US medical groups advise broader COVID and flu vaccination during unsettled autumn season

Leading US medical organisations have issued new autumn vaccine guidance, urging families to act now on flu, COVID-19 and RSV protections amid ongoing federal uncertainties, with updates on vaccine options and target groups.

Leading US medical organisations have stepped in with fresh autumn vaccine advice as federal guidance remains unsettled, urging families to act now on flu, COVID-19 and RSV protection. The American Academy of Pediatrics, the American Academy of Family Physicians, the American College of Obstetricians and Gynecologists and the Infectious Diseases Society of America each issued recommendations for their own patient groups, saying the aim is to replace confusion with clearer, science-based direction.

For influenza, the message is broad and familiar: almost everyone aged six months and older should be vaccinated, with particular urgency for older adults, pregnant women, young children and people with chronic conditions such as asthma, diabetes, heart disease or weakened immune systems. The Centres for Disease Control and Prevention has said annual flu vaccination remains recommended for people in that age group, and public health experts note that the last two seasons were unusually severe for children, with many of the deaths occurring in youngsters who had not been vaccinated.

This year also brings a wider menu of flu options. Doctors say seniors can choose from enhanced vaccines designed to offer stronger protection, and adults aged 50 and over now have access to a new mRNA-based flu shot, which one study found was more effective than a standard dose in adults aged 50 to 64. For people aged two to 49 who meet the health criteria, the nasal spray option remains available. The new trivalent flu vaccines for the 2025-26 season protect against three main influenza strains, and the CDC says vaccination is available in both injection and nasal spray forms depending on age and health status.

On COVID-19, professional societies are urging wider use than the federal label currently suggests. While the Food and Drug Administration has formally cleared this season’s updated shots mainly for older adults and younger people with higher-risk conditions, family doctors, paediatricians and obstetricians still recommend vaccination for most adults, for children in the youngest age bands or those at higher risk, and for pregnant patients. They also say the vaccines can be timed a few weeks before a major trip or family event. For RSV, the guidance is more targeted: vaccination is recommended for older adults at higher risk, for people with weakened immune systems, and in late pregnancy to help protect newborns. The shots are widely available at pharmacies, with Medicare and most private insurers expected to cover them.

Disclaimer: This content is for informational purposes only and is not intended to be a substitute for professional medical judgment, advice, diagnosis, or treatment.