; or Annual Fecal Occult Blood testing

    WOMEN'S HEALTH
    Mammogram
    Every two years until age 74, then optional

     

    MEN'S HEALTH
    PSA (Prostate Specific Antigen)
    Optional yearly until age 75. Not routinely recommended above age 75.



    Immunizations - Ages 71 and older

    Immunizations

    Recommendations

    Td

    Every 10 years

    Influenza

    Yearly




    NOTE
    These guidelines may vary for patients on chronic medications or for patients with personal or family health risks.

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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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