Why does the AAP vaccine schedule differ from the CDC recommendations?
The AAP's schedule differs due to concerns about the CDC advisory committee including individuals who spread vaccine misinformation.
Healthcare / Vaccines
The American Academy of Pediatrics (AAP) has released its updated childhood vaccine schedule, which differs from recent recommendations issued by the CDC. This update emphasizes evidence-based guidelines and addresses key vaccines for vario...
### Background
The AAP has released an updated childhood vaccine schedule that differs from the CDC's recommendations. This decision was driven by concerns over the composition of the CDC's Advisory Committee on Immunization Practices, which now includes individuals who spread vaccine misinformation. The AAP emphasizes its commitment to providing evidence-based guidance to pediatricians.
### Key Updates in the AAP Schedule
1. **COVID-19 Vaccine:** The AAP recommends that all children aged 6-23 months receive the COVID-19 vaccine due to their higher risk of severe disease. For children aged 2-18, the AAP suggests a single dose for those at high risk, including those with underlying conditions or living in congregate settings. The vaccine should also be available to other children in this age group if their parents or guardians desire it.
2. **Influenza Vaccine:** The AAP recommends that all children ages 6 months and older receive the annual flu vaccine, unless medically contraindicated.
3. **RSV Immunization:** The AAP recommends monoclonal antibody immunization (nirsevimab or clesrovimab) for infants younger than 8 months old whose mothers did not receive the RSV vaccine during pregnancy or whose RSV vaccination status is unknown. Immunization is also recommended for babies ages 8 through 19 months old who are at high risk of severe disease.
### Insurance Coverage Concerns
Experts have raised concerns about insurance coverage for childhood vaccines, as companies often tie their coverage policies to official recommendations. The AAP urges all insurers to cover the vaccines included in its immunization schedule and is committed to working with partners at the local, state, and federal levels to ensure vaccine access for all children.
### Vaccine Integrity Project
The Vaccine Integrity Project (VIP), assembled by the University of Minnesota's CIDRAP, held a live stream event to review safety and effectiveness evidence for RSV and COVID immunizations in pregnant, pediatric, and immunocompromised people. This project aims to ensure that vaccine recommendations remain science-based.
### Sources - CIDRAP News Article?ref=yanuki.com
The AAP's schedule differs due to concerns about the CDC advisory committee including individuals who spread vaccine misinformation.
The AAP recommends COVID-19 vaccination for all children ages 6-23 months and risk-based vaccination for older children.
The AAP recommends that all children ages 6 months and older receive the annual flu vaccine.
The AAP recommends monoclonal antibody immunization for infants younger than 8 months old and those at high risk of severe disease.
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