{"id":76816,"date":"2024-07-10T08:51:27","date_gmt":"2024-07-10T14:51:27","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=76816"},"modified":"2025-01-06T16:18:05","modified_gmt":"2025-01-06T23:18:05","slug":"federal-health-experts-adopt-new-guidelines-for-adult-rsv-vaccines","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/federal-health-experts-adopt-new-guidelines-for-adult-rsv-vaccines\/","title":{"rendered":"Federal health experts adopt new guidelines for adult RSV vaccines. Who should get them?"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_76815\" aria-describedby=\"caption-attachment-76815\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-76815\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2024\/07\/09151910\/GettyImages-498115821-hispanic-couple-web.webp\" alt=\"Adults ages 75 and older should get a single dose of an adult RSV vaccine. People ages 60 to 74 who have health complications should also get vaccinated. Photo: Getty Images.\" width=\"640\" height=\"462\" \/><figcaption id=\"caption-attachment-76815\" class=\"wp-caption-text\">Adults ages 75 and older should get a single dose of an adult RSV vaccine. People ages 60 to 74 who have health complications should also get vaccinated. Photo: Getty Images.<\/figcaption><\/figure>\n<p>Federal health experts have issued new guidelines for adult RSV vaccines, and some people may be confused since this year\u2019s advice is a little different than last year\u2019s.<\/p>\n<p>So, who should get an RSV vaccine? How are the newest guidelines different from last year\u2019s RSV vaccine recommendations, and how often do older adults need to get an RSV vaccine?<\/p>\n<p>To better understand RSV vaccines for adults, we consulted with Dr. Michelle Barron, UCHealth\u2019s\u00a0<a href=\"https:\/\/www.uchealth.org\/provider\/michelle-barron-md\/\">senior medical director of infection prevention and control<\/a>.<\/p>\n<p>Barron said it\u2019s excellent that there are now RSV vaccines for at-risk older adults. The vaccines were first approved in 2023, and if you\u2019ve already gotten a single dose of an RSV vaccine, you don\u2019t need to worry about getting another dose now.<\/p>\n<p>\u201cYou should be good. At this point in time, a single shot is considered a lifetime dose, so you should not get another one,\u201d Barron said. \u201cThe new guidelines only apply to people who didn\u2019t get an RSV vaccine last year and are wondering if they would benefit from getting one this year.\u201d<\/p>\n<p>Health experts are encouraging people who could get sickest from RSV to get the new vaccines. People ages 75 and older and those ages 60 and older who have serious health conditions are most at risk if they get RSV and should consider getting the vaccine, Barron said.<\/p>\n<p>\u201cIt\u2019s wonderful anytime we can prevent a disease from becoming severe, and preventing hospitalizations is definitely worthwhile, said Barron, who is also\u00a0<a id=\"\" href=\"https:\/\/som.cuanschutz.edu\/Profiles\/Faculty\/Profile\/8603\" target=\"_blank\" rel=\"noopener\">a professor<\/a>\u00a0at the\u00a0<a id=\"\" href=\"https:\/\/medschool.cuanschutz.edu\/\" target=\"_blank\" rel=\"noopener\">University of Colorado School of Medicine<\/a>\u00a0on the\u00a0<a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-at-university-of-colorado-anschutz-medical-campus\/\">Anschutz Medical Campus<\/a>.<\/p>\n<p>For both medical providers and patients, the fine print about RSV vaccines can be confusing. So we went over the most frequently asked questions with Barron.<\/p>\n<h2><strong>First, what is RSV?<\/strong><\/h2>\n<p>RSV stands for Respiratory Syncytial Virus. Parents of young children may think of RSV by its more common name: croup. Along with older adults, RSV or croup can be very dangerous for newborns and young children. And parents who\u2019ve nursed sick children through a case of croup can attest to the alarming barking seal sound that children make when they\u2019re coughing or gasping for air.<\/p>\n<h2><strong>Does RSV cause serious illness for everyone?<\/strong><\/h2>\n<p>No. <a href=\"http:\/\/www.uchealth.org\/today\/how-long-is-rsv-contagious-get-facts-about-this-virus\/\">RSV can be very dangerous<\/a> for babies, young children and some older adults. But many other people likely have had RSV and didn\u2019t realize it.<\/p>\n<p>That\u2019s because RSV in older children and healthy adults can manifest with basic cold symptoms or those of bronchitis.<\/p>\n<p>\u201cFor most people, this is not a big deal,\u201d Barron said. \u201cBut in patients who are immunosuppressed because they\u2019ve had a transplant or are undergoing chemotherapy or have really bad underlying lung disease, RSV can get them into a trouble and put them in the hospital. So it\u2019s something we have to pay attention to.\u201d<\/p>\n<h2><strong>Is there an RSV vaccine for babies and children?<\/strong><\/h2>\n<p>No. There is not an RSV vaccine for infants and children. Especially vulnerable newborns \u2014 like those born prematurely \u2014 can receive a new injected medication called nirsevimab. It\u2019s a type of monoclonal antibody that babies can receive if they\u2019re born during RSV season. <a id=\"\" href=\"https:\/\/www.cdc.gov\/vaccines\/vpd\/rsv\/hcp\/child.html\" target=\"_blank\" rel=\"noopener\">Learn more about monoclonal antibodies for RSV<\/a>.<\/p>\n<h2><strong>What about those who are pregnant? Should they get an RSV vaccine?<\/strong><\/h2>\n<p>Yes. For pregnant women who are due to deliver babies during the winter months \u2014 when RSV most commonly peaks \u2014 medical experts recommend one dose of an RSV vaccine at 32 to 36 weeks of pregnancy.<\/p>\n<h2><strong>So what are the new guidelines for adult RSV vaccines?<\/strong><\/h2>\n<p>Medical advisers to the U.S. Centers for Disease Control and Prevention (CDC) who are part of the <a id=\"\" href=\"https:\/\/www.cdc.gov\/acip\/?CDC_AAref_Val=https:\/\/www.cdc.gov\/vaccines\/acip\/index.html\" target=\"_blank\" rel=\"noopener\">CDC\u2019s Advisory Committee on Immunization Practices<\/a> voted on June 26 to revise guidance related to adult RSV vaccines. Leaders at the CDC then adopted these new guidelines.<\/p>\n<p>Here are the newest recommendations for RSV vaccines for adults:<\/p>\n<ul>\n<li>Everyone ages 75 and older is at greater risk of getting severely ill with RSV and should get a single dose of an RSV vaccine.<\/li>\n<li>People ages 60 to 74 should get an RSV vaccine if they have health complications including the following:\n<ul>\n<li>Heart disease<\/li>\n<li>Lung disease including asthma, emphysema and COPD or chronic obstructive pulmonary disease<\/li>\n<li>Diabetes with end-stage organ damage<\/li>\n<li>Severe obesity (a body mass index or BMI greater than 40)<\/li>\n<li>Chronic kidney disease<\/li>\n<li>Liver disorders<\/li>\n<li>Illnesses like sickle cell disease<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>In addition, experts encourage people who are immunocompromised, such as transplant recipients, to get the RSV vaccine. And people living in nursing homes and long-term care facilities should also get a single dose of the RSV vaccine since the virus can spread quickly and cause serious illness to people living in elder care facilities.<\/p>\n<p>\u201cOlder people who get RSV infections tend to end up in the hospital and can have complications once they\u2019re hospitalized,\u201d Barron said. \u201cThe new guidelines make sense in that they\u2019re trying to target the people who are at highest risk.\u201d<\/p>\n<p>People who have questions about whether they should get an RSV vaccine should talk with their doctors.<\/p>\n<figure id=\"attachment_71572\" aria-describedby=\"caption-attachment-71572\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-71572\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2023\/08\/31123629\/Dr.-Barron-seated-portrait-tiny.webp\" alt=\"Dr. Michelle Barron provides information on new RSV vaccines for older adults. Photo by Sonya Doctorian.\" width=\"640\" height=\"432\" \/><figcaption id=\"caption-attachment-71572\" class=\"wp-caption-text\">Dr. Michelle Barron said RSV is especially dangerous for young babies and older adults. There&#8217;s not an RSV vaccine for kids yet, but older adults should consider getting one dose of the new RSV vaccines. Photo by Sonya Doctorian.<\/figcaption><\/figure>\n<h2><strong>How did the guidelines for RSV vaccines change in 2024 compared to 2023?<\/strong><\/h2>\n<p>Last year\u2019s guidelines for RSV vaccines encouraged \u201cshared decision making\u201d for people ages 60 and older. Those guidelines spurred confusion both for medical providers and patients who weren\u2019t certain who should get an RSV vaccine.<\/p>\n<p>In addition, RSV vaccines are relatively expensive. For people without insurance, they can cost about $400 per dose, and a very small percentage of people can experience a serious side effect called <a href=\"https:\/\/www.uchealth.org\/today\/guillain-barre-syndrome-diagnosis-an-immune-attack-on-the-nerves\/\">Guillain-Barr\u00e9 syndrome<\/a>.<\/p>\n<p>When medical experts reviewed RSV vaccines this year, they decided to focus on the people who needed them most: those ages 75 and older and those who are dealing with serious underlying health conditions.<\/p>\n<p>Dr. Oliver Brooks is the chief medical officer for Watts HealthCare Corporation in Los Angeles and is a member of the CDC advisory committee for vaccines.<\/p>\n<p>During a recent meeting of the advisers, Brooks said it makes sense to change guidance when new information emerges.<\/p>\n<p>\u201cWe shouldn\u2019t vaccinate people who don\u2019t need the vaccine,\u201d Brooks said of the new RSV guidance. \u201cSometimes we change our minds based on data.\u201d<\/p>\n<p>Barron concurred.<\/p>\n<p>\u201cRSV is not going to have a big impact on everybody. So, from an economic perspective and as it relates to the potential for side effects, not offering this vaccine to the universe at large is probably the best answer for now,\u201d Barron said.<\/p>\n<p>She emphasized that it\u2019s normal for viruses to evolve. So, it\u2019s wise for health experts and policy makers to keep evaluating and reevaluating proper recommendations for RSV and other vaccines.<\/p>\n<p>\u201cWe may need to change the recommendations again based on what we learn five years from now,\u201d Barron said. \u201cWe\u2019ll continue to evaluate as we go along.\u201d<\/p>\n<h2><strong>What\u2019s the ideal time for an adult to get an RSV vaccine?<\/strong><\/h2>\n<p>The best time to get an RSV vaccine is in the late summer or early fall before RSV starts to spread widely during the winter respiratory virus season.<\/p>\n<h2><strong>If I\u2019m supposed to get an RSV vaccine, should I get a dose every year like I do for flu and COVID-19 vaccines?<\/strong><\/h2>\n<p>No. For now, medical experts advise people who qualify for RSV vaccines to get a single dose.<\/p>\n<p>Barron said medical experts will continue to monitor the long-term effectiveness of the new RSV vaccines. If the effect of the vaccine wanes over time \u2014 as is typical for other vaccines, <a href=\"https:\/\/www.uchealth.org\/today\/everything-you-need-to-know-about-the-2024-25-covid-19-vaccine\/\">like those for flu and COVID-19<\/a> \u2014 it\u2019s possible that federal health authorities will recommend booster doses of RSV sometime in the future.<\/p>\n<h2><strong>Were there shortages of RSV vaccines last year?<\/strong><\/h2>\n<p>\u201cNo. There were no shortages of the (adult) RSV vaccine,\u201d Barron said.<\/p>\n<p>There were some shortages of the monoclonal antibodies that help prevent RSV in infants and young children, and some people may have mixed up those treatments with the adult RSV vaccines.<\/p>\n<p>\u201cThe monoclonal antibody is not a vaccine. But since it\u2019s for prevention of RSV, some people may have bunched the two together,\u201d Barron said.<\/p>\n<p>People who need an RSV vaccine this fall shouldn\u2019t have any trouble getting it, Barron said.<\/p>\n<h2><strong>If I need an RSV vaccine, is it OK to get it at the same time as I get my annual flu and COVID-19 vaccines this fall?<\/strong><\/h2>\n<p>Yes. It\u2019s safe to get multiple vaccines at the same time.<\/p>\n<p>Barron is a big fan of convenience. She encourages her patients not to worry too much about the exact timing of their vaccines. If you\u2019re already seeing your doctor this fall, go ahead and get your vaccines at that time. (<a href=\"https:\/\/www.uchealth.org\/today\/everything-you-need-to-know-about-the-2024-25-covid-19-vaccine\/\">Learn all about the new 2024-25 COVID-19 vaccine that people should get this fall<\/a>.)<\/p>\n<h2><strong>How common is RSV?<\/strong><\/h2>\n<p>RSV is probably much more common that we know. That\u2019s because it\u2019s unusual to test for RSV unless a child or adult gets so sick that they need to be hospitalized.<\/p>\n<p>\u201cWe know that kids are disproportionately affected by RSV, and most parents will get it if their kids get the croup,\u201d Barron said.<\/p>\n<p>\u201cBut if you come in to see your doctor, and you say, I have a cold or bronchitis, we might give you something for it, but we\u2019re not typically going to test for RSV. So that\u2019s the end of the story,\u201d she said.<\/p>\n<p>It\u2019s more common these days to test for RSV, especially for anyone who needs hospital care. But additional data in the future may provide a more complete picture of how widespread RSV infections area.<\/p>\n<h2><strong>What are the names of RSV vaccines?<\/strong><\/h2>\n<p>The U.S. Food and Drug Administration (FDA) <a id=\"\" href=\"https:\/\/www.uchealth.org\/today\/federal-health-experts-adopt-new-guidelines-for-adult-rsv-vaccines\/\" target=\"_blank\" rel=\"noopener\">approved the first RSV vaccine in May of 2023<\/a>. It\u2019s called Arexvy, and the drug manufacturer is GlaxoSmithKline.<\/p>\n<p>FDA officials approved a second RSV drug last year. Pfizer created a drug called Abryzvo. It\u2019s currently <a id=\"\" href=\"https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-first-vaccine-pregnant-individuals-prevent-rsv-infants\" target=\"_blank\" rel=\"noopener\">the only RSV vaccine which is approved for use during pregnancy<\/a>.<\/p>\n<p>There\u2019s also a third vaccine aimed at fighting RSV. It\u2019s called mResvia, is made by Moderna and received FDA approval in May of 2024.<\/p>\n<h2><strong>Why are RSV vaccines important?<\/strong><\/h2>\n<p>In older adults, RSV can cause serious illness, hospitalization and deaths. For people in high-risk groups, the new RSV vaccines can keep people healthy or if a person gets RSV, the symptoms likely will be milder.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Federal health experts have issued new guidelines for adult RSV vaccines, and some people may be confused since this year\u2019s advice is a little different than last year\u2019s. So, who should get an RSV vaccine? How are the newest guidelines different from last year\u2019s RSV vaccine recommendations, and how often do older adults need to [&hellip;]<\/p>\n","protected":false},"author":2123,"featured_media":76815,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[8],"tags":[392,162,351,9171,9038],"class_list":["post-76816","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-infection-prevention","tag-infectious-diseases","tag-primary-care","tag-senior-care","tag-vaccines"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Health experts adopt new guidelines for adult RSV vaccines - UCHealth Today<\/title>\n<meta name=\"description\" content=\"Federal health experts issued new guidelines for adult RSV vaccines. 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