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Content on this page was developed during the 2009-2010 H1N1 pandemic and has not been updated.

  • The H1N1 virus that caused that pandemic is now a regular human flu virus and continues to circulate seasonally worldwide.
  • The English language content on this website is being archived for historic and reference purposes only.
  • For current, updated information on seasonal flu, including information about H1N1, see the CDC Seasonal Flu website.

2009 H1N1 and Pneumococcal Disease

November 25, 2009, 1:00 PM ET

A flu vaccine is the first and most important step in protecting against flu infection. This 2009-2010 influenza season, there is a seasonal flu vaccine to protect against seasonal flu viruses and a 2009 H1N1 vaccine to protect against the 2009 H1N1 influenza virus (sometimes called “swine flu”). For information about the 2009 H1N1 vaccines, visit H1N1 Flu Vaccination Resources. For information about seasonal influenza vaccines, visit Preventing Seasonal Flu With Vaccination.

Influenza infections can make people more likely to develop bacterial pneumonia.  Pneumococcus is the most common cause of bacterial pneumonia. Pneumococcal infections are a serious complication of seasonal and 2009 H1N1 influenza infections and can cause death.

For the prevention of pneumococcal disease, two vaccines are currently available in the United States. The links below will take you to more information about pneumococcal vaccines and disease.

General Information:

For Clinicians:

U.S. ACIP Recommendations for Use of Pneumococcal Polysaccharide Vaccine


Pneumococcal polysaccharide vaccine (PPSV)

Universal vaccination

All adults 65 years of age and older



Medical Indications

Persons 2 through 64 years of age who have one or more of the following long-term health problems:


  • chronic cardiovascular disease (congestive heart failure and cardiomyopathies)
  • chronic pulmonary disease (including chronic obstructive pulmonary disease and emphysema)
  • diabetes mellitus
  • alcoholism
  • chronic liver disease (including cirrhosis)
  • cerebrospinal fluid leaks, cochlear implant
  • functional or anatomic asplenia including sickle cell disease and splenectomy
  • immunocompromising conditions including HIV infection, leukemia, lymphoma, Hodgkin’s disease, multiple myeloma, generalized malignancy, chronic renal failure, nephrotic syndrome; those receiving immunosuppressive chemotherapy (including corticosteroids); and those who have received an organ or bone marrow transplant
  • residents of nursing homes or long-term care facilities

Adults 19 through 64 years of age who:

  •  smoke cigarettes
  •  have asthma

Contact Us:
  • Centers for Disease Control and Prevention
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    Atlanta, GA 30333
  • 800-CDC-INFO
    TTY: (888) 232-6348
  • Contact CDC-INFO The U.S. Government's Official Web PortalDepartment of Health and Human Services
Centers for Disease Control and Prevention   1600 Clifton Road Atlanta, GA 30329-4027, USA
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