Document text
Centers for Disease Control and Prevention
National Center for Immunization and Respiratory Diseases
Centers for Disease Control and Prevention
National Center for Immunization and Respiratory Diseases
Centers for Disease Control and Prevention
National Center for Immunization and Respiratory Diseases
Centers for Disease Control and Prevention
National Center for Immunization and Respiratory Diseases
Photographs and images included in this presentation are licensed solely for CDC/NCIRD online and presentation use. No rights are implied or extended for use in printing or any use by other CDC CIOs or any external audiences.Recommendations from the Combined Immunization
Schedule WG for the 2024 Immunization Schedules for Children/Adolescents and Adults
Sybil Cineas, MD, FAAP, FACP (ACIP Combined Immunization WG Chair)
A. Patricia Wodi, MD (CDC Co -Lead)
Neil Murthy, MD, MPH, MSJ (CDC Co -Lead)
ACIP Meeting
October 26, 2023
Combined Immunization Schedules Work Group
The Combined Immunization
Schedule WG updates the
immunization schedules annually.
–Child and adolescent schedule
(age birth through 18 years)
–Adult schedule (age 19 years or older)
The schedules are primarily
designed to be a tool for healthcare
providers to ensure individuals get
all the vaccines they need when they need them.
2Immunization Schedules | CDC
www.cdc.gov/vaccines/schedules/index.html
The goal of the Combined Immunization Schedule WG is to better harmonize
the child/adolescent and adult schedules.
New policies are not established in the proposed schedules.
–Annual schedules reflect recommendations already approved by ACIPCombined Immunization Schedules Work Group
3
ACIP approval of the proposed schedules is necessary prior to publicationReason Topic is Being Presented to ACIP
Child/Adolescent Schedule Both Schedules Adult Schedule
•American Academy of Pediatrics
(AAP)
•National Association of Pediatric Nurse Practitioners (NAPNAP)•American Academy of Family
Physicians (AAFP)
•American Academy of Physician
Associates (AAPA)
•American College of Obstetricians and Gynecologists (ACOG)
•American College of Nurse -
Midwives (ACNM)•American College of Physicians (ACP)
•Society for Healthcare Epidemiology of America (SHEA)
•American Pharmacists Association
(APhA )
4
Traditional Publication Timeline
October November December January February
ACIP vote approves the
immunization schedulesProfessional organizations
approve schedules
Draft and clear MMWR reports (both
schedules) and Annals of Internal
Medicine report (adult schedule only)Publish Schedules (web, app, pdf),
MMWR Notice to Readers, &
Annals of Internal Medicine
report published
5
Insurance reimbursement
The ability of certain health care providers to administer
immunizations
–Some states link pharmacists’ immunization authority to the schedule
Health care provider knowledge and practices related to vaccine recommendationsImpacts of Timeliness of Schedule Publication
6
2024 immunization schedules: Publication Timeline
October November December January February
ACIP vote approves the
immunization schedulesProfessional
organizations
approve schedules
7Publish Schedules
(web, app, pdf )
Publish MMWR Notice to
Readers, &Annals of Internal
Medicine report published
ACIP Members
Sybil Cineas (ACIP WG Chair)
Veronica McNally
Matthew Daley
Liaison Representatives
John Epling (AAFP) Mary -Margaret Fill (CSTE)
Sarah Coles (AAFP) Chad Rittle (ANA)
Rhoda Sperling (ACOG) William Schafner (NFID)
Holly Fontenot (SAHM) Robert Hopkins (NFID)
Amy Middleman (SAHM) Ken Schmader (AGS)
Sandra Fryhofer (ACP/AMA) Patsy Stinchfield (NAPNAP)Sarah McQueen (AAPA) Preeti Mehrotra (SHEA)
Marie -Michele Leger (AAPA) Pia Pannaraj (AAP)
Caitlin Newhouse (AIM) Kelly Goode ( APhA)Ex Officios
David Kim (OASH)
Susan Farrall (OASH)
Jane Kim (DVA)
Uzo Chukwuma (IHS)
Consultants
Hank BernsteinKevin Ault
Peter Szilagyi
Diane Peterson
Carolyn Bridges
Karen Ketner
Kathleen HarrimanLitjen Tan
Robert HopkinsSusan LettCombined Immunization Schedule Work Group
8CDC Co -Leads
A. Patricia WodiNeil Murthy
ACIP Combined Immunization Work Group —CDC Contributors:
–Noele Nelson
–Paul Gastanaduy
–Samuel Crowe
–Sarah Kidd
–Sarah Schillie
–Susan Goldstein
–Susan Hariri
–Suzanne Johnson- DeLeon
–Tara Anderson
–Tami Skoff
–Tatiana LanzieriAcknowledgements
–Akiko Wilson
–Andrew Kroger
–Amadea Britton
–David Sugerman
–Donna Williams
–Erin Conners
–Hilda Razzaghi
–Holly Hill
–Jacqueline Tate
–Janell Routh
–Jefferson Jones
–Jennifer Collins–JoEllen Wolicki
–Katherine Fleming -Dutra
–Lakshmi Panagiotakopoulos
–Lauri Markowitz
–Lisa Grohskopf
–Lucy McNamara
–Mary Chamberland
–Megan Wallace
–Michael Melgar
–Michelle Hughes
–Miwako Kobayashi
–Mona Marin
9
The use of vaccine trade names is for identification purposes only and
does not imply endorsement by the Centers for Disease Control and
Prevention.
The 2024 schedules presented in the following slides are drafts and are
therefore subject to change based on ACIP’s discussion and vote.Disclaimer
10
Harmonization between the child/adolescent and adult schedules
Edits to all tables
Content changes of the notes
Content changes to the appendix listing contraindications and precautions
Discussion and VoteOutline
11