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CDC Cuts Universal Childhood Vaccine Recommendations to 11

The move followed a Trump directive to align with peer nations, bypassing the CDC’s usual advisory vote.

Overview

  • Acting CDC Director Jim O’Neill approved guidance that reduces universal pediatric recommendations from 17 diseases to 11, effective immediately.
  • Vaccines for rotavirus, influenza, COVID-19, meningococcal disease, hepatitis A and hepatitis B were shifted to shared clinical decision-making, with RSV and certain others directed to high-risk groups.
  • HHS said all vaccines listed by the CDC, regardless of category, will continue to be covered without patient cost by public programs and ACA-compliant private plans.
  • The CDC now recommends a single dose of the HPV vaccine instead of the previous two-dose series for younger children.
  • Medical groups including the AAP, AMA and IDSA condemned the overhaul as nontransparent and risky, noting it was implemented outside the ACIP process and could face legal and state-level policy challenges; the changes drew on a 20-country review led by Tracy Beth Høeg and Martin Kulldorff.