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FDA Releases Flu Vaccine Guidelines Following Cancellation of Advisory Meeting


The FDA conducted a private session with its experts and officials from both the CDC and the Defense Department.

On Thursday, the U.S. Food and Drug Administration (FDA) provided guidelines to vaccine manufacturers concerning the virus strains to be included in the 2025–26 influenza vaccines. This announcement follows the cancellation of a meeting of its vaccine advisory committee that was originally planned for March 13.

Typically, the strain recommendations for flu vaccines are made with input from the FDA’s Vaccines and Related Biological Products Advisory Committee (VRBPAC). However, this year, the agency made the decision without consulting its advisers.

Instead, the FDA organized a private session with specialists from its Center for Biologics Evaluation and Research, alongside officials from the U.S. Centers for Disease Control and Prevention (CDC) and the Department of Defense, to evaluate U.S. and global surveillance data on the flu viruses currently circulating.
This inter-agency meeting took place on the same day the VRBPAC meeting was supposed to occur. In a statement, the FDA indicated that they do not anticipate any effects on the timing or availability of vaccines for the general public.

The agency advised the use of a trivalent formulation of egg-based influenza vaccines for the upcoming flu season, which will include two influenza A subtype viruses and one influenza type B virus.

The FDA noted that it has communicated its recommendations to vaccine manufacturers and expects “an adequate and diverse supply of approved trivalent seasonal influenza vaccines” for the upcoming influenza season, spanning the fall and winter months.

The reason behind the cancellation of the VRBPAC meeting remains unclear, as the FDA has not provided an explanation.

The Infectious Diseases Society of America (IDSA)—which represents over 13,000 healthcare professionals and experts—has called on the FDA to reschedule the meeting, asserting that its cancellation could jeopardize public health amid the nation’s most severe flu season in over a decade.

“The cancellation of this meeting means vaccine manufacturers may lack the essential information and time necessary to produce and distribute targeted vaccines before the upcoming flu season,” stated IDSA President Tina Tan in a statement on February 27.
Currently, seasonal influenza activity remains elevated in the United States, with at least 40 million recorded illnesses, according to the CDC. Among these cases, 520,000 individuals have been hospitalized, and 22,000 have died from influenza as of March this year.
The cancellation of the FDA’s advisory committee meeting occurred shortly after President Donald Trump’s nominee for health secretary, Robert F. Kennedy, was confirmed by the Senate on February 13.
Kennedy informed HHS employees on February 18 that nothing would be off-limits as he began investigations into children’s health, citing vaccinations as potential contributors to the increase in chronic diseases.

In his address, Kennedy emphasized that his primary goal at HHS is “to reverse the chronic disease epidemic” in the U.S.

In addition to consulting its advisers, the FDA usually seeks guidance from the World Health Organization (WHO) on flu vaccine composition before issuing recommendations. However, the agency did not involve the WHO in its recent discussions about flu vaccines.

Trump has withdrawn the United States from the WHO, citing its “mishandling of the COVID-19 pandemic that began in Wuhan, China,” alongside other global health concerns.

The president stated the WHO has failed to implement “urgently needed reforms” and has not demonstrated independence from “the inappropriate political influence” of its member states.

The United States was the largest contributor to the WHO, with approximately $1.28 billion provided during the 2022-2023 biennium, as per the organization’s website. U.S. experts supported nearly half of WHO’s joint external evaluation missions last year.

Zachary Stieber contributed to this report.



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