Doctors Issue Vaccine Guidance as CDC Stays Silent
Doctors Issue Vaccine Guidance as CDC Stays Silent
The News
Five of the country's largest medical societies issued their own flu, COVID-19 and RSV vaccine recommendations on Wednesday, stepping into a gap left by a Centers for Disease Control and Prevention that has said nothing about the 2026-27 respiratory virus season.
The American Medical Association, the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, the American Academy of Family Physicians and the Infectious Diseases Society of America acted together through the Vaccine Integrity Project, an independent effort based at the University of Minnesota.
Their advice goes further than current federal advice — recommending routine COVID-19 shots for healthy younger adults, young children and pregnant women, groups Washington no longer routinely recommends them for.
What They Recommend
All adults 19 and older should get the updated COVID-19 vaccine, and everyone 6 months and older should get a flu shot, the groups said, according to the Washington Examiner's account of the announcement.
COVID-19 vaccination is strongly recommended for people at higher risk of severe disease, including adults 65 and older, pregnant women, and infants between 6 and 23 months.
For RSV, the groups advise a one-time vaccine for all adults 75 and older and for those aged 50 to 74 at increased risk. Pregnant women are advised to get the RSV vaccine between 32 and 36 weeks gestation, in September 2026 or March 2027.
The American College of Obstetricians and Gynecologists continues to urge COVID-19 vaccination for pregnant women, women considering pregnancy, and women who are breastfeeding.
Timeline
Health and Human Services Secretary Robert F. Kennedy Jr. replaced all members of the CDC's Advisory Committee on Immunization Practices with members more skeptical of existing vaccine policy. The federal government also limited COVID-19 vaccine approvals to people at high risk — those 65 and older or with other health problems — and dropped the routine recommendation for healthy young children and pregnant women.
A federal district court in Massachusetts invalidated Kennedy's move to replace the advisory panel, freezing the CDC's recommendation process. No ACIP meetings have been held since.
President Trump signed an executive order seeking to work around the court block and shrink the childhood vaccine schedule from 18 diseases to 11.
The CDC extended its 2025 flu vaccine recommendations to this year. It has said nothing about COVID-19 or RSV.
The medical societies released their guidance, along with safety and efficacy reviews published in the Journal of the American Medical Association covering the COVID-19, flu and RSV shots. The reviews found all three lowered the risk of hospitalization and severe disease.
Reactions
"Unfortunately today, the federal government is not fulfilling that responsibility in the way that it historically has. But the need for that work has not disappeared," said Dr. Bruce Gellin, board chair of the Vaccine Integrity Project. "We cannot allow the breakdown of the federal process to create a vacuum in evidence-based vaccine guidance."
"For decades physicians like me have relied on federal vaccine recommendations because they were based on science and careful review," said Dr. Sandra Adamson Fryhofer, the AMA's president-elect. "But with the massive changes at the federal level, trust is waning." She said the effort was organized because of "a lot of confusion and chaos regarding vaccine recommendations."
Dr. Ronald Nahass, president of the Infectious Diseases Society of America, said the groups were "speaking with one voice relative to the vaccinations" to address "the lack of trust and the lack of clarity."
Dr. Demetre Daskalakis, who resigned last year as director of the CDC's National Center for Immunization and Respiratory Diseases in protest of the agency's direction under Trump, told NPR: "The problem is that silence at this point is complicit with trying to not make sure people know about the importance of vaccines. The bottom line is that this is dangerous."
Trump and Kennedy have argued children receive too many vaccines at once and that the shots are linked to autism. Most physicians, public health authorities and infectious disease experts dispute that, saying vaccines are safe and effective. Neither HHS nor the CDC responded to NPR's request for comment on the status of federal guidance.
What's Next
It is still unclear whether the CDC will issue any COVID-19 or RSV guidance before the fall and winter wave. The agency's process remains frozen by the March court ruling, and the advisory committee has not met since.
For most Americans, access to the shots should not change. Private insurers have pledged to keep covering them, Medicare will still pay, and the Vaccines for Children Program — which supplies free vaccines to about half of U.S. children — is still expected to do so. Most states have decoupled pharmacists' authority to administer the shots from federal guidelines and are leaning on medical group recommendations instead. A handful of states may still require a prescription.
"It should be business as usual," said Brigid Groves of the American Pharmacists Association. "The vast majority of patients across the nation should be able to access these vaccinations with very little barriers, very little hiccup."
More
The stakes are measured in the CDC's own numbers from last season: an estimated 390,000 flu-related hospitalizations and 24,000 deaths; at least 3 million outpatient visits, 170,000 hospitalizations and as many as 25,000 deaths from RSV; and between 140,000 and 240,000 COVID-19 hospitalizations with death estimates ranging from 15,000 to 42,000.
Public trust is split by vaccine. A February KFF poll found 83% of Americans were at least somewhat confident in the safety of the polio and MMR vaccines for children. Fewer than half said the same about COVID-19 vaccines for children, and 65% about the flu shot.
Jennifer Kates, who studies vaccine policy at KFF, called the situation "unprecedented," adding that "vaccination rates have already been going down because it's hard for people to get good information and understand who they should trust."
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