RFK Jr. may upend how vaccine recommendations are categorized
摘要
美国卫生部门正考虑调整疫苗建议的分类与表述方式。在反疫苗的卫生部长小罗伯特·F·肯尼迪主导下，目前被视为“常规”或“普遍”的疫苗接种建议，未来可能被重新标注为“有条件推荐”或基于“共同临床决策”等听起来更不确定的类别。肯尼迪尚未制定新规，但已通过公开征询文件提出相关问题，征求公众意见，截止日期为9月20日。现行CDC疫苗建议分为常规推荐、基于风险推荐和共同临
Under anti-vaccine Health Secretary Robert F. Kennedy Jr., the US health department is considering changing how vaccine recommendations are categorized and described. The move creates the possibility that vaccinations currently considered "routine" or "universal" could be given new designations that sound less definitive or more conditional, such as "recommended with qualification" or recommended based on "shared clinical decision-making."
Kennedy has made no new rules or recommendations for the categories yet. However, he laid out ideas and possibilities in a Request for Information (RFI) posted online Friday and published in the Federal Register on Monday. In the 10-page document, Kennedy poses questions about the current categories and asks the public to weigh in on ideas for how to change or replace them. The deadline to comment on the questions and ideas is September 20.
Currently, there are three categories of vaccination recommendations granted by the Centers for Disease Control and Prevention, which is informed by a panel of independent expert advisors, the Advisory Committee on Immunization Practices (ACIP). The three categories are: routine, otherwise considered universal (a recommendation that everyone should get a vaccine); risk-based recommendations (only certain groups at higher risk should get a vaccine); and recommendations based on "shared clinical decision-making," or SCDM (a flexible but uncommon recommendation for vaccination based on the characteristics, values, and preferences of a patient and the judgment of their healthcare provider).
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