Earlier doses for children, a focus on unvaccinated adults, a risk strategy based on geography – here’s how a functioning ACIP would address the measles outbreak

The US has announced three deaths associated with measles last week, among them a seven-month-old baby in New York and a postpartum woman in Pennsylvania, underscoring the need for a more aggressive vaccination approach – but US recommendations haven’t changed.

Dismantling the Advisory Committee on Immunization Practices (ACIP) made it harder for the US to respond to the measles outbreak, with vaccine recommendations staying the same during a historic rise in cases and deaths, four former advisers say.