childhood vaccines

Top pediatricians buck RFK Jr.’s anti-vaccine meddling on COVID shot guidance

aap, american academy of pediatrics, anti-vaccine, CDC, childhood vaccines, COVID-19, COVID-19 vaccines, health, kennedy, robert f kennedy jr, vaccines / Shannon Garcia / August 20, 2025

“It’s clear that we’re in a different place in the pandemic than we were four or five years ago in terms of risks to healthy older kids,” Sean O’Leary, chair of the AAP Committee on Infectious Diseases (COID), said in a statement. However, “the risk of hospitalization for young children and those with high-risk conditions remains pretty high.”

According to CDC data, the rate of COVID-19 hospitalization in children under 2 is the highest among any pediatric group. Further, the rate of hospitalization among children 6 months to 23 months is comparable to that of adults ages 50 to 64. Critically, more than half of children ages 6 months to 23 months who are hospitalized for COVID-19 have no underlying medical condition that puts them at high risk for severe infection.

For children 2 to 18, the AAP recommends COVID-19 shots for children who have a medical condition that puts them at high risk, are residents of care facilities, have never been vaccinated, or have household contacts who are at high risk of severe COVID-19. All other children and teens should also have access to updated seasonal shots if they desire them, the AAP says.

“The AAP will continue to provide recommendations for immunizations that are rooted in science and are in the best interest of the health of infants, children, and adolescents,” Kressly said. “Pediatricians know how important routine childhood immunizations are in keeping children, families, and their communities healthy and thriving.”

Coverage questions

With school starting, COVID-19 cases ticking up around the country, and cold-weather respiratory virus season looming, the question now is how the conflicting recommendations will be interpreted by insurance companies. Insurers are required to cover vaccines recommended by the CDC. But there is no such obligation for recommendations from medical groups.

AAP has been holding meetings with insurers to press for continued coverage of evidence-based vaccine recommendations.

O’Leary told The Washington Post that insurers are “signaling that they are committed to covering our recommendations.” The Post also noted that AHIP, the major insurance lobby, released a statement in June saying its members are committed to “ongoing coverage of vaccines to ensure access and affordability for this respiratory virus season.”

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Anti-vaccine RFK Jr. creates vaccine panel of anti-vaccine group’s dreams

Immediate concern

It’s possible that Kennedy did not immediately set up the task force because the necessary leadership was not in place. The 1986 law says the task force “shall consist of consist of the Director of the National Institutes of Health, the Commissioner of the Food and Drug Administration, and the Director of the Centers for Disease Control [and Prevention].” But a CDC director was only confirmed and sworn in at the end of July.

With Susan Monarez now at the helm at CDC, the Department of Health and Human Services said Thursday that the task force is being revived, though it will be led by the NIH.

“By reinstating this Task Force, we are reaffirming our commitment to rigorous science, continuous improvement, and the trust of American families,” NIH Director Jay Bhattacharya said in the announcement. “NIH is proud to lead this effort to advance vaccine safety and support innovation that protects children without compromise.”

Kennedy’s anti-vaccine group cheered the move on social media, saying it was “grateful” that Kennedy was fulfilling his duty.

Outside health experts were immediately concerned by the move.

“What I am concerned about is making sure that we don’t overemphasize very small risks [of vaccines] and underestimate the real risk of infectious diseases and cancers that these vaccines help prevent,” Anne Zink, Alaska’s former chief medical officer, told The Washington Post.

David Higgins, a pediatrician and preventive medicine specialist at the University of Colorado Anschutz Medical Campus, worried about eroding trust in vaccines, telling the Post, “I am concerned that bringing this committee back implies to the public that we have not been looking at vaccine safety. The reality is, we evaluate the safety of vaccines more than any other medication, medical intervention, or supplements available.”

Paul Offit, a vaccine expert at Children’s Hospital of Philadelphia, worried about a more direct attack on vaccines, telling CNN, “Robert F. Kennedy Jr. is an anti-vaccine activist who has these fixed, immutable, science-resistant beliefs that vaccines are dangerous. He is in a position now to be able to set up task forces like this one [that] will find some way to support his notion that vaccines are doing more harm than good.”