Vaccines > MCV4
Q&As
about Meningococcal Conjugate Vaccine
(MCV4) during a time of limited supply
Meningococcal (Groups A, C, Y and W-135) Conjugate
Vaccine
- Who
should be vaccinated with MCV4 during
the current supply limitation?
- Why
is there a limited supply of MCV4 now?
- Why
were interim recommendations for MCV4
implemented?
- Is
there enough vaccine available for all
of the recommended groups?
- I
am a parent. If my 11 year-old does
not receive MCV4 this year, is he/she
at risk for meningococcal disease?
- If
my child does not need MCV4 at 11-12
years of age, then why was it recommended
at this age before the limited supply
of vaccine?
- I
am a provider. What should I do with
persons aged 11-12 years for whom vaccination
was recommended prior to the shortage?
- If
I am a provider and I have a patient
in one of the recommended groups but
no MCV4 is available, what should I
do?
- I
am entering college this year. My doctor
does not have MCV4, but has the tetravalent
meningococcal polysaccharide vaccine.
What should I do?
- How
long will these interim guidelines be
in place?
NOTE:
Any delays or shortages of a vaccine can
be viewed on the Current
Vaccines Delays and Shortages page.
- Who
should be vaccinated with MCV4 during
the current supply limitation?
- Adolescents at high school entry (approximately 15 years of age)
- College
freshmen living in dormitories
- Why is there a limited supply of MCV4 now?
At
present, demand for MCV4 is exceeding
supply. The Advisory Committee on Immunization
Practices (ACIP) recognized that supply
might be limited during the first few years
following the original recommendations.
Adolescents at high school entry and college
freshmen living in dormitories should receive
the vaccine, while children 11-12 years
of age should be deferred until more vaccine
is available. Sanofi-Pasteur, the manufacturer
of MCV4, is working to increase production
of the vaccine.
- Why were interim recommendations for MCV4
implemented?
Because
demand for MCV4 is at its highest during
the “back to school” season,
interim recommendations were made to target
those as highest risk for disease during
this period.
- Is
there enough vaccine available for all
of the recommended groups?
It
is projected that there is enough vaccine
to meet the demand in the currently recommended
groups (using the interim guidelines);
however, all providers may not be able
to get vaccine as soon as they would like.
- I am a parent. If my 11 year-old does
not receive MCV4 this year, is he/she
at risk for meningococcal disease?
The
risk of your child getting meningococcal
disease is relatively low. The risk of
meningococcal disease begins to increase
in later adolescence. Because MCV4 supply
is currently limited, adolescents at high
school entry and college freshmen living
in dorms, who have a higher risk of disease,
should receive the vaccine. When more
MCV4 is available, your child should get
vaccinated.
- If my child does not need MCV4 at 11-12
years of age, then why was it recommended
at this age before the limited supply of vaccine?
MCV4
is a new vaccine that should provide longer-lasting
protection than the prior meningococcal
vaccine used in the US. A child who receives
the vaccine at 11-12 years of age should
be protected against most meningococcal
disease through college. The recommendation
to give the vaccine at 11-12 years of
age was made because there is a recommended
doctor’s visit at that age. Your
child will still benefit from the vaccine
if it is given when the vaccine supply
increases.
- I am a provider. What should I do with
persons aged 11-12 years for whom vaccination
was recommended prior to the shortage?
Vaccination
of persons 11-12 years of age should be
deferred until more vaccine is available.
If possible, providers are encouraged
to keep track of the children whom did
not receive MCV4 and recall those persons
when MCV4 becomes available. Those who
are unable to be reached should receive
MCV4 upon high school entry.
- If I am a provider and I have a patient
in one of the recommended groups but no
MCV4 is available, what should I do?
You
may be able to refer your patient to your
local health department if they have vaccine
available and the patient is Vaccines
for Children (VFC) eligible. You may also
contact Sanofi-Pasteur at 800-VACCINE
(800-822-2463) if you have questions about
ordering vaccine.
- I am entering college this year. My doctor
does not have MCV4, but has the tetravalent
meningococcal polysaccharide vaccine. What should I do?
In
most cases, MCV4 is preferable to the
polysaccharide vaccine because it induces
a longer-lasting immune response; however,
the polysaccharide vaccine (MPSV4) is
highly effective against meningococcal
disease caused by serogroups A, C, Y,
and W-135, and may be used instead of
MCV4. The polysaccharide vaccine is a
good alternative in persons who have brief
elevations in disease risk, such as college
freshmen living in dorms.
- How long will these interim guidelines be
in place?
Sanofi-Pasteur
expects the current vaccine supply limitation
to be resolved in the fall of 2006.
Further notice will be given when the
interim guidelines no longer need to
be followed. Updates on vaccine supply
are available on
the Current
Vaccines Delays and Shortages page.
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