The US Health of Human Services (HHS) department is seeking public feedback on how federal vaccine recommendations are categorised and communicated. The move marks the next step in the Trump administration's push to overhaul the childhood immunisation schedule.
The request for information posted to the Federal Register on Friday asks whether the current framework "adequately serves the goals of scientific rigour, informed choice, and public trust," and whether additional or different recommendation categories should be introduced.
Federal vaccine recommendations currently fall into three main categories: routine recommendations for everyone in a particular age group, risk-based recommendations for people with specific risk factors, and shared clinical decision-making (SCDM), under which there is no default recommendation and patients or parents make decisions with their healthcare providers. HHS is seeking views on whether SCDM works effectively or whether it creates confusion, lowers vaccine uptake or places additional demands on clinicians.
HHS is also considering whether to introduce new categories, such as vaccines that are "recommended, but not during infancy"; "recommended with qualification"; or "shared clinical decision-making with qualification."
Earlier this month, President Donald Trump signed an executive order directing health officials to pare back vaccine recommendations, mirroring a change in the vaccine recommendations from HHS at the start of the year that has since been blocked by a federal judge
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