On January 5, the Centers for Disease Control and Prevention (CDC) unexpectedly announced a downgrade in recommendations for six vaccines on the childhood immunization schedule. The vaccines affected include those for hepatitis A and B, influenza, rotavirus, RSV, and meningococcal disease. This surprising decision, shared by senior officials at the Department of Health and Human Services, diverges from the CDC’s standard practice under President Donald Trump’s administration, leaving public health experts concerned.
Missoula-based pediatrician Atty Moriarty, also president of the Montana Chapter of the American Academy of Pediatrics, shared insights on these changes. According to Moriarty, the traditional process involved thorough vetting and a review by the Advisory Committee on Immunization Practices (ACIP). However, since November 2025, this committee has been replaced by political appointees lacking public health expertise, leading to decisions made without new data or evidence.
Addressing the reasons behind these changes, Moriarty expressed difficulty understanding the logic, noting that claims of over-immunization lack scientific backing. Concerns about the number of vaccines stem from comparisons with countries like Denmark, which have different healthcare systems and demographics.
The American Academy of Pediatrics (AAP) has diverged from the CDC’s guidance, following its own established vaccine schedule, particularly after the cessation of COVID vaccine recommendations. This schedule continues to emphasize vaccinations as a crucial public health tool, accessible on the AAP’s healthychildren.org site.
Moriarty highlighted specific concerns, such as the potential resurgence of rotavirus infections, which previously filled hospitals with dehydrated infants. Worries also persist about the downturn in flu vaccinations during one of the worst flu outbreaks, with numerous child fatalities reported.
She acknowledged that guidance changes from the Trump administration might sway some families’ vaccine decisions. Social media misinformation and unreliable sources contribute to growing distrust in the U.S. public health infrastructure, complicating informed decision-making for families.
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