Four Western states, led by Democratic governors, have united to offer recommendations on who should receive vaccinations for seasonal respiratory illnesses such as the flu and COVID-19. They criticized the Trump administration for politicizing the U.S. Centers for Disease Control and Prevention, which they believe has jeopardized public health. California, Oregon, Washington, and Hawaii recently established the West Coast Health Alliance to counter what they see as the misuse of federal health agencies to promote anti-vaccine agendas, despite overwhelming scientific evidence supporting the safety and effectiveness of vaccines.
Their suggestions align with those of leading medical organizations and were released ahead of a CDC advisory panel meeting to discuss vaccine recommendations, including those for COVID-19.
The West Coast Health Alliance expressed concerns over the removal of the CDC panel by U.S. Health Secretary Robert F. Kennedy Jr., who has ties to the anti-vaccine movement. The alliance warned that such actions undermine the credibility of the CDC, which is essential at a time when trust and clear guidance are crucial for public health.
In response, the U.S. Department of Health and Human Services criticized the efforts of the Democratic-led states, accusing them of eroding public trust in health agencies with their pandemic response measures. The department emphasized the importance of evidence-based policy decisions over political influence.
The recommendations put forth by the West Coast Health Alliance include universal flu vaccinations for all individuals older than 6 months and protection against RSV for babies. They also outline groups that should receive the COVID-19 vaccine, such as young children, seniors, individuals with underlying health conditions, pregnant individuals, and those in high-risk environments.
The actions of Kennedy have sparked debates and initiatives across the states. Florida is moving to eliminate school vaccine mandates, while other states are committed to upholding vaccination requirements for children and adults. In Massachusetts, insurance coverage for recommended vaccinations is mandated, regardless of federal endorsement, and a coalition of Northeast states is collaborating on coordinated vaccine strategies.
New Mexico has empowered pharmacists to administer COVID-19 vaccines based on state guidelines, diverging from federal recommendations. Similarly, Pennsylvania and Colorado have taken steps to ensure equitable vaccine distribution, while Washington has prioritized accessibility to COVID-19 vaccinations for its residents.