The CDC’s Advisory Committee on Immunization Practices (ACIP) unanimously recommended updates to the 2016 child and adolescent vaccination schedules at their meeting  held this week.

Dr Candice Robinson, of the CDC, noted that the updated schedule will include a “permissive recommendation” for the serogroup meningococcal B vaccines as additions to the vaccination schedule – Novartis’ Bexsero and Pfizer’s Trumenba. A recommendation was also made for these vaccines for the adult schedule, and on both the vaccine carries a category B recommendation. 

A clinical discretion section was added to the MenB section with instructions for young adults who may be vaccinated with the two-dose series of Bexsero or three-dose series of Trumenba to provide protection against most strains of serogroup B. Dr Robinson stressed that the series are not interchangeable, and the same product for all doses must be used.

Committee member Kathleen Harriman, PhD, expressed concern that the category B designation might make it appear like a lesser recommendation and was not sure how providers will interpret the recommendation.  Nancy E Messonnier, MD, of the CDC noted that this is the first time a permissive recommendation is being offered, and a more comprehensive look at how providers look at this type of recommendation is needed to confirm clinician understanding.

As the peak influenza season approaches, the 2016 updated schedule will note the strains of influenza selected for this year’s vaccine: an A/California/7/2009 (H1N1)pdm09-like virus, an A/Switzerland/9715293/2013 (H3N2)-like virus, and a B/Phuket/3073/2013-like virus.

Dr Robinson said that the updates to the schedule will be made based on ACIP committee member feedback and CDC internal clearance and will then go to the American Academy of Pediatrics, the American Academy of Family Physicians, American College of Obstetricians and Gynecologists. Following these steps, the final edited copy of the schedule will be sent to partner organizations for publication in by January 2016.

Reference

1. Robinson C. Child and Adolescent Immunization Schedule. Presented at: Advisory Committee on Immunization Practices. Oct. 21, 2015. Atlanta.