Immunization recommendations aim to address the rising case numbers of COVID-19, influenza, RSV
Immunization recommendations from West Coast Health Alliance has been released for the 2026-27 respiratory virus season.
Acording to West Coast Health Alliance, the recommendations are informed by guidance from trusted national medical organizations, including the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, and the American Academy of Family Physicians.
“As we enter the 2026-27 respiratory virus season, we recommend the recently available updated vaccine formulations to reduce the risk of severe illness,” said Hawai‘i State Epidemiologist Dr. Sarah Kemble. “We also continue to recommend other steps, such as practicing good hygiene and staying home when sick, to help people stay healthy, especially as we’re experiencing an increase in cases.”
Immunization is one of the best protections available against serious illness caused by respiratory viruses such as COVID-19, influenza and respiratory syncytial virus. Seasonal immunization is also a critical public health tool to reduce serious illness and strain on health care systems.
The West Coast Health Alliance believes that all recommended immunizations should be accessible to people in its member states and emphasizes the importance of protecting people most impacted by these respiratory viruses, especially those who are most vulnerable.
The West Coast Health Alliance will continue to evaluate new evidence and recommendations as they become available and is committed to sharing updated assessments with communities.
Specifically, West Coast Health Alliance recommends:
| Age/Condition | COVID-19 | Influenza | RSV |
| Children | All 6–23 months All 2–18 years with risk factors or never vaccinated against COVID-19 All who are in close contact with others with risk factors All who choose to reduce risk of severe illness | All 6 months and older | All younger than 8 months All 8-19 months with risk factors |
| Pregnancy | All who are planning pregnancy, pregnant or postpartum | All who are planning pregnancy, pregnant or postpartum | All who are 32-36 weeks gestational age3, 4 |
| Adults | All 65 years and older All 19–64 years with risk factors All who are in close contact with others with risk factors All who choose to reduce risk of severe illness | All | All 75 years and older All 50–74 years with risk factors |
| Healthcare Workers | All | All | All who meet criteria above |
