As the fall season approaches, updated immunization schedules aim to streamline access to COVID-19, flu, and RSV vaccines for individuals seeking protection against respiratory illnesses.
The Centers for Disease Control and Prevention (CDC) recently announced updated fall immunization schedules, which are largely consistent with last year’s guidelines. This announcement comes after a summer filled with confusion regarding changes to COVID-19 vaccine recommendations. Public health experts believe that these updates will facilitate access to vaccines for those who wish to receive them this fall.
“From a patient’s experience, there shouldn’t be anything different from what they’ve experienced in the past, except maybe they’ll get a little more information from the pharmacist,” said Hannah Fish, senior director of strategic initiatives at the National Community Pharmacists Association.
This fall, the COVID-19 vaccine is recommended for everyone aged six months and older. However, individuals are encouraged to engage in “shared clinical decision-making” with their healthcare providers before receiving the vaccine. This model allows for discussions between patients and providers, which can include doctors, pharmacists, or other health professionals administering the shots. The CDC’s Advisory Committee on Immunization Practices has emphasized that vaccination is particularly beneficial for those under 65 who are at higher risk for severe COVID-19 outcomes.
While the CDC’s recommendations cover a broad age range, there may be some complications in practice. Although health plans are required to cover the vaccine without charging consumers, some providers may hesitate to administer the shot to individuals under 65 unless they have underlying health conditions that increase their risk of severe COVID-19. This aligns with the Food and Drug Administration’s labeling for the COVID-19 vaccine.
“It’s a nuance that could occur in an interaction between a provider and a patient,” said Jen Kates, a senior vice president and director of global and public health policy at KFF, a health information nonprofit.
If a provider refuses to administer the vaccine to a healthy individual due to concerns about off-label use, experts suggest that patients can seek the vaccine from another provider. “They could go to a different pharmacy,” Kates noted.
In response to the declining uptake of the COVID-19 vaccine—only 23% of adults reported receiving the current vaccine as of late April—many states have stepped in to ensure access. According to Kates, 21 states and the District of Columbia have adopted broader recommendations than those set by the federal government.
Despite the availability of the vaccine, fewer pharmacies and healthcare providers may choose to stock it due to low demand. Jeff Levin-Scherz, a primary care doctor and population health leader at WTW, noted that large chains like CVS and Walgreens have sufficient supply to meet demand, but the additional barriers some individuals might face could hinder vaccination rates.
“To get more people to get vaccines, the key is making vaccination really easy and to take steps out,” Levin-Scherz emphasized.
In contrast, the flu vaccine tends to attract more interest than the COVID-19 vaccine, although only 47% of adults received a flu shot during the last flu season. The CDC recommends that nearly everyone aged six months and older receive an annual flu shot, and these vaccines should be widely available at pharmacies and physician offices. Health plans will also cover the flu shots without charging individuals.
In July, the federal Department of Health and Human Services mandated that flu vaccines must not contain thimerosal, a preservative used to prevent bacterial growth. Vaccine researchers have found no evidence that this mercury-based additive is harmful. Last year, the CDC estimated that only 6% of flu vaccines contained thimerosal as a preservative.
Additionally, a new vaccine for respiratory syncytial virus (RSV) was approved in 2023. The CDC recommends this vaccine for individuals aged 75 and older, as well as for those aged 50 to 74 who have medical conditions that put them at risk for severe disease. Those who meet the criteria should be able to receive the RSV vaccine at their local pharmacy. It is important to note that the RSV vaccine is not an annual requirement; individuals who have already received it do not need to get it again according to current guidelines.
As the cough and cold season approaches, the updated immunization schedules aim to ensure that vaccines remain accessible to those who need them. Public health experts continue to advocate for easy access to vaccinations as a means to protect public health during this critical time.
Source: Original article