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News : National Author: U.S. Department of Health and Human Services Last Updated: Feb 24, 2010 - 7:55:46 PM



CDC's Advisory Committee on Immunization Practices (ACIP) Recommends Universal Annual Influenza Vaccination

By U.S. Department of Health and Human Services
Feb 24, 2010 - 7:52:13 PM



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CDC's Advisory Committee on Immunization Practices (ACIP) Recommends Universal Annual Influenza Vaccination

(HealthNewsDigest.com) - A panel of immunization experts voted today (February 24, 2010) to expand the recommendation for annual influenza vaccination to include all people aged 6 months and older. The expanded recommendation is to take effect in the 2010 - 2011 influenza season. The new recommendation seeks to remove barriers to influenza immunization and signals the importance of preventing influenza across the entire population.

The Advisory Committee on Immunization Practices (ACIP), which advises
the Centers for Disease Control and Prevention (CDC) on vaccine issues,
voted on the new recommendation during its February 24, 2010 meeting in
Atlanta. The vote took place against a backdrop of incremental increases
in the numbers and groups of people recommended for influenza
vaccination in years past, and lessons learned from the world's still
ongoing first flu pandemic in 40 years.

Prior to today's vote, ACIP recommendations for seasonal influenza
vaccination - which focused on vaccination of higher risk persons,
children 6 months through 18 years of age and close contacts of higher
risk persons - already applied to about 85 percent of the U.S.
population.

Discussion at the ACIP meeting focused on the value of protecting all
people 19 to 49 years of age, who have been hard hit by the 2009 H1N1
pandemic virus, which is likely to continue circulating into next season
and beyond. Another reason cited in favor of a universal recommendation
for vaccination is that many people in currently recommended "higher
risk" groups are unaware of their risk factor or that they are
recommended for vaccination. The ACIP discussion also recognized the
practicality and value of issuing a simple and clear message regarding
the importance of influenza vaccination in the hopes that this would
remove impediments to vaccination and expand coverage. Finally, new data
collected over the course of the 2009 H1N1 pandemic indicates that some
people who do not currently have a specific recommendation for
vaccination may also be at higher risk of serious flu-related
complications, including those people who are obese, post-partum women
and people in certain racial/ethnic groups.

More influenza vaccine doses will be required to vaccinate all adults.
However, based on current projections, more licensed types and brands of
seasonal influenza vaccines will be available in the 2010-11 influenza
season than has ever been available before. Historically, uptake of
seasonal influenza vaccine has been less than half of the number of
persons with a specific recommendation for vaccination.

Annual influenza vaccination is a safe and preventive health action that
benefits all age groups. However, certain people have a higher risk for
influenza complications, including people aged 65 years and older,
children younger than 6 months of age, pregnant women, and people of any
age with certain chronic medical conditions. These people, their
household and close contacts, and all health care personnel should
continue to be a primary focus for vaccination efforts as providers and
programs transition to routinely vaccinating all people 6 months of age
and older.

The composition of the Northern Hemisphere's 2010-2011 seasonal
influenza was announced at the FDA's Vaccines and Related Biological
Products Advisory Committee (VRBPAC) meeting yesterday in Bethesda, MD.
Next season's vaccine will be trivalent (with three different vaccine
viruses) and include an A/California/7/2009 (H1N1)-like virus, an
A/Perth/16/2009 (H3N2)-like virus, and a B/Brisbane/60/2008-like virus.
The H1N1 virus recommended for inclusion in the 2010-2011 seasonal
influenza vaccine is a pandemic 2009 H1N1 virus and is the same virus
used in the 2009 H1N1 monovalent vaccine.

Recommendations of the ACIP become recommendations of CDC once they are
accepted by the director of CDC and the Secretary of Health and Human
Services and are published in the Morbidity and Mortality Weekly Report.

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