Would you include obstructive sleep apnea as chronic pulmonary disease which would require pneumococcal vaccination for adults under the age of 65?

No. Obstructive sleep apnea alone is not an indication for pneumococcal vaccination. However, people with obstructive sleep apnea often have other pulmonary conditions (such as chronic obstructive pulmonary disease) that would put them at increased risk for invasive pneumococcal disease, for which they should be vaccinated.