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COVID-19 Vaccines in Children
Danielle Fayad1, Robert W Frenck1
1Division of Infectious Diseases, Department of Pediatrics, Cincinnati Children's Hospital, University of Cincinnati, Cincinnati, OH 45221, USA.
Insights
Updated COVID-19 vaccines targeting Omicron-XBB.1.5 offer enhanced protection against prevalent SARS-CoV-2 variants. These vaccines are safe and effective for children and adolescents, safeguarding against severe illness.
Area of Science:
- Public Health
- Infectious Diseases
- Vaccinology
Background:
- The COVID-19 pandemic significantly impacted global health across all age groups.
- While severe outcomes were more common in adults, the effects on children became a focus.
- Genomic surveillance identified SARS-CoV-2 XBB sublineages as dominant variants by September 2023.
Purpose of the Study:
- To update COVID-19 vaccination recommendations based on current circulating SARS-CoV-2 variants.
- To ensure continued protection against evolving strains of the virus, particularly in pediatric populations.
Main Methods:
- Ongoing genomic surveillance of SARS-CoV-2 specimens.
- Analysis of circulating variant data to inform vaccine strain selection.
- Review of vaccine efficacy and safety data for pediatric populations.
Main Results:
- SARS-CoV-2 XBB sublineages represented over 99% of sequenced specimens in the US as of September 2023.
- Vaccination recommendations were updated to a 2023-2024 Omicron-XBB.1.5-adapted monovalent vaccine.
- COVID-19 vaccines demonstrated safety and efficacy in preventing illness and severe outcomes in children and adolescents.
Conclusions:
- The updated monovalent COVID-19 vaccine provides heightened protection against current XBB-sublineage variants.
- COVID-19 vaccination remains a critical tool for protecting children and adolescents from severe disease.
- Continued monitoring and adaptation of vaccines are essential for pandemic control.
Abstract:
The COVID-19 pandemic has left an indelible mark on global health, affecting individuals of all ages across diverse communities. While the virus has predominantly been associated with severe outcomes in adults, its impact on children has garnered increasing attention. Today, three COVID-19 vaccines are available for use in the U.S. and recommended by the Advisory Committee on Immunization Practices (ACIP). As of September 2023, ongoing genomic surveillance identified SARS-CoV-2 XBB sublineages as the most common circulating SARS-CoV-2 variants, constituting over 99% of sequenced SARS-CoV-2 specimens in the US. Recently, recommendations for COVID-19 vaccination were updated accordingly to the 2023-2024 Omicron-XBB.1.5-adapted monovalent COVID-19 vaccine to provide heightened protection against currently circulating SARS-CoV-2 XBB-sublineage variants. COVID-19 vaccines have proven to be safe, efficacious, and effective at protecting against COVID-19 and preventing severe illness in children and adolescents.
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