Notes from the Field: Rollout of Nirsevimab to Protect Infants and Young Children During the Respiratory Syncytial Virus Season — New York City, 2023–2024

• 2024

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• Melanie Askari; Kristin Oliver; Denise Benkel; Melissa Mickle-Hope; Vincent Tam; Marisa Langdon-Embry
PMID: 39636800DOI: https://doi.org/10.15585/mmwr.mm7348a4

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This analysis reviewed nirsevimab dosing based on Vaccines for Children (VFC) eligibility in New York City during the 2023–24 RSV season. A nirsevimab shortage in October 2023 affected the market and VFC program. CDC recommended prioritizing high-risk infants, changing the allocation strategy. In NYC, most children get free immunizations. An assessment showed only 1/3 of birthing hospitals followed the distribution plan, with 37% VFC-eligible and 45% non-eligible infants receiving nirsevimab in the first week. Hospitals should join VFC, provide nirsevimab to eligible infants before discharge for better public health.

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Tags

Focus Area: Infectious Disease

Audiences: Nurses; Physicians; Public Health Professionals

Emergency Management Stage: Preparedness (Prevention / Protection)

Collection: Nirsevimab Library

Keywords: Immunization; Infant, Newborn; New York City; Public Health; Respiratory Syncytial Virus Infections; Respiratory Syncytial Viruses; Resource Allocation; Immunization Programs; Respiratory Syncytial Virus, Human; Antibodies, Monoclonal, Humanized

Institutions: New York City Department of Health and Mental Hygiene; Centers for Disease Control and Prevention (CDC)

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