Not every newborn gets it free
RSV (respiratory syncytial virus) is a common reason for babies to be hospitalized in winter, but BC does not provide RSV protection free to all newborns. The long-acting antibody nirsevimab (brand name Beyfortus) is offered in the 2026-27 season only to babies at moderate to high risk. [1][2]
Babies eligible for free immunization in 2026-27
- Preterm babies born after March 31, 2026 at less than 35 weeks.
- Preterm babies born after March 31, 2025 at less than 32 weeks.
- Children under 2 with certain chronic conditions, as judged by a specialist.
- Infants under 6 months living in remote Indigenous communities or congregate settings.
Eligible babies need a referral from a doctor or nurse and receive the antibody at a hospital or health authority clinic at no cost. [1][2]
Most babies are outside this group
Vancouver Coastal Health says about 90% of babies do not meet these criteria. For them, early protection relies mainly on the mother receiving an RSV vaccine during pregnancy. [3]
RSV vaccine in pregnancy (Abrysvo)
- Not publicly funded in BC, except for people served by the First Nations Health Authority. [3]
- Given at 28 to 36 weeks of pregnancy, ideally at least 2 weeks before delivery. [3]
- Available at some pharmacies and travel clinics, and some private insurance plans reimburse it. Prices vary, so ask the pharmacy or clinic.
- Whether to get it can be discussed with your prenatal doctor or midwife.
Adults 75 and over
Starting this fall, adults 75 and older can receive one free RSV vaccine dose; call 1-833-838-2323 or book at a pharmacy. [4]
When to seek care
If a baby has laboured breathing, skin pulling in between the ribs, cannot feed, or is passing noticeably less urine, go straight to an emergency department. If unsure how serious it is, call 811.