Vaccines: Decision Making Amid Conflicting Recommendations

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Vaccinations are among the most impactful of all public health interventions—protecting not only the vaccinee but also those around them. When polio vaccines were introduced, people clamored to receive them to avoid polio-related death and disability. Influenza vaccines have prevented countless lost days from school or work, hospitalizations, and deaths. Hepatitis B vaccines can prevent serious complications, including chronic liver damage and hepatocarcinoma. Some deadly infections such as smallpox have been virtually eliminated by vaccines. Yet in the United States, vaccination has become a political lightning rod instead of a foundational component of public health. The trusted scientific infrastructure for vaccine policies has been dismantled and replaced with a process designed to yield recommendations aligning with the ill-informed beliefs of the U.S. Secretary of Health and Human Services (1, 2).

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