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Child/Adolescent Immunization Schedule for 2016

ACIP offers practice recommendations

The Advisory Committee on Immunization Practices (ACIP) has approved the recommended immunization schedule for persons aged 0 through 18 years in the US. For 2016, the figures, footnotes, and tables are published on the CDC immunization schedule website. Changes to the 2016 figures from the previous schedule are as follows:

• In Figure 1, “Recommended Immunization Schedule for Persons Aged 0 through 18 Years,” the order of the vaccines was changed to group vaccines by the recommended age of administration. The order was also changed within the footnotes.

• A purple bar was added for Haemophilus influenzae type b (Hib) vaccine for children aged 5 to 18 years, denoting the recommendation to vaccinate certain children at high risk in this age group who are unimmunized.

• A purple bar was added for human papillomavirus (HPV) vaccine for children aged 9 to 10 years, denoting the recommendation to vaccinate children at high risk in this age group, including children with a history of sexual abuse.

• A new row was added for Meningococcal B vaccine. This row contains a purple bar denoting the recommendation to vaccinate certain persons at high risk aged 10 years and older. This row also contains a blue bar denoting the recommendation for administration to groups not at high risk (subject to individual clinical decision making) for persons aged 16 through 23 years (the preferred age range is 16–18 years).

• In Figure 2, “Catch-up immunization schedule for persons aged 4 months through 18 years who start late or who are more than 1 month behind,” Tdap/Td was added to the list of possible previous vaccines in the Tdap line for children aged 7 years and older, dose 2 to dose 3 column.

Citation: Robinson CL. Advisory Committee on Immunization Practices recommended immunization schedules for persons aged 0 through 18 years — United States, 2016. MMWR Morb Mortal Wkly Rep 2016;65:86–87. doi: http://dx.doi.org/10.15585/mmwr.mm6504a4.

Commentary: The annual revision of the childhood immunization schedule is now released and worth, as always, a careful look. The major change is the addition of the MenB vaccine, some details of which are outlined above and in the commentary to this week’s the adult vaccine schedule. —Neil Skolnik, MD