February 19, 2019
The CDC has released new recommendations for the use of hepatitis A (Hep A) vaccine in individuals who are experiencing homelessness.
“This report provides recommendations for use of Hep A vaccine among persons experiencing homelessness and updates previous ACIP recommendations for Hep A vaccine that did not include homelessness as an indication for use of Hep A vaccine for preexposure protection against HAV infection,” the authors wrote.
The recommendations were based upon a review of relevant evidence supporting the inclusion of homelessness as an indication for Hep A vaccination.
The following recommendation was approved unanimously at the October 2018 meeting of the ACIP:
“All persons aged 1 year and older experiencing homelessness should be routinely immunized against hepatitis A. Routine vaccination consists of a 2-dose schedule or a 3-dose schedule when combined hepatitis A and B vaccine is administered.”
The full recommendations are available in the CDC’s Morbidity and Mortality Weekly Report.
Doshani M, Weng M, Moore KL, et al. Recommendations of the advisory committee on immunization practices for use of hepatitis A vaccine for persons experiencing homelessness. MMWR. 68(6);153–156.