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Massachusetts Department of Public Health Immunization Division advisories and alerts

Clinical advisories and associated guidance from the Immunization Division

The Immunization Division sends out clinical advisories and associated guidance on an as needed basis. These advisories are typically first emailed to Massachusetts providers through a listserv service then posted to the website. If you have any questions about the content of these advisories, please contact the Epidemiology and Immunization Divisions at (617) 983-6800.

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Recent advisories and alerts

Open DOCX file, 52.66 KB,  RSV Clinical Advisory, March 23, 2026 (English, DOCX 52.66 KB)

Massachusetts Department of Public Health (DPH) Guidance on Extending the Administration of Respiratory Syncytial Virus (RSV) Monoclonal Antibody to Eligible Infants During the Current RSV Season Through April 30, 2026.

Open DOCX file, 46.17 KB,  2025-2026 Influenza Clinical Advisory (English, DOCX 46.17 KB)

January 2026

Open PDF file, 277.64 KB,  Measles Advisory, March 11, 2025 (English, PDF 277.64 KB)
Open DOCX file, 53.59 KB,  Measles Advisory, March 11, 2025 (English, DOCX 53.59 KB)
Open PDF file, 170.95 KB,  Influenza Neurologic Complications Advisory, February 14, 2025 (English, PDF 170.95 KB)
Open DOCX file, 46.03 KB,  Influenza Neurologic Complications Advisory, February 14, 2025 (English, DOCX 46.03 KB)
Open PDF file, 203.02 KB,  HPAI Influenza Advisory, February 3, 2025 (English, PDF 203.02 KB)
Open DOCX file, 49.29 KB,  HPAI Influenza Advisory, February 3, 2025 (English, DOCX 49.29 KB)
Open PDF file, 139.65 KB,  Increase in Mycoplasma Pneumonia and Pertussis Cases in Massachusetts, November 8, 2024 (English, PDF 139.65 KB)
Open DOCX file, 31.75 KB,  Increase in Mycoplasma Pneumonia and Pertussis Cases in Massachusetts, November 8, 2024 (English, DOCX 31.75 KB)
Open PDF file, 303.74 KB,  Pertussis Cases Increasing in Massachusetts, August 20, 2024 (English, PDF 303.74 KB)
Open DOCX file, 110.41 KB,  Pertussis Cases Increasing in Massachusetts, August 20, 2024 (English, DOCX 110.41 KB)
Hepatitis A Among Persons Experiencing Homelessness and Who Use Injection and Non-injection Drugs, December 11, 2023
Information on Coronavirus Disease 2019 (COVID-19)
Open DOCX file, 35.7 KB,  Important Resources for Fall Vaccination Clinics (English, DOCX 35.7 KB)

Updated 2021

Open PDF file, 116.16 KB,  Encouraging Vaccination During the COVID-19 Pandemic (English, PDF 116.16 KB)
Open DOCX file, 96.05 KB,  Encouraging Vaccination During the COVID-19 Pandemic (English, DOCX 96.05 KB)

Archives

Open RTF file, 150.68 KB,  Clinical Measles Alert April 17, 2019 (English, RTF 150.68 KB)
Open DOCX file, 41.25 KB,  Update: Invasive Meningococcal Disease in Greater Boston Homeless Community Clinical Advisory, January 2019 (English, DOCX 41.25 KB)
Open PDF file, 182.44 KB,  MDPH HAV Emergency Department Advisory (English, PDF 182.44 KB)
Open DOCX file, 44.93 KB,  MDPH HAV Emergency Department Advisory (English, DOCX 44.93 KB)
Public Health Alert: Hepatitis A Virus Infection in Persons Experiencing Homelessness and Substance Use Disorder in Massachusetts September 24, 2018
Ongoing Hepatitis A Outbreak among Persons Experiencing Homelessness and Substance Use Disorder Public Health Advisory August 22, 2018
Open PDF file, 128.75 KB,  Hepatitis A among Persons Experiencing Homelessness and who Inject Drugs Public Health Advisory August 2, 2018 (English, PDF 128.75 KB)
Open DOCX file, 287.21 KB,  Hepatitis A among Persons Experiencing Homelessness and who Inject Drugs Public Health Advisory August 2, 2018 (English, DOCX 287.21 KB)
Open PDF file, 119.04 KB,  Invasive Meningococcal Disease Serogroup B Clinical Advisory March 5, 2018 (English, PDF 119.04 KB)
Open DOCX file, 33.13 KB,  Invasive Meningococcal Disease Serogroup B Clinical Advisory March 5, 2018 (English, DOCX 33.13 KB)
Open PDF file, 50.91 KB,  Invasive Meningococcal Cases at the University of Massachusetts (UMass) Amherst, November 2017 (English, PDF 50.91 KB)
Open DOCX file, 40.78 KB,  Invasive Meningococcal Cases at the University of Massachusetts (UMass) Amherst, November 2017 (English, DOCX 40.78 KB)
Open PDF file, 29.15 KB,  Provision of education on pertussis prevention and vaccination in hospitals, May 2017 (English, PDF 29.15 KB)
Open DOCX file, 31.17 KB,  Provision of education on pertussis prevention and vaccination in hospitals, May 2017 (English, DOCX 31.17 KB)
Open PDF file, 110.37 KB,  Quadracel Vaccine Availability, April 2017 (English, PDF 110.37 KB)
Open DOCX file, 37.45 KB,  Quadracel Vaccine Availability, April 2017 (English, DOCX 37.45 KB)
Open PDF file, 119.02 KB,  Pentacel Available for all 4 Doses, December 2016 (English, PDF 119.02 KB)
Open DOCX file, 26.41 KB,  Pentacel Available for all 4 Doses, December 2016 (English, DOCX 26.41 KB)
Open PDF file, 253.85 KB,  Mumps Update for Higher Education Student Health Services, October 2016 (English, PDF 253.85 KB)
Open PDF file, 326.95 KB,  Availability of Hiberix Vaccine, October 2016 (English, PDF 326.95 KB)
Open PDF file, 262.81 KB,  Measles Clinical Advisory, May 2016 (English, PDF 262.81 KB)
Open DOCX file, 133.06 KB,  Measles Clinical Advisory, May 2016 (English, DOCX 133.06 KB)
Open PDF file, 62.82 KB,  Mumps Clinical Advisory, March 2016 (English, PDF 62.82 KB)
Open DOCX file, 40.72 KB,  Mumps Clinical Advisory, March 2016 (English, DOCX 40.72 KB)
ACIP Men B Recommendations Adolescents and Adults MMWR 10-23-15
Open DOCX file, 25.43 KB,  Universal Availability of State-Supplied HPV and MCV4 Vaccines, October 2015 (English, DOCX 25.43 KB)
Open PDF file, 29.21 KB,  Universal Availability of State-Supplied HPV and MCV4 Vaccines, October 2015 (English, PDF 29.21 KB)
Open PDF file, 230.65 KB,  Meningococcal B Vaccine Recommendations for High Risk and Ordering, August 2015 (English, PDF 230.65 KB)
Open DOCX file, 24.99 KB,  Meningococcal B Vaccine Recommendations for High Risk and Ordering, August 2015 (English, DOCX 24.99 KB)
Open PDF file, 29.14 KB,  Summary of Measles Exposures Martha_s Vineyard, June 2015 (English, PDF 29.14 KB)
Open RTF file, 90.42 KB,  Summary of Measles Exposures Martha_s Vineyard, June 2015 (English, RTF 90.42 KB)
Open PDF file, 270.44 KB,  Measles Clinical Alert, April 2015 (English, PDF 270.44 KB)
Open RTF file, 674.49 KB,  Measles Clinical Alert, April 2015 (English, RTF 674.49 KB)
Open PDF file, 148.14 KB,  Memo to Insurers Regarding Expanding Vaccine Availability April 2015 (English, PDF 148.14 KB)
Open RTF file, 96.17 KB,  Memo to Insurers Regarding Expanding Vaccine Availability April 2015 (English, RTF 96.17 KB)
Open PDF file, 32.45 KB,  Expanded Availability of Hepatitis A, Tdap, and Varicella Vaccines for all Children through 18 Years of Age (English, PDF 32.45 KB)
Open RTF file, 207.04 KB,  Expanded Availability of Hepatitis A, Tdap, and Varicella Vaccines for all Children through 18 Years of Age (English, RTF 207.04 KB)
Open PDF file, 132.52 KB,  MIIS Compliance Schedule (English, PDF 132.52 KB)
Open RTF file, 54.03 KB,  MIIS Compliance Schedule (English, RTF 54.03 KB)
Open PDF file, 101 KB,  105 CMR 222: Massachusetts immunization information system (English, PDF 101 KB)
Open PDF file, 21.28 KB,  Enhanced Surveillance for Parotitis and Influenza, January 2015 (English, PDF 21.28 KB)
Open RTF file, 121.67 KB,  Enhanced Surveillance for Parotitis and Influenza, January 2015 (English, RTF 121.67 KB)
Open PDF file, 222.71 KB,  Neurologic Illness Public Health Alert 9.29.14 (English, PDF 222.71 KB)
Open DOC file, 158.5 KB,  Neurologic Illness Public Health Alert 9.29.14 (English, DOC 158.5 KB)
Open PDF file, 39.7 KB,  Enterovirus D68 Clinical Advisory (Updated 9/23/2014) (English, PDF 39.7 KB)
Open DOC file, 46.5 KB,  Enterovirus D68 Clinical Advisory (Updated 9/23/2014) (English, DOC 46.5 KB)
Updated Recommendations for Use of Tdap in Pregnant Women and Persons Who Have or Anticipate Having Close Contact with an Infant Aged <12 Months — ACIP, 2011
Updated Recommendations for Use of Tdap Vaccine in Adults Aged 65 Years and Older — ACIP, 2012

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