Lessons learned from making and implementing vaccine recommendations in the US

After publication of certain vaccine recommendations made by the Advisory Committee on Immunization Practices, several unexpected events have occurred during implementation of these recommendations. These have included changes in recommendations following adverse events involved with a particular vaccine and the conferral of community protection as an offshoot of vaccination of a specific population. Vaccine shortages and hesitancy have also been proven impediments to full implementation, and vaccine recommendations have not gone unaffected by either public perception of a vaccine Or by cost considerations. (C) 2015 by American Journal of Preventive Medicine and Elsevier Ltd. All rights reserved.