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COVID-19 Vaccines Included in Immunization Schedules for 2023

by Dr. Jayashree Gopinath on February 15, 2023 at 10:07 PM
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Highlights:

COVID-19 vaccines have been added to the U.S. 2023 immunization schedules for adults and children, and while routine poliovirus vaccination in adults is not recommended, there are "special situations" where those at increased exposure risk may be indicated for an additional dose.


The updated recommendations were published in the Morbidity and Mortality Weekly Report, as well as in the Annals of Internal Medicine (for adults) and Pediatrics (for children and adolescents).

Changes in New 2023 Immunization Schedules

Other notable changes include the addition of the new measles, mumps, and rubella (MMR) vaccine, a hepatitis B vaccine, a new pneumococcal vaccine for children and seniors, and guidance on the use of the 20-valent conjugate pneumococcal vaccine in previously immunized adults.

‘Family physicians should be aware of the addition of COVID-19 vaccines and other important revisions to the immunization schedules.’

The Advisory Committee on Immunization Practices (ACIP) endorse adding COVID vaccines to routine vaccination schedules for children and adults, though they were careful to point out that this does not equate to a requirement for school attendance.

As for the polio vaccine in adults, guidelines now recommend that those at increased risk for the virus receive a lifetime booster even if they already had the three-dose polio vaccination series.

Other important additions include the newly approved Priorix vaccine for children and adults to protect against MMR, and PreHevbrio, a three-dose vaccine for hepatitis B in adults.

More Vaccine Updates

For the 20-valent conjugate pneumococcal vaccine, recommendations were added for those over age 65 years who previously received the PCV13 and PPSV23 vaccines, in line with ACIP guidance in the fall (1).

PCV15 was also added for children and adolescents, with a note that the PCV13 and PCV15 can be used interchangeably in both healthy children and those at risk for invasive pneumococcal disease. Clarifications were also made about when a fourth dose would be indicated for children.

Detailed immunization schedules for children and adolescents are available on the CDC website. A color-coded key indicates age requirements, risk factors, precautions, and when a vaccine is not recommended. A parent-friendly version has also been made available (2).

Further changes throughout the year, plus guidance and support for healthcare providers for each vaccine, can be found through respective vaccine-specific ACIP recommendations.

References:
  1. Centres for Disease Control and Prevention - (https:www.cdc.gov/vaccines/schedules/index.html)
  2. New 2023 Immunization Schedules Now Available - (https:www.aafp.org/news/health-of-the-public/2023-immunization-schedules.html)


Source: Medindia

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