U.S. just radically changed its COVID vaccine recommendations: How will it affect you?
As promised, Federal Health officials have made suggestions that have been ongoing for a long time that healthy children and healthy pregnant women should receive COVİD-19 vaccines.
US Ministry of Health and Human Services, “Covid-19 vaccine program is very open. Vaccine is not recommended for pregnant women. Vaccine is not recommended for healthy children.” post At x on Friday.
In official documents, medical officers do not offer “guidance ve about whether pregnant women will receive vaccination and ask for parents to speak to a healthcare provider before vaccination for their children.
The decision is expected to require insurance companies to pay for children to pay for children if their parents still ask for shooting for them.
New vaccine guides were sent to the US Disease Control and Prevention Centers website late on Thursday.
Insurance question
In accordance with federal laws, insurers had to pay for vaccines for pregnant women.
The decision of the Trump administration came in the midst of the criticism of officials in the country’s leading pediatrician and birth experts. Some doctors, healthy pregnant women and healthy children should take the Covid vaccine that the advice of a new evidence to remove the advice, he said.
“This continues to make things uncertain and creates confusion for patients, providers and payments,” American Women’s Engineer College and gynecologists said on Friday. He said.
At the beginning of the week, the group of the group. Steven Fleischman, in question Science has not changed and the Covid-19 vaccine is safe during pregnancy, and after birth, it protects both the mother and their babies.
“Covid-19 infection during pregnancy may be a disaster,” Fleischman said.
President of the American Pediatrics Academy Susan Kressly, the suggestion change emerges in a “contradictory, confusing ve and is not çim explaining the evidence used to achieve its consequences”.
“Covid vaccine for many families will continue to be an important way to protect their children and their families from their complications, including long Covid,” Kresly said. expression.
Some experts, Trump administration typically to the US vaccination proposals to be collected in late June, disease control and prevention centers advice to a doctor and scientist committee should listen to suggestions, he said.
California’s opinion
The Ministry of Public Health of California said on Thursday that “COVİD-19 vaccines are available for all people who want to be overcome for 6 months and larger people”.
Changes faced by CDC Exit of senior leaders And There was no acting director. Typically, it is the CDC director who made final decisions on vaccination recommendations, as in the first Trump administration and in Biden management. The CDC Director traditionally accepted the consensus perspective of the panel of doctors and scientists working at the CDC vaccination practices Advisory Committee.
Even in long -term suggestions, Vaccine Rates It was relatively low for children and pregnant women. According to CDC, 13% of children and 14.4% of pregnant women have received the latest updated COVİD-19 vaccine since the end of April. Approximately 23% of adults received an updated vaccine in general and 27.8% of the elderly aged 65 years and older.
Since October, the CDC estimates 31,000 to 50,000 Covid deaths and 270,000 to 430,000 Covid hospitalization.
Here are some important points about the decision of the CDC:
New vaccination guidance for healthy children
Previously, the CDC’s guidance was simple: 6 months and above should take an updated Covid vaccine. The latest version was announced in September and officially known as the 2024-25 COVİD-19 vaccine.
As of Thursday, CDC, Pediatric vaccination program pageFor healthy children, the decisions about the vaccination of 6 months to 17-year-old-Covid vaccination should come from the “shared clinical decision-making olan, which is informed by a decision process between the health care provider and the patient or the parent/guardian.
CDC, “In cases where the parent’s children apply with the desire to vaccinate, 6 months and older children can take the COVİD-19 vaccination, which is informed with the clinical judgment of a healthcare provider and personal preferences and conditions” he says.
Vaccine Skepti Health and Human Services Secretary Robert F. Kennedy Jr. video Tuesday, “Children’s lack of any clinical data to support the strengthening strategy again” was published.
However, an earlier presentation by the CDC personnel said that a generally updated vaccine provided both children and adults. Additional protection From emergency service and emergency care visits related to Covid.
UC San Francisco is a specialist infectious diseases. Peter Chin-Hong, CDC’nin 6-month and higher vaccine will prefer to protect the wider advice, he said.
“Simple, Chin Chin-Hong said. There, he added that there is no new data that children should not receive the updated Covid vaccine.
“A very uncertain advice and does not cause many people to get vaccinated, Chin is a guide with“ shared decision-making ”.
Kressly from the American Academy of Pediatrics, in question The shared clinical decision -making model said, “It is difficult to implement because it deprived clear guidance for speeches between a doctor and a family. Doctors and families need uncertain, evidence -based guidance, need uncertain, practical frameworks.”
Some experts were worried that CDC would make a decision that would end the federal requirement for children’s insurance companies to meet the cost of COVİD-19 vaccines for children. For a COVİD-19 vaccine, the cost can reach $ 200.
New vaccine guidance for pregnant women
In the adult vaccination program for people who own Medical conditionsCDC now says that there is no “guidance ıy about whether pregnant women will receive the Covid-19 vaccine.
In a 58-second video on Tuesday, Kennedy did not explain why pregnant women should not be recommended to be vaccinated against Covid-19.
Chin-Hong of UCSF called vaccination advice for pregnant women as a decision to leave 100%”wrong.
Pregnancy brings a relatively endangered immune system. Pregnant women have a high chance of infection and they get a more serious disease, including Covid, Chin said Chin-Hong.
A pregnant woman vaccinated also protects the newborn. “You really need antibodies in pregnant people to move to the placenta to protect the newborn, Chin said Chin-Hong.
Particularly important, Chin-Hong et al., Infants under 6 months old age can not be vaccinated against COVİD-19, and the risk of serious complications, such as the elderly aged 65 years and older.
Not the worst scenario for vaccine advocates
At the beginning of the week, some experts are worried that new rules will allow insurance companies to stop the Covid vaccine to meet the cost of healthy children.
Concerns caused Video message Kennedy’nin “healthy children and healthy pregnant women COVİD vaccine CDC was removed from the proposed vaccination program,” he said.
On Thursday, the CDC appeared with the official decision – the agency left the advice for healthy children, but still left the shot. pediatric vaccination program.
The American Academy of Pediatrics, leaving the Covid-19 vaccine in the vaccination program, “means that the vaccine will be covered by insurance,” he said. expression.
How do pharmacies and insurers respond?
There are some questions that do not have instant answers. Will some vaccine providers begin to require the doctor’s grades to vaccinate healthy children and healthy pregnant women? Will it be more difficult to vaccinate children and pregnant women in a pharmacy?
CVS Pharmacy said in a statement that “Federal Guidance and the State Law on the vaccine administration and the government follows the changes that the government can make on vaccination suitability”. The Insurer Eetna, which is a CVS, follows changes in Federal authorities for COVİD-19 Vaccination Compliance and will “assess whether there is a need for coverage adjustments”.
California Blue Shield, Covid-19 vaccines covering applications, he said.
“Despite the latest federal policy change in COVİD-19 vaccines for healthy children and pregnant women, California Blue Shield will continue to cover Covid-19 vaccines for all appropriate members” insurer He said in a statement. “Blue Shield does not require pre-permission for Covid-19 vaccines.”
The agency said on Friday, according to California’s laws, health plans organized by the manageable health services should cover the COVİD-19 vaccines without pre-allowed. “If consumers reach these services from a provider in the network of health plans, they will not have to pay anything for these services,” he said.
