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June 28, 2024


MnVFC program enrolling hospitals for nirsevimab (Beyfortus)

Now is the time to enroll in the Minnesota Vaccines for Children (MnVFC) Program if your hospital plans to administer nirsevimab (Beyfortus) to newborns in the 2024-2025 season. Nirsevimab is a preventive monoclonal antibody product that can help protect babies and young children from severe disease from a respiratory syncytial virus (RSV) infection. Immunizing newborns in the hospital before discharge is a best practice as it reduces missed opportunities. For more information or to contact the Minnesota department of Health (MDH), email health.mnvfc@state.mn.us.

Please share this information with your hospital who may not receive this newsletter.


Flu doses expiration

Most influenza vaccine for the 2023-2024 season will expire on June 30. Check your stock and make note of its expiration date. After June 30, you can report expired MnVFC or Uninsured and Underinsured Adult Vaccine (UUAV) flu doses by selecting report nonviable vaccine in the Minnesota Immunization Information Connection (MIIC) . Visit Reporting Nonviable MDH Vaccine to MIIC (PDF) to see our user guide.


ACIP update

The CDC’s Advisory Committee on Immunization Practices (ACIP) voted to approve the recommendations below at meetings on June 26 and 27. This information will be added to the addenda of the adult and child immunization schedules after adoption by the CDC director. To find the official recommendations and meeting details, visit CDC: Advisory Committee on Immunization Practices (ACIP).

Vaxelis (Pediatric DTaP-IPV-Hib-HepB combination vaccine)

  • Vaxelis should be included with PRP-OMP (PedvaxHIB) in the preferential recommendation for American Indian and Alaska Native infants based on Haemophilus influenzae type b Hib component.

Respiratory Syncytial Virus (RSV) Vaccine for older adults

  • ACIP recommends adults 75 years and older receive a single dose of RSV vaccine.
  • ACIP recommends adults 60-74 years old who are at increased risk of severe RSV disease receive a single dose of RSV vaccine.
  • These recommendations replace the previous shared clinical decision-making recommendation.
  • Note: If an adult received RSV vaccine last year, they do not need to receive another dose this year.

COVID-19

  • ACIP recommends 2024-2025 COVID-19 vaccines as authorized or approved by FDA in persons 6 months of age. and older.

Pneumococcal (Adults)

  • ACIP recommends PCV21 as an option for adults age 19 years and older who currently have a recommendation to receive a dose of PCV.

Influenza

  • Routine annual influenza vaccination is recommended for all persons age 6 months and older without contraindications.
  • ACIP recommends high-dose inactivated (HD-IIV3) and adjuvanted inactivated (aIIV3) influenza vaccines as acceptable options for influenza vaccination of solid organ transplant recipients ages 18 through 64 years who are receiving immunosuppressive medication regimens, without a preference over other age-appropriate IIV3s or RIV3.

FDA makes and changes its COVID-19 vaccine strain recommendation

The Food and Drug Administration (FDA)’s Vaccines and Related Biological Products Advisory Committee (VRBPAC) voted to recommend a JN.1-lineage (monovalent) vaccine composition for the 2024-2025 formula of COVID-19 vaccines on June 5. The JN.1 strain was dominant last winter but new subvariants of JN.1 (KP.2 and KP.3) have been on the rise since March 2024. Pfizer and Moderna presented data on JN.1 and KP.2 mRNA vaccines. Novavax presented data on a JN.1 recombinant protein vaccine.

The FDA advised vaccine manufacturers of the monovalent JN.1 vaccine composition decision on June 6.

On June 13, after further monitoring of circulating SARS-CoV-2 strains, the FDA changed their strain recommendation and advised vaccine manufacturers to provide COVID-19 vaccines that target the KP.2 variant instead of the JN.1 lineage, if feasible. Both Moderna and Pfizer have developed KP.2 mRNA vaccines that could be available in August.

According to Novavax, it takes approximately 6 months to develop a recombinant protein vaccine and they would not be able to have a KP.2 vaccine available in time for fall. The JN.1 vaccine data presented by Novavax showed effectiveness against multiple variants including KP.2 and KP.3 and their vaccine could be available in mid-July.


Mpox awareness

Mpox cases continue to occur globally and in Minnesota, with 10 cases in Minnesota this year. Free vaccine clinics are planned at Pride and other events this summer. The mplspox.com: Minneapolis Mpox Taskforce: providing resources for prevention and treatment of MPX in the Twin Cities is an excellent resource for patients. It provides information on mpox prevention and treatment in the Twin Cities as well as clinic locations and availability throughout the state.

If your patient population includes people who are recommended for the vaccine, consider offering Jynneos vaccine in your practice. Jynneos is now available on the commercial market for privately insured people. Visit Mpox Vaccine in Minnesota for more information and look for future updates on vaccine availability for eligible patients through the MnVFC and the UUAV programs.


MIIC reminder/recall

Minnesota Department of Health will be sending out reminder letters in late June and early July to families of 13- to 16-year-olds, who are overdue or recommended for a dose of HPV, Tdap, or MenACWY. These reminders may increase calls for immunization visits. We encourage providers to notify clinic staff of the letters and make sure they have enough vaccine on hand. If you have any questions, contact the MIIC Help Desk at health.miichelp@state.mn.us.

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