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Infant meningococcal vaccination: Advisory Committee on Immunization Practices (ACIP) recommendations and rationale
Insights
The Advisory Committee on Immunization Practices recommends the Hib-MenCY-TT vaccine for infants at higher risk of meningococcal disease caused by serogroups C and Y. This vaccine protects against Haemophilus influenzae type b and specific meningococcal serogroups.
Area of Science:
- Immunology
- Vaccinology
- Public Health
Background:
- Meningococcal disease poses a significant risk, particularly to infants.
- Existing vaccines had limitations for infant immunization against specific serogroups.
- The Advisory Committee on Immunization Practices (ACIP) reviews vaccine recommendations.
Purpose of the Study:
- To summarize ACIP's deliberations and rationale for recommending a new vaccine.
- To provide guidance on the use of Hib-MenCY-TT in at-risk infants.
- To detail the approved indications for Hib-MenCY-TT.
Main Methods:
- Review of ACIP meeting proceedings and vaccine data.
- Analysis of licensure information for Hib-MenCY-TT and other meningococcal vaccines.
- Evaluation of disease epidemiology and risk factors.
Main Results:
- ACIP recommended Hib-MenCY-TT for infants 6 weeks to 18 months at increased risk for serogroups C and Y meningococcal disease.
- Hib-MenCY-TT is licensed for protection against Haemophilus influenzae type b and meningococcal serogroups C and Y.
- It is not indicated for serogroup B, W135, or A, and no prior conjugate vaccine was licensed for infants under 8 months.
Conclusions:
- Hib-MenCY-TT provides crucial protection for at-risk infants against specific meningococcal serogroups.
- The recommendation addresses a gap in infant meningococcal conjugate vaccination.
- Understanding vaccine indications is vital for effective disease prevention.
Abstract:
At its October 2012 meeting, the Advisory Committee on Immunization Practices (ACIP) voted to recommend vaccination against meningococcal serogroups C and Y for children aged 6 weeks through 18 months at increased risk for meningococcal disease. Meningococcal groups C and Y and Haemophilus b tetanus toxoid conjugate vaccine (Hib-MenCY-TT [MenHibrix, GlaxoSmithKline Biologicals]) is licensed for active immunization for prevention of invasive disease caused by Haemophilus influenzae type b (Hib) and meningococcal serogroups C and Y. Hib-MenCY-TT is not indicated for prevention of disease caused by meningococcal serogroup B, the most common serogroup causing disease in infants, or serogroups W135 or A, which are represented in quadrivalent meningococcal vaccines. Before licensure of Hib-MenCY-TT, no meningococcal conjugate vaccine was licensed for infants aged 2 through 8 months. MenACWY-D (Menactra, Sanofi Pasteur) is licensed as a 2-dose series for infants and toddlers aged 9 through 23 months, and MenACWY-D and MenACWY-CRM (Menveo, Novartis Vaccines) are licensed for persons aged 2 through 55 years as a single dose. These vaccines are recommended routinely for persons aged 11 through 18 years and persons aged 2 through 55 years at increased risk for meningococcal disease (and persons aged 9 months through 55 years for MenACWY-D). This report summarizes the deliberations of ACIP, the rationale for its decision, and recommendations for use of Hib-MenCY-TT in infants at increased risk for meningococcal disease.
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