Although childhood vaccination rates are at an all-time high, those for ado
lescents and adults are suboptimal. Ali adolescents and adults should be im
munized against measles, mumps, rubella, varicella, tetanus, and diphtheria
, and many should also receive hepatitis A, hepatitis B, influenza, and pne
umococcal vaccines. In addition, active patients who engage in outdoor acti
vities may benefit from vaccination against Lyme and meningococcal disease.
Regular, strenuous exercise and foreign travel may increase the risk of so
me infectious diseases. Athletes often see a physician only for sports phys
ical exams and injuries, so It Is important for providers to take the oppor
tunity to vaccinate patients during these visits.