A color-coded map of the United States displaying influenza-like illness (ILI) activity levels for Week 7 of the 2024-25 flu season, ending February 15, 2025. The map uses shades from green (minimal activity) to dark purple (very high activity). Most of the country shows high to very high flu activity, especially in the South, Midwest, and East Coast. Some western and northern states report moderate to low activity, while Alaska and some territories show minimal flu spread. The map includes a legend explaining the color coding and labels for New York City, Washington D.C., and U.S. territories.

TLDR

The FDA unexpectedly canceled its March 13 advisory committee meeting that determines next season's flu vaccine composition, potentially disrupting manufacturing schedules and delaying vaccine availability. This follows HHS Secretary Robert F. Kennedy Jr.'s efforts to remove members from federal vaccine advisory committees. Without proper strain selection guidance, vaccine effectiveness could be compromised, potentially leading to increased flu infections and deaths in vulnerable populations.

The FDA has canceled a pivotal vaccine advisory committee meeting that was set to discuss which flu strains to include in next season's flu vaccine. The meeting of the Vaccines and Related Biological Products Advisory Committee (VRBPAC) was scheduled for March 13 but was canceled without explanation, according to committee member Dr. Paul Offit.

This cancellation raises concerns about potential delays in next year's flu vaccine delivery schedule, as the meeting typically aligns with the six-month lead time required for vaccine manufacturing to ensure vaccines are ready for distribution in the fall. The timing is particularly concerning as flu vaccines take time to produce, especially those made in chicken eggs, which require several months of processing.

The cancellation comes shortly after HHS Secretary Robert F. Kennedy Jr., who has a history of vaccine skepticism, began preparing to remove members of outside committees that advise the federal government on vaccine approvals and other key public health decisions. This is the second disruption to a federal vaccine advisory panel since Kennedy became the nation's top health official earlier this month, following the postponement of a CDC vaccine advisory committee meeting last week.

Experts are concerned about the impact on next season's flu vaccine production, as U.S. vaccine strains are usually selected by April, with manufacturing completed over the summer for September delivery. It remains unclear how flu vaccine manufacturers will now receive guidance on the composition of seasonal flu vaccines, with some suggesting they may need to rely on World Health Organization recommendations instead.

The cancellation of the FDA's vaccine advisory committee meeting could lead to increased mortality during the winter flu season. If vaccines are delayed, fewer people may be vaccinated before flu season peaks, leaving more of the population vulnerable to infection. Additionally, if vaccines don't properly match the predominant circulating strains due to rushed decision-making or reliance on less region-specific data, their protective efficacy could be substantially reduced. These factors combined could result in higher infection rates, more severe cases requiring hospitalization, and ultimately more flu-related deaths, particularly among vulnerable populations such as the elderly, young children, and those with compromised immune systems.