美国疾病控制和预防中心(CDC)周一宣布，将改变儿童免疫计划。
联邦健康机构正在删除通用建议对于多镜头，在它所谓的尝试，以反映时间表的其他国家。
疫苗不再被普遍推荐给几乎所有特定年龄段的儿童，而是被分成三类:针对所有儿童的疫苗、针对特定高危人群的疫苗和基于共同临床决策的疫苗。
共享临床决策是CDC使用的术语，暗示患者和父母应该与他们的提供者讨论是否应该接种疫苗。
一些不再普遍推荐的疫苗和免疫接种包括RSV、流感和冠状病毒肺炎，以及肝炎和脑膜炎球菌疫苗。
对于不属于某些高危人群的儿童,两个月之前不建议接种疫苗。
这一变化是在唐纳德·川普总统去年12月初签署一份备忘录后发生的，该备忘录指示卫生与人类服务部(HHS)部长小罗伯特·F·肯尼迪检查其他国家如何构建他们的儿童疫苗接种计划。
HHS官员称这一变化不会影响疫苗的健康保险范围。
肯尼迪在一份声明中说:“特朗普总统指示我们检查其他发达国家如何保护他们的儿童，如果他们做得更好，就采取行动。”“在对证据进行彻底审查后，我们正在使美国儿童疫苗计划与国际共识保持一致，同时加强透明度和知情同意。这一决定保护了儿童，尊重了家庭，重建了对公共卫生的信任。”
这些变化招致了医生的指责，他们担心这样的变化在实施前没有经过进一步的讨论。
CDC的疫苗咨询委员会上个月开会讨论了儿童疫苗接种时间表，但只投票取消了出生时接种乙肝疫苗的普遍建议。
“我想可能会有一些建议在公开会议上在专家之间进行辩论，然后可能会产生类似这样的结果，但不是以这种方式完成的，新的时间表已经发布，已经由总统的所有健康顾问签署，”内科医生兼克利夫兰市公共部门主任戴夫·马戈利斯博士告诉美国广播公司新闻。
CDC国家免疫和呼吸疾病中心前主任Demetre Daskalakis博士表示，在没有咨询美国儿科、传染病和公共卫生专家的情况下改变时间表“破坏了科学的严谨性和透明度。”
他告诉ABC新闻，美国的医疗保健系统是独一无二的，这使得美国的疫苗计划很难与其他国家的疫苗计划保持一致。
“疫苗接种时间表应该反映美国疾病的具体模式和医疗保健的可及性;不幸的是，在制定新的时间表时没有充分考虑这些重要因素，”达斯卡拉基斯说。
在代表美国儿科学会(AAP)的新闻发布会上，传染病学家肖恩·奥利里博士疾病医生和AAP传染病委员会主席，称不能再相信联邦政府在保护美国儿童免受疫苗可预防疾病方面的作用疾病。
奥利里说:“可悲的是，我们的联邦政府再也不能担当这个角色了。”。“不幸的是，我们的政府让儿科医生更难做我们的工作，也让父母更难知道该做什么。”
奥利里证实，在决定改变疫苗接种时间表之前，HHS没有征求AAP的意见。
此外，参议员比尔卡西迪(共和党。)，一位内科医生和参议院健康委员会主席，与疾控中心改变儿童疫苗接种计划的决定。
“在没有安全风险的科学投入和缺乏透明度的基础上改变儿科疫苗接种计划，将会给患者和医生带来不必要的恐惧，并将使美国病得更重，”卡西迪在X，拒绝最近的变化。
卡西迪补充说，该时间表“不是强制性的”，而是一项建议，给予父母选择他们的孩子接受哪些疫苗的“权力”。
CDC changes childhood immunization schedule, removing universal recommendation for multiple shots
The Centers for Disease Control and Prevention (CDC) announced on Monday it is changing the childhood immunization schedule.
The federal health agency is removing the universal recommendationfor multiple shots, in what it calls an attempt to mirror the schedules of peer countries.
Instead of being universally recommended for almost all children at certain age cut offs, vaccines are now split into three categories: vaccines for all children, vaccines for certain high-risk groups and vaccines based on shared clinical decision making.
Shared clinical decision making is the term used by CDC to imply that patients, and parents, should talk to their provider about whether they should be vaccinated.
Some of the vaccines and immunizations that are no longer universally recommended include RSV, flu and COVID, as well as the hepatitis and meningococcal vaccines.
For children not in certain high-risk groups,no vaccine is recommended before the age of two months.
The change comes after President Donald Trump signed a memo in early December last year directing Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. to examine how other nations structure their childhood vaccine schedules.
HHS officialssay the change will not affect health insurance coverage of vaccines.
"President Trump directed us to examine how other developed nations protect their children and to take action if they are doing better," Kennedy said in a statement. "After an exhaustive review of the evidence, we are aligning the U.S. childhood vaccine schedule with international consensus while strengthening transparency and informed consent. This decision protects children, respects families, and rebuilds trust in public health."
The changes drew rebuke from doctors, who expressed concern that such a change did not undergo further debate before being implemented.
The CDC's vaccine advisory committee met last month to discuss the childhood vaccine schedule, but only voted to remove the universal recommendation for the hepatitis B vaccine at birth.
"I thought there might be proposals that were debated amongst experts in a public meeting, and then maybe something like this resulting from that, but not in the way this has been done, where a new schedule is released, which has already been signed on to by all the health advisors for the president," Dr. Dave Margolius, an internal medicine physician and director of public for the city of Cleveland, told ABC News.
Dr. Demetre Daskalakis, former director of the CDC's National Center for Immunization and Respiratory Diseases, said altering the schedule without consulting U.S. experts in pediatrics, infectious diseases and public health "undermines both scientific rigor and transparency."
He told ABC News that the American health care system is unique, which makes it difficult to align the U.S. vaccine schedule to those of peer nations.
"Vaccine schedules should be crafted to reflect the specific patterns of disease and access to healthcare in the United States; unfortunately, these vital factors were not adequately considered in the development of the new schedule," Daskalakis said.
In a press briefing representing the American Academy of Pediatrics (AAP), Dr. Sean O'Leary, an infectiousdisease physician andchair of the AAP Committee on Infectious Diseases,said the federal government can no longer be trusted in its role to protect American children from vaccine-preventablediseases.
"Tragically, our federal government can no longer be trusted in this role," O'Leary said. "Unfortunately, our government is making it much harder for pediatricians to do our jobs, and they're making it much harder for parents to know what to do."
O'Leary confirmed the AAP was not consulted by HHS ahead of this decision to change the vaccine schedule.
Additionally, Sen. Bill Cassidy (R-La.), a physician and chair of the Senate's health committee, distanced himself from theCDC's decision to change the childhood vaccine schedule.
"Changing the pediatric vaccine schedule based on no scientific input on safety risks and little transparency will cause unnecessary fear for patients and doctors, and will make America sicker," Cassidy wrote in a post onX, rejecting the recent changes.
Cassidy added that the schedule is "not a mandate," but rather a recommendation that gives parents the "power" to choose which vaccines their children receive.
