CDC moves six childhood vaccines to shared clinical decision-making

Time reports the U.S. Centers for Disease Control and Prevention changed the childhood immunization schedule on Jan. 5 after President Donald Trump ordered a review comparing U.S. vaccinations to those of peer nations. The new guidelines remove six vaccines from the list recommended for all children—COVID-19, seasonal flu, hepatitis A, hepatitis B, respiratory syncytial virus (RSV), and rotavirus—and say they should be given only to those at high risk or after parents and clinicians engage in "shared clinical decision-making." "There has been no change in the evidence on vaccine [safety and effectiveness]," says Dr.

Daniele Gusland, who added that the typical transparent process of ACIP presentations, discussion and public comment "did not happen this time." The changes were prompted by a request from President Trump to the Department of Health and Human Services, headed by Robert F. Kennedy Jr., and the CDC; a report outlining the revisions was presented to acting CDC director Jim O’Neill, who accepted them.

The CDC defines shared clinical decision-making as "a decision process between the health care provider and the patient or parent/guardian," which effectively places the ultimate decision with the parent.

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Health, Cdc, Donald Trump, Jim O'neill, Acip, Shared Clinical Decision-making