Ocean County, NJ

MEDICAL SERVICES 0-12 SCREENING TESTS* Newborn Screening (PKU, sickle cell, hemoglobinopathies, hypothyroidism) Once - Newborns Head circumference Periodically up to age 2 Height and weight At each well visit for infants, then at least annually IMMUNIZATIONS** Hepatitis A 2 doses - 1 dose 12-23 months; 1 dose at least 6 months later Hepatitis B 3-4 doses - 1 dose at birth; 1 dose 1-2 months later; 1 dose 4 months+ and 1 dose between 24 weeks-18 months Diphtheria-tetanus-pertussis (DTaP) 5 doses - 1 dose at 2, 4, and 6 months; 1 dose 15-18 months; 1 dose 4-6 years Polio (IPV) 4 doses - 1 dose at 2 and 4 months; 1 dose 16-18 months; 1 dose 4-6 years H. Influenzae type b (Hib) 3-4 doses - 1 dose at 2, 4 and 6 months+; 1 dose between 12-15 months Pneumococcal conjugate 4 doses - 1 dose at 2, 4, and 6 months; 1 dose between 12-15 months Measles-mumps-rubella (MMR) 2 doses - 1 dose between 12-15 months; 1 dose between 4-6 years Chicken pox (varicella) 1 dose between 12-18 months; or any child after the first year without history of chicken pox or previous immunization Influenza Annually - between 6-23 months Booster tetanus-diphtheria and pertussis (TdaP) 1 dose - 11-12 years Meningococcal 1 dose - 11-12 years 13-18 SCREENING TESTS* Blood pressure Periodically - 18 years and older Height and weight/ Body mass index (BMI) Periodically - 18 years and older Depression Routinely - 18 years and older Alcohol misuse screening; behavioral health counseling Routinely - 18 years and older Chlamydia If sexually active Pap test Every 1-2 years beginning at age 21, earlier if sexually active Rubella titer or vaccination history For women of childbearing age IMMUNIZATIONS** Booster tetanus-diphtheria and pertussis (TdaP) 1 dose if not given between 11-12 years and/or if already received the Td booster Meningococcal 1 dose at the start of high school or college if not given between 11-12 years old 19-39 SCREENING TESTS* Blood pressure Periodically Height and weight/body mass index (BMI) Periodically Cholesterol Every 5 years - Men 35 and older Pap test Every 1-2 years - if 30 and older, either a Pap smear every 2-3 years after 3 consecutive normal results or HPV DNA test plus a Pap smear every 3 years if results of both tests are negative. Chlamydia Annually - 25 and younger and sexually active Rubella titer or vaccination history Women of childbearing age Depression Routinely Alcohol misuse screening; behavioral health counseling Routinely IMMUNIZATIONS** Tetanus-diphtheria (Td) Every 10 Years 40-64 IMMUNIZATIONS** Tetanus-diphtheria (Td) Every 10 years Influenza Annually - 50 and older Herpes zoster (shingles) 1 dose - 60 and older SCREENING TESTS* Blood pressure Periodically Height and weight/ Body mass index (BMI) Periodically Cholesterol Every 5 years - Men 35 & older Women 45 and older Rubella titer or vaccination history Women of childbearing age Pap test Every 2-3 years after 3 consecutive normal results or HPV DNA test plus a Pap smear every 3 years if results of both tests are negative. Mammogram Every 1-2 years Prostate Annually - at 50, both the prostate-specific antigen (PSA) blood test2 and digital rectal examination (DRE) should be offered. Colorectal Beginning at age 50, yearly stool blood test (FOBT), or flexible sigmoidoscopy every 5 years, or yearly stool blood test plus flexible sigmoidoscopy every 5 years, or double contrast barium enema every 5 years, or colonoscopy every 10 years. Depression Routinely Alcohol misuse screening; behavioral health counseling Routinely 65 & over IMMUNIZATIONS** Tetanus-diphtheria (Td) Every 10 years Influenza Annually - 50 and older Pneumococcal 1 dose - 65 and older SCREENING TESTS* Blood pressure Periodically Height and weight/ Body mass index (BMI) Periodically Cholesterol Every 5 years - Men 35 & older Women 45 and older Pap test Every 2-3 years after 3 consecutive normal results or HPV DNA test plus a Pap smear every 3 years if results of both tests are negative. Women 70 and older may stop screening. Mammogram Every 1-2 years Osteoporosis (Bone density test) Routinely - Women 65 years and older Prostate Annually - both the prostate-specific antigen (PSA) blood test2 and digital rectal examination (DRE) should be offered. Colorectal Beginning at age 50, yearly stool blood test (FOBT), or flexible sigmoidoscopy every 5 years, or yearly stool blood test plus flexible sigmoidoscopy every 5 years, or double contrast barium enema every 5 years, or colonoscopy every 10 years. Depression Routinely Alcohol misuse screening; behavioral health counseling Routinely