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Screening
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Who needs it
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How often
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Alcohol misuse
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All adults
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At routine exams
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Blood pressure
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All adults
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Every 2 years if your blood pressure is less than 120/80 mm Hg; yearly if your systolic blood pressure is 120 to 139 mm Hg, or your diastolic blood pressure reading is 80 to 89 mm Hg
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Breast cancer
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All women in this age group should talk with their healthcare providers about breast self-awareness
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At routine exams
Our breast health task force has a more stringent recommendation. Please see our SCL Health mammography screening guidelines.
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Cervical cancer
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Women ages 21 and older
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Women between ages 21 and 29 should have a Pap test every 3 years; women between the ages 30 and 65 should have a Pap test plus an HPV test every 5 years.
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Depression
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All women in this age group
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At routine exams
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Diabetes mellitus, type 2
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Adults with no symptoms who are overweight or obese and have 1 or more additional risk factors for diabetes
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At least every 3 years (annual testing if blood sugar has begun to rise)
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Hepatitis C
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Anyone at increased risk for infection
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At routine exams
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HIV
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All women
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At routine exams
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Obesity
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All adults
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At routine exams
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Tuberculosis
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Anyone at increased risk for infection
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Check with your healthcare provider
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Vision
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Women in this age group(1)
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Every 5 to 10 years if not risk factors for eye disease
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Counseling
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Who needs it
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How often
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Breast cancer, chemoprevention
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Women at high risk
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When risk is identified
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BRCA mutation testing for breast and ovarian cancer susceptibility
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Women with increased risk
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When risk is identified
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Diet and exercise
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Women who are overweight or obese
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When diagnosedand at routine exams
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Domestic violence
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Women at the age in which they are able to have children
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At routine exams
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Skin cancer
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Prevention of skin cancer in fair-skinned adults through age 24
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At routine exams
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Tobacco use and tobacco-related disease
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All adults
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Every exam
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Immunizations***
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Who needs it
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How often
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Human papillomavirus (HPV)
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All women in this age group up to age 26
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3 doses
The second dose should be given 1 to 2 months after the first dose, and the third dose should be given 6 months after the first dose
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Tetanus/diphtheria/pertussis (Td/Tdap) booster
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All adults
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Td: every 10 years
Tdap: substitute a one-time dose of Tdap for a Td booster after age 18, then boost with Td every 10 years
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Chickenpox (varicella)
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All adults in this age group who have no record of previous infection or vaccinations
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2 doses; the second dose should be given 4 to 8 weeks after the first dose
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Measles, mumps, rubella (MMR) vaccine
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All adults in this age group who have no record of previous infection or vaccinations
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1 or 2 doses
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Flu vaccine (seasonal)
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All adults
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Yearly, when the vaccine becomes available in the community
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Haemophilus influenzaeType B (HIB)
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Women at increased risk for infection – talk with your healthcare provider
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1 to 3 doses
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Hepatitis A vaccine
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People at risk (2)
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2 doses given at least 6 months apart
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Hepatitis B vaccine
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People at risk (3)
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3 doses; second dose should be given 1 month after the first dose; the third dose should be given at least 2 months after the second dose (and at least 4 months after the first dose)
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Meningococcal
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People at risk (4)
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1 or more doses
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Pneumococcal conjugate vaccine (PCV13) and pneumococcal polysaccharidevaccine(PPSV23)
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People at risk (5)
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PCV13: 1 dose ages 19 to 65 (protects against 13 types of pneumococcal bacteria)
PPSV23: 1 to 2 doses through age 64, or 1 dose at 65 or older (protects against 23 types of pneumococcal bacteria)
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