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Immunize.org reviews and updates “Ask the Experts: Vaccine Recommendations,” adding resources for professional medical organizations’ recommendations and schedules
Immunize.org revised its Ask the Experts: Vaccine Recommendations web page on January 18 to add resources on healthcare professional organizations’ new recommendations and schedules. Our new Ask the Experts video on what the changes to the 2026 CDC schedule mean for those offering childhood immunizations is included.
Immunize.org’s Ask the Experts main page leads you to 30 web pages on various topics with more than 1,300 common or challenging questions and answers about vaccines and their administration. Immunize.org’s team of experts includes Kelly L. Moore, MD, MPH (team lead); Carolyn B. Bridges, MD, FACP; Iyabode Beysolow, MD, MPH; and Jane Zucker, MD, MSc.
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Live-virus chikungunya vaccine (Ixchiq, Valneva) withdrawn from the U.S. market. Non-live chikungunya vaccine (Vimkunya, Bavarian Nordic) is recommended when chikungunya protection is needed.
On January 19, the live-virus chikungunya vaccine (Ixchiq, Valneva) was voluntarily withdrawn from the U.S. market. This followed FDA's suspension of the vaccine's license in August 2025 due to serious adverse events identified through United States and international vaccine safety monitoring systems.
The non-live virus-like particle (VLP) chikungunya vaccine (Vimkunya, Bavarian Nordic), licensed in the United States in February 2025 for people age 12 years and older, does not cause the safety issues associated with the live-virus vaccine. It is recommended for use when chikungunya protection is needed. Vaccination may be recommended or considered for certain travelers and for some laboratory workers.

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After January 31, most regions of the United States may pause RSV vaccination during pregnancy. Keep giving RSV preventive antibody to all susceptible infants through March.
In most of the contiguous United States, RSV vaccination (Abrysvo, Pfizer) during pregnancy is paused each year after January 31. This date is based on the typical seasonality of RSV in the continental United States. In these areas, vaccination during pregnancy (between 32 through 36 weeks and 6 days gestation) should resume on September 1. Prenatal care providers in states or territories with different RSV circulation patterns (e.g., Hawaii, Alaska) should look to their state or territorial health departments for specific guidance in their areas.
RSV continues to circulate widely. CDC and healthcare professional organizations recommend providing immediate RSV protection to susceptible infants younger than 8 months of age through administration of nirsevimab (Beyfortus, Sanofi) or clesrovimab (Enflonsia, Merck) through March 31 in the continental United States. As with RSV vaccination during pregnancy, the timing of RSV immunization will vary in the territories and states with different RSV seasonal patterns.
RSV immunization is important for all infants not otherwise protected against RSV if they are younger than 8 months. Those who are at high risk for severe RSV disease age 8 through 19 months should also get nirsevimab (Beyfortus) during their second RSV season. Clesrovimab (Enflonsia) is not recommended for children age 8 months or older.
Refer to Immunize.org’s nirsevimab (Beyfortus) standing orders template and clesrovimab (Enflonsia) standing orders template for details.
RSV-NET is CDC’s RSV Hospitalization Surveillance Network. The RSV-NET chart below displays the 2024–26 data on hospitalizations from RSV among infants. Many of these hospitalizations were preventable.

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Measles 2026: South Carolina outbreak growing fast, more than 400 confirmed cases in 14 states since January 1
As of January 22, CDC reported 416 confirmed measles cases in 14 states: Arizona, California, Florida, Georgia, Idaho, Kentucky, Minnesota, North Carolina, Ohio, Oregon, South Carolina, Utah, Virginia, and Washington since January 1, 2026. South Carolina accounts for 338 of the 2026 cases (81%). South Carolina has reported a total of 700 cases of measles since October. The South Carolina outbreak has spilled over into North Carolina, which has reported 12 measles cases since January 1.
CDC only requires reporting of laboratory-confirmed measles cases. Cases without laboratory testing for confirmation are not included in these numbers. Actual numbers of cases are, therefore, higher than confirmed case counts.
A map of 2025–26 measles cases in the United States, as of January 23, from the Johns Hopkins International Vaccine Access Center, appears below. Their U.S. Measles Tracker website includes state and county-level data.

Immunize.org offers measles-related resources for the public on several of our affiliated websites:
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Respiratory viruses are still spreading across the country; keep encouraging vaccination
Nationwide respiratory virus activity reported by CDC is highlighted below.
- Influenza (data through January 17):
- Seasonal influenza activity has declined for 3 weeks, but remains elevated across the country, with high or very high influenza-like illness (ILI) reported in 31 jurisdictions
- The influenza season is currently classified as moderate overall, but severe for young children
- Among school-aged children, emergency department visits for influenza are increasing
- The deaths of 12 more children were reported during week 2 (ending January 17), for a total of 44 reported child deaths with influenza so far this season
- RSV: The Epidemic Trends map shows that RSV activity is growing in most of the Midwest and parts of the Northeast.
- COVID-19: Activity varies by state. Adults age 65 or older represented 64% of those hospitalized for COVID-19 during this week.
Level of Respiratory Illness Activity
Because influenza is leading the respiratory illness wave, the ILI map is shown below:

Emergency Department (ED) Visits for Viral Respiratory Illness
The illustration below shows the proportion of ED visits (ranging from 0 to 10 percent) associated with COVID-19, influenza, and RSV. The horizontal axis shows trends from October 2024 into January 2026 for the three diseases.

It’s not too late to vaccinate! Vaccination against COVID-19, influenza, and RSV reduces the risk of severe illness. Administration of RSV preventive antibodies for all infants younger than 8 months who are unprotected is crucial now to provide them immediate protection as RSV activity rises in many communities.
Other CDC Respiratory Illness Resources
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“What Is the Burden of Influenza Disease in the United States?” Watch the 3-minute answer, part of the Ask the Experts Video Series on YouTube.
Our new feature in the Ask the Experts Video Series is titled What Is the Burden of Influenza Disease in the United States? Influenza infects millions of people each year in the United States, which leads to substantial medical visits, hospitalizations, and tens of thousands of deaths, with severity varying by season. Notably, adults age 50 through 64 account for 1 in 5 influenza hospitalizations and deaths, yet in the 2024–25 season, fewer than half were vaccinated. Increasing vaccination, especially among this age group, can substantially reduce the influenza disease burden.
The 3-minute video is available on our YouTube channel, along with our full collection of quick video answers to popular Ask the Experts questions.

Like, follow, and share Immunize.org’s social media accounts and encourage colleagues and others interested in vaccination to do likewise.
These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
Immunize.org Website and Clinical Resources
Spotlight on the website: “Vaccines A–Z" pages

This week, we spotlight our “Vaccines A–Z" pages. Each of these 35 pages brings together Immunize.org’s resources on each vaccine-preventable disease.
To navigate to the pages, select the "Vaccines & VISs" tab on the main menu. The Vaccines A–Z option opens by default and lists all vaccines alphabetically.

Once you select an option, such as Pneumococcal, you will see links to vaccine-specific content from Immunize.org and other trustworthy organizations. Resources are grouped by categories. Either scroll down the page or use the right-hand navigation column (captioned with “On This Page”), which acts as a hyperlinked table of contents for the page.

The most common types of resources you will find for a vaccine are:
- Clinical Resources: a list of Immunize.org printable materials for providers or for vaccine recipients
- Ask the Experts: sample questions are displayed with a link to view all questions and answers for the vaccine
- CDC, FDA, and State Resources: ACIP recommendations, Vaccine Information Statements (VISs), CDC schedules, FDA package inserts, and state immunization requirements
- Healthcare Professional Organizations: guidance from leading nongovernmental organizations, including vaccine schedules and vaccine-specific recommendations for routine immunization and for specific patient populations
- Travel: information about travel vaccines and routine vaccines with travel-specific recommendations
These and other types of content, such as photos, videos, webinars, and Unprotected People Stories may also be available for your selected vaccine.
Featured Resources
Sanofi's Patient Advocacy Voices podcast episode, “Rebuilding Trust: What the Autism Community Teaches Us About Vaccine Confidence” features Immunize.org’s Kelly L. Moore, MD, MPH
Sanofi's podcast series, Patient Advocacy Voices, released an episode titled Rebuilding Trust: What the Autism Community Teaches Us About Vaccine Confidence. In this episode, cohosts Sanofi’s Eric Racine and Heather Entenmann are joined by Danielle Hall, former vaccine education lead, Autism Society of America, and Kelly Moore, MD, MPH, president and CEO of Immunize.org for a conversation on vaccine confidence, trust, and inclusion.
Drawing on decades of public health leadership and frontline advocacy work, the conversation explores why the long-debunked myth linking vaccines and autism persists, and why rebuilding trust requires more than facts. The discussion highlights how healthcare experiences, sensory needs, anxiety, and empathy all play critical roles in shaping vaccine decisions, and what advocacy leaders and providers can do differently to better support autistic individuals and their families.

Listen to the podcast episode.
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Updated 65+ Flu Defense website offers resources for healthcare professionals serving older adults
Confident healthcare provider recommendations for influenza vaccine are powerfully persuasive. As the nation faces a challenging influenza season, Immunize.org, in collaboration with CSL Seqirus, updated the 65+ Flu Defense website to help you maximize patient protection.
This helpful site includes information, tools, and tips for communicating with adults age 65 and older about the burden and severity of influenza. Resources include:
A clinician recommendation is the most important reason why a person will get vaccinated. Check out the updated 65+ Flu Defense website to assist your ongoing efforts in protecting this vulnerable population.
Notable Publications
“Vaccinations Among Adults Age 65 and Older: United States, 2024” published by CDC's National Center for Health Statistics
On January 21, CDC's National Center for Health Statistics published a data brief, Vaccinations Among Adults Age 65 and Older: United States, 2024, that contains data from the National Health Interview Survey. The key points appear below.
- The percentage of adults age 65 and older who had an influenza vaccine in the past 12 months and the percentage who ever had a pneumonia vaccine were lower in 2024 (67.1% and 64.7%, respectively) compared with 2019 (70.5% and 67.0%, respectively).
- In 2024, 67.1% of older adults had an influenza vaccine in the past 12 months, with vaccination lowest among adults ages 65‒74 (62.6%) compared with adults ages 75‒84 (71.9%) and 85 and older (75.3%).
- The percentage of older adults who ever had a pneumonia vaccine was 64.7% and was higher for women (66.7%) compared with men (62.2%).
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Commentary: “A Risk to Child Health: Confusion and Concern over Changes to US Vaccine Policy” published in Lancet
In its January 20 issue, Lancet published A Risk to Child Health: Confusion and Concern over Changes to US Vaccine Policy. A portion of the commentary by Stanley Plotkin, MD, and Andrew Pollard, FHEA FMedSci, appears below.
The control of severe and life-threatening infectious diseases of childhood through vaccination is one of the greatest triumphs of public health, with some 154 million lives saved through global immunisation programmes since the 1970s. In countries with strong immunisation programmes, diseases that once filled hospital wards and claimed countless lives of young children have largely disappeared. The US vaccine programme has been underpinned by consistent, evidence-based scientific recommendations from the Advisory Committee on Immunization Practices (ACIP) since 1964, driving these improvements in child health. . . . As a result, the USA has been a global leader in vaccine policy, with one of the most comprehensive immunisation programmes in the world, serving as a model for science-based vaccine programmes. . . .
Since June, 2025, members of the ACIP have been replaced by a new panel whose credentials in vaccine science, public health, or immunology have been questioned. . . .
At its meetings in June, September, and December, 2025, discussions at the ACIP have included a focus on already debunked myths about vaccine safety that unnecessarily risks seeding further vaccine hesitancy, such as links of vaccines to autism (there are none), the safety of the preservative thimerosal (there is no evidence of a risk), and its plan to initiate discussions on the safety of aluminium adjuvants (there are no known safety concerns). . . .
The role of the USA as a leading light in science-led immunisation policy is already dimmed and other countries can no longer rely on recommendations from the ACIP as a reference point for evidence-based policy decisions. They should look instead to the recommendations on immunisation from WHO. In the USA, clinicians must depend on independent organisations such as the American Academy of Paediatrics to step in. Immunisation has shielded children in the USA from the ravages of infectious disease over recent decades but they are now on the front line of a scientifically incomprehensible battle against vaccines, the casualties of which will be our children.
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“High-Dose vs Standard-Dose Influenza Vaccine in Older Adults with Diabetes” published in JAMA
In its January 12 issue, JAMA published High-Dose vs Standard-Dose Influenza Vaccine in Older Adults with Diabetes: A Secondary Analysis of the DANFLU-2 Randomized Clinical Trial. A portion of the key points appear below.
In this prespecified secondary analysis of the DANFLU-2 randomized clinical trial of 332,438 older adults, including 43,881 with diabetes, HD-IIV [high-dose inactivated influenza vaccine] was associated with reduced cardiorespiratory, cardiovascular, heart failure, influenza, and laboratory-confirmed hospitalizations compared with SD-IIV [standard-dose IIV], irrespective of diabetes status. . . .
The trial results suggest that HD-IIV may offer incremental protection compared with SD-IIV against cardiovascular and influenza-related outcomes in individuals with and without diabetes.
Upcoming Events
Virtual: Register for Immunize.org Website Office Hours. Join a 30-minute discussion about our new Official Guidance: Healthcare Professional Organization Schedules content on February 11 at 4:00 p.m. (ET) or February 12 at 12:00 p.m. (ET). Recorded sessions are archived.
To learn simple tips and tricks for using our websites efficiently, please register for our next set of Website Office Hours on Wednesday, February 11, at 4:00 p.m. (ET) or Thursday, February 12, at 12:00 p.m. (ET). The same content will be covered in both sessions.
We will open each 30-minute session with a short, live demonstration on navigating our new Official Guidance: Healthcare Professional Organization Schedules website section. You can submit questions when you register or live on Zoom during the session.

Register today for Immunize.org Website Office Hours (content is the same for both):
The archive of previous Website Office Hours content is posted at Immunize.org’s "Webinars & Videos" page.
Mark your calendar for future Immunize.org Website Office Hours.
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