Publications by authors named "R S Schechter"

Before October 2024, the Advisory Committee on Immunization Practices (ACIP) recommended use of a pneumococcal conjugate vaccine (PCV) for all adults aged ≥65 years, as well as for those aged 19-64 years with risk conditions for pneumococcal disease who have not received a PCV or whose vaccination history is unknown. Options included either 20-valent PCV (PCV20; Prevnar20; Wyeth Pharmaceuticals) or 21-valent PCV (PCV21; CAPVAXIVE; Merck Sharp & Dohme) alone or 15-valent PCV (PCV15; VAXNEUVANCE; Merck Sharp & Dohme) in series with 23-valent pneumococcal polysaccharide vaccine (PPSV23; Pneumovax23; Merck Sharp & Dohme). There are additional recommendations for use of PCV20 or PCV21 for adults who started their pneumococcal vaccination series with 13-valent PCV (PCV13; Prevnar13; Wyeth Pharmaceuticals).

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Article Synopsis
  • COVID-19 vaccinations, particularly the newly recommended monovalent XBB.1-strain vaccines for all individuals 6 months and older, are vital for protection against severe illness and death from COVID-19, especially as new strains like Omicron JN.1 and KP.2 are spreading in the U.S.! -
  • As vaccine effectiveness decreases over time, the ACIP has advised that everyone 6 months and older should receive the 2024-2025 COVID-19 vaccines, which have been approved or authorized by the FDA, including those from Moderna and Pfizer-BioNTech for ages 12 and up, and under Emergency Use Authorization for younger children!* -
  • The FDA also authorized Novava
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  • On June 17, 2024, the FDA approved the 21-valent pneumococcal conjugate vaccine (PCV21) for adults 18 and older, introducing eight new serotypes not in other vaccines.
  • The ACIP recommends PCV21 for all adults 65 and older, and for those aged 19-64 with specific health risks if they haven't been previously vaccinated or their vaccination status is unknown.
  • ACIP recommends a single dose of PCV21 for adults 19 and older, while maintaining previous indications and guidelines for other pneumococcal vaccines.
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There is a public health need to understand how different frequencies of COVID-19 booster vaccines may mitigate the risk of severe COVID-19, while accounting for waning of protection and differential risk by age and immune status. By analyzing United States COVID-19 surveillance and seroprevalence data in a microsimulation model, here we show that more frequent COVID-19 booster vaccination (every 6-12 months) in older age groups and the immunocompromised population would effectively reduce the burden of severe COVID-19, while frequent boosters in the younger population may only provide modest benefit against severe disease. In persons 75+ years, the model estimated that annual boosters would reduce absolute annual risk of severe COVID-19 by 199 (uncertainty interval: 183-232) cases per 100,000 persons, compared to a one-time booster vaccination.

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Surveillance data can provide rapid, within-season influenza vaccine effectiveness (VE) estimates to guide public health recommendations. Mandatory reporting of influenza vaccine administration to California's immunization information registry began January 1, 2023, and mandatory reporting of all influenza laboratory test results, including negative results, was instituted in California on June 15, 2023. These data, collected by the California Department of Public Health during October 1, 2023-January 31, 2024, were used to calculate interim influenza VE against laboratory-confirmed influenza by comparing the odds of vaccination among case-patients (persons who received a positive influenza laboratory test result) and control patients (those who received a negative influenza laboratory test result).

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