July 11, 2024

Contagious Chronicles: Updated Recommendations for Respiratory Season

In this episode, NFID experts discuss updated recommendations from the Centers for Disease Control and Prevention (CDC) to help protect against COVID-19, influenza (flu), respiratory syncytial virus (RSV), and pneumococcal disease, in preparation for the upcoming respiratory season.

Key highlights:

  • COVID-19:
    • Everyone age 6 months and older should get the most recent vaccine if not already vaccinated since September 2023
    • Adults age 65 years and older and immunocompromised individuals may need additional doses
    • New vaccines focusing on Omicron variants are expected in late summer/early fall
  • Influenza (Flu):
    • Everyone age 6 months and older should get an annual flu vaccination with an age-appropriate vaccine
    • High-dose, adjuvanted, or recombinant vaccines are preferred for those age 65 years and older
    • New recommendation: High-dose or adjuvanted vaccines for organ transplant recipients age 18-64 years
  • Respiratory Syncytial Virus (RSV):
    • Updated recommendations for older adults: Single dose for adults age 75 years and older and those age 60-74 years with risk factors
    • RSV vaccine is recommended for pregnant women (32-36 weeks) to protect infants via maternal immunization
    • Infants born to unvaccinated mothers should receive monoclonal antibody nirsevimab
  • Pneumococcal Disease:
    • Pneumococcal bacteria are a common cause of pneumonia, meningitis, and bloodstream infections
    • Adults age 65 years and older and those with chronic health conditions should receive pneumococcal vaccination
    • New vaccine PCV21 tailored for strains causing disease in adults
  • General Guidance:
    • Everyone age 6 months and older needs an updated COVID-19 and flu vaccine this fall/winter
    • High-risk individuals should also discuss RSV vaccination with a trusted healthcare professional


If you have a burning question for an NFID expert, please submit it via the online form. Your question may show up in a future episode of Contagious Chronicles.