(StatePoint) While most people are aware of the need to vaccinate children, immunizations for adults are just as important. But unfortunately, adult immunization rates are well below government goals.

According to the American College of Physicians, 40,000 to 50,000 adults die from vaccine preventable diseases each year in the U.S.

Knowing what vaccines to get and when to get them can be tricky, especially if you have a complicated medical history.

“By talking to your internist, you can assess your vaccination status and find out what steps you need to take to stay healthy,” says David L. Bronson, MD, FACP, president, American College of Physicians, a national organization of internal medicine physicians.

Don’t wait until it’s too late. Be proactive and ask your physician at your next appointment what shots you are due to receive. Here are some recommended immunizations to discuss: