ITASCA, Ill. – The nation’s leading organization of pediatricians has updated its recommendations for respiratory syncytial virus (RSV) and influenza immunizations as families prepare for the upcoming respiratory virus season.
The American Academy of Pediatrics continues to recommend RSV immunization for all infants younger than 8 months who are born during or entering their first RSV season. This year, the organization expanded its recommendation to include more young children at higher risk of getting seriously sick from RSV as they enter their second RSV season.
Under the revised recommendations, RSV immunization is advised for eligible children ages 8 months through 19 months who are considered high risk. The expanded criteria now include children born before 32 weeks’ gestation, as well as children with conditions that put them at greater risk for severe illness from RSV, including those with serious heart conditions, lung abnormalities, neuromuscular disorders, Down syndrome or other chromosomal conditions.
RSV is a common respiratory virus that can cause serious illness in infants and young children, particularly those with underlying medical conditions.
In addition to its RSV guidance, the AAP is encouraging annual influenza vaccination for all children ages 6 months and older who do not have medical exemptions.
The recommendation comes after a particularly severe flu season. According to the AAP, influenza was linked to 190 pediatric deaths during the 2025-26 season.
Despite the risks posed by influenza, vaccination rates among children remain relatively low. Through May 16, 2026, fewer than half of children ages 6 months through 17 years had received a flu vaccine, according to the AAP.
Health experts continue to emphasize the benefits of vaccination. A Centers for Disease Control and Prevention study found that influenza vaccination reduces the risk of flu-related deaths among children and teens by approximately 80%.
The AAP’s updated recommendations are included in its 2026 childhood immunization schedule, which outlines guidance for routine vaccinations and immunizations for children and adolescents. RSV and flu activity typically picks up in October.
To view the American Academy of Pediatrics’ updated 2026 immunization schedule, click here.
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