Changes to the 2016 Childhood and Adolescent Immunization Schedule February 5, 2016 H. Cody Meissner, MD, FAAP Professor of Pediatrics Tufts Medical Center Tufts University School of Medicine

Disclaimers I have no relevant financial relationships with the manufacturer(s) of any commercial product(s) discussed in this presentation. I may discuss the use of vaccines in a manner not consistent with the Package Insert, but all recommendations are in accordance with recommendations from the Advisory Committee on Immunization Practices (ACIP) and American Academy of Pediatrics (AAP). Statements and opinions expressed are those of the authors and not necessarily those of the AAP.

Haemophilus influenzae type b A purple bar was added for children 5 through 18 years of age to emphasize the recommendation to vaccinate certain high risk children in this age group who are unimmunized. Unimmunized is defined as a person who has not received a primary series and booster or at least 1 dose of Haemophilus influenzae type b vaccine after 14 months of age. High risk includes functional or anatomic asplenia and HIV infected children and adolescents.

Human Papillomavirus (HPV) Vaccine A purple bar was added for children starting at 9 years of age with a history of sexual abuse. HPV vaccination should begin at age 9 years for children and youth with any history of sexual abuse or assault.

Meningococcal B Vaccines A new row was added to the schedule with a purple bar to indicate that certain high risk people 10 years of age or older should be vaccinated. A blue bar indicates a permissive recommendation for vaccination of non-high risk people 16 through 18 years of age.

Hepatitis B Vaccine A footnote was revised to indicate a change in post-vaccination serologic testing for infants born to HBsAg positive mothers. Post-vaccination serologic testing is recommended at 9 to 12 months instead of 9 to 18 months.

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