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As COVID vaccine guidelines change at dizzying pace, Yale public health expert weighs in

FILE: A nurse administers a vaccine to a six month year old child at Griffin Health mobile vaccine clinic at the Windsor Library. The CDC gave authorization three days prior for COVID-19 vaccines for children as young as 6 months old.
Ryan Caron King
/
Connecticut Public
FILE: A nurse administers a vaccine to a six month year old child at Griffin Health mobile vaccine clinic at the Windsor Library. The CDC gave authorization three days prior for COVID-19 vaccines for children as young as 6 months old.

The nation's top public health agency posted new recommendations that say healthy children and pregnant women may get COVID-19 vaccinations, removing stronger language that those groups should get the shots.

The change comes days after U.S. Health Secretary Robert F. Kennedy Jr. announced that COVID-19 vaccines will no longer be recommended for healthy children and pregnant women.

But the updated guidance on the Centers for Disease Control and Prevention's website sends a more nuanced message, saying shots “may” be given to those groups.

Dr. Megan Ranney, the dean of Yale's School of Public Health, says healthy people who are pregnant should still get routine COVID-19 vaccinations.

“Pregnancy is a time that is high risk for severe COVID infections, for hospitalization and even for death,” Ranney said.

“Pregnancy changes your immune system. It changes your respiratory function, and there is a reason that countries across the globe continue to recommend COVID vaccination during pregnancy,” she said.

Anyone older than 65, or people with high risk conditions like cancer, should also receive the COVID vaccine booster every six months, Ranney said.

On Thursday, the CDC said that shots may be given to children ages 6 months to 17 years who do not have moderate or severe problems with their immune systems. Instead of recommending the shots, the CDC now says parents may decide to get their children vaccinated in consultation with a doctor.

“The old COVID-19 vaccine recommendations for healthy children under 18 and for pregnant women have been removed from the CDC vaccine schedule,” a HHS spokesperson said in a statement. “The CDC and HHS encourage individuals to talk with their healthcare provider about any personal medical decision."

But Ranney said those new guidelines on vaccinating children are also confusing.

“Many of us have said for years that kids getting a COVID booster is up to the parents and up to the doctor,” Ranney said. “But what's clear is that the first time that kids get COVID, it can be really serious, and so that primary vaccine series, there's still pretty strong evidence for, and I'm hoping that that will be clarified by the CDC in coming days.”

A CDC advisory panel is set to meet in June to make recommendations about the fall shots. Among its options are suggesting shots for high-risk groups but still giving lower-risk people the choice to get vaccinated. A committee work group has endorsed the idea.

The Associated Press contributed to this report.

Jennifer Ahrens is a producer for Morning Edition. She spent 20+ years producing TV shows for CNN and ESPN. She joined Connecticut Public Media because it lets her report on her two passions, nature and animals.

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The independent journalism and non-commercial programming you rely on every day is in danger.

If you’re reading this, you believe in trusted journalism and in learning without paywalls. You value access to educational content kids love and enriching cultural programming.

Now all of that is at risk.

Federal funding for public media is under threat and if it goes, the impact to our communities will be devastating.

Together, we can defend it. It’s time to protect what matters.

Your voice has protected public media before. Now, it’s needed again. Learn how you can protect the news and programming you depend on.

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