Who should receive the 23-valent PPS vaccine?
• All people age 65 years or older. • Adult cigarette smokers. • Adults with chronic pulmonary diseases (such as asthma, emphysema and chronic obstructive pulmonary disease). • People two years or older who are at increased risk for pneumococcal disease due to the conditions listed below. Please note that children under five with some of these conditions should receive the PCV7 first, and the PPS vaccine two months later. • Chronic illness, including chronic heart, lung, kidney, or liver disease; brain or spinal fluid leaks; diabetes; or alcoholism. • HIV infection (whether symptomatic or not). • Weakened immune system due to cancer, long-term kidney failure, nephrotic syndrome, organ or bone marrow transplantation, AIDS, chemotherapy or radiation treatment, or other conditions. A second dose of PPS is recommended 5 years after the first dose of PPS for these persons who are over >2 years of age. • Sickle cell disease. A second dose of PPS is recommended 5 years after the first dose of
