01/06/2026
Childhood vaccines for rotavirus, hepatitis A and B, meningitis, and influenza have been shifted from “routine” to “shared decision-making” or “high-risk only.” While this language may sound reasonable, it sends a dangerous message—that these vaccines are optional or less important.
The science has not changed. These vaccines still prevent hospitalizations, cancer, meningitis, and death. What has changed is policy, not evidence. This shift bypassed the usual scientific process and ignores the realities of the U.S. healthcare system, where vaccines serve as essential safety nets.
Our practice has never mandated influenza, hepatitis A, HPV, or meningococcal vaccines. We have recommended them—and will continue to do so—because the evidence is overwhelming. How could we not, when just last flu season 280 children died and nearly 90% were unvaccinated? Or when a healthy college student can become critically ill and, within hours, lose limbs or die from meningococcal disease?
Rotavirus and hepatitis B pose serious risks to infants and young children, but both are largely preventable through early vaccination. Rotavirus is highly contagious and a leading cause of severe diarrhea, dehydration, and hospitalization in young children worldwide, while hepatitis B infection in infancy or early childhood frequently leads to chronic, lifelong disease with risks of cirrhosis and liver cancer. Routine infant vaccination has dramatically reduced hospitalizations, complications, and deaths from both infections. In light of their clear benefits, treating these vaccines as optional risks minimizing their importance in protecting infants and young children.
Our approach has always been measured, evidence-based, and focused on the real risks and benefits for children. This is a professional boundary grounded in ethics, public health, and patient safety. We have effective vaccines that prevent these illnesses—how will any of us, parents or clinicians, feel if a child becomes seriously ill or dies from a disease we could have prevented?
The science hasn’t changed. The politics has. And children will pay the price.