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An extensive revision of US pediatric vaccination guidelines has led to a reduction in the number of universally recommended immunizations from 17 to 11.

The newly issued schedule from the CDC includes core shots for illnesses like polio and rubeola. However, others, including liver infection vaccines and Covid immunizations, are now classified based on personal risk and dependent on "shared clinical deliberation" involving physicians and guardians.

"The new recommendation is dangerous and needless," criticized the American Academy of Pediatrics, describing the policy.

This far-reaching policy shift constitutes the latest significant action implemented under the current administration by Health Secretary Robert F. Kennedy Jr.

Official Rationale and Global Comparison

Kennedy claimed the revision followed "after an thorough review" and "protects kids, honors families, and rebuilds trust in the health system."

"This bringing the American childhood immunization calendar with global consensus while enhancing openness and parental choice," he continued.

According to the announcement, the updated core schedule for every children will cover vaccines for:

• Measles, mumps, and rubella (MMR)
• Poliovirus
• Pertussis (whooping cough), tetanus, and diphtheria (DTaP/Tdap)
• Haemophilus influenzae type b (Hib)
• Pneumococcal disease
• Human papillomavirus (HPV)
• Varicella (chickenpox)

Three Tiers of Recommendations

The revised framework creates three separate tiers of vaccine guidance:

1. Core Vaccines: The eleven immunizations mentioned above are advised for every youngsters.
2. Risk-Based Recommendations: This category contains shots for respiratory syncytial virus, Hep A, hepatitis B, dengue, and meningococcal types (ACWY and B). They are suggested based on a child's specific health circumstances.
3. Shared Decision-Making Vaccines: Immunizations for the coronavirus, influenza, and rotavirus are now subject to discretionary consultation and decision by families and their doctors.

For the time being, medical coverage will continue to cover vaccines that are currently recommended until the end of 2025.

Global Context and Prior Debate

The health agency performed a comparison of existing childhood schedules with those of 20 other developed countries. It determined the United States was "an international exception" in both the quantity of illnesses targeted and the number of shots required, the Department of Health and Human Services reported.

This recent announcement comes weeks following a separate CDC panel adjusted the timing for the initial liver infection shot. Formerly, a first dose was recommended for infants within a day of delivery. Revised rules last December moved that to 60 days after birth if the mother tested non-reactive for hepatitis B.

That prior recommendation was roundly criticised by pediatric doctors, with the American Academy of Pediatrics calling it "a risky step that will harm children."