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The centers of diseases control and prevention have accepted the updated new Covid-19 vaccine guidelines that may make it difficult for many people to protect themselves this winter compared to previous years.

Jim O’Neil, director of the Disease Control Center, agreed to the recommendations of Kovid’s footage from the Minister of Health Robert F. Kennedy Junior Consulting Committee chosen by fortification practices, which met in September.

Unlike previous years, new guidelines call for speaking to a doctor, pharmacist, or other health care providers about the risks and benefits of obtaining vaccination before obtaining a shot. This additional step is called “shared decision -making” or “making a per capita decisions” according to language Press statement.

This step is the final procedure necessary to implement the new instructions, which affects who can get the Covid shot and give it, and whether the vaccination will be covered by private and government insurance without engines.

The final recommendations were delayed

The step came yet Unusual delay, not explained for two weeks Between when CDC advisers issued recommendations and accepted the agency. Official decision The Center for Disease Control allows To finally start charging vaccines for doctors, clinics and other service providers through the children’s vaccine program, which provides free vaccines for about 40 % of all American children.

“The enlightened approval is back,” O’Neill said in a statement announced by the move. “A comprehensive recommendation for CDC for the year 2022 for Covid-19 Permanent health providers deterred health care providers about talking about the risks and benefits of vaccination for the patient or the individual parent. It changes today.”

Independent vaccine experts stab this claim.

“There is no basis that routine recommendations prevent doctors from discussing risks and benefits with patients,” he said. Derate ReeseWho study vaccine policies at the University of California, San Francisco. “doctors [have always been] Required for enlightened approval. Joint clinical decisions simply indicate that the vaccine is not recommended routinely and reduces absorption. “

Others agree on a false claim and can undermine general confidence in vaccines.

Dr. Tina like thisPresident of the Association of Infectious Diseases in America, in an email. “This is very unfortunate and increases the risks of the American audience for serious disease that can be prevented.”

The Disease Control Center has also made the official character to a recommendation that makes it more complicated for some parents to vaccinate their children against measles, mumps, measles and Dick Shulpry.

“If this is his approach, I am concerned about it [additional] Recommended childhood vaccines for routine use, “added Reiss in an email.” If he believes that the routine recommendation undermines enlightened approval-which is not-which might reduce absorption and may make Trump Kennedy’s outbreak of measles and vessels we see greater. “

The movements ensure the continuous insurance coverage of Covid clips and allow pharmacists worldwide to continue to manage vaccine. But the changes withdraw some government coverage of the group that protects against measles, mumps, measles, and the freezing of smallpox, which some parents prefer.

In previous years, Covid-19 vaccines were easily available for any person 6 months and above simply walking in a pharmacy, doctor’s office or clinic and asking for a shot.

The barriers in front of the vaccination

But vaccines Become more difficult To reach August, when the Food and Drug Administration agreed to update versions of Moderna, Pfizer/Biontech and Novavax vaccines for people at risk of serious disease because they are 65 years old or more other health.

The change happened because the Trump administration officials say they have concerns about the safety and effectiveness of vaccines, although there is enormous evidence that vaccines are very safe and very effective. Federal health officials also argue that most people have a lot of immunity now to the point that they no longer necessarily need annual reinforcement.

Many public health experts agree that Covid no longer constitutes the dangerous risk made by many people, especially those who are younger and healthy. Other countries have also moved to the “risk -based” Covid vaccination strategy.

But some healthy people still want to have vaccination to reduce the risk of the disease at all, lose work or school, develop long length or spread the virus to vulnerable people, such as older family members and friends who have other health issues.

During the past month, it caused change Anger, frustration and confusion. In states like Georgia and Utah, people had to have a prescription for a bullet and some have not been able to vaccinate at all.

The situation was more complicated because Kennedy, who had a long history of criticism of vaccines, said that the government no longer recommends vaccines for pregnant women and healthy children, although the pregnancy is listed in the risk list by the Disease Control and FDA center, and Covid can still make some children very sick.

Earlier this month, the vaccine plate, which provides impressive advice to the Center for Disease Control, Voice to recommend the footage For anyone 6 months and above, provided that he consults with the health care provider about risks and benefits.

Confusion still prevails

condition Joint clinical decisions It creates a new vaccination obstacle compared to previous years, by requesting an explicit conversation with an individual’s risk and benefits before getting one.

The new guidelines continue to ensure the coverage of private and public insurance companies, including the Medicaid and Medicare program, the children’s vaccine program and the children’s health insurance program.

The recommendation must also clarify that any 6 -month -old person and over a qualification for a Covid vaccine, including healthy children, pregnant women and younger adults. (The only way to protect young children, who are among those who face the greatest risk of Covid, is to fortify their mothers during pregnancy).

However, some service providers may remain confused or reluctant to manage the footage due to the constant uncertainty and mixed messages, for example, the risks of speculative safety provided during the meeting of the Consultative Committee of the Center for Disease Control, which are not supported by strong evidence.

Some states and major medical groups, such as the American Academy of Pediatrics, the American College of Obstetricians, Gynecology, and the Association of Infectious Diseases America, issued separate instructions for clips over the age of 6 months and above, to protect themselves and their societies in the upcoming respiratory season.

In addition, you may choose more doctor offices to store new vaccines due to fears that the discussion may weaken the demand, which requires people to go to another place, such as the pharmacy.

Some pharmacies may require patients to read and fill a model that discusses the potential risks and benefits of vaccines. But the CV, the largest pharmacy chain in the country, says that people will be able to obtain Kovid vaccines simply by one request. Pharmacists will not have to ask anything, including even conversation, unless patients have questions, CVS says.

It is now recommended for a separate snapshot of waterproof

Before O’Neill, the committee also voted on banning MMRV shot, which protects against measles, mumps, measles, varicose veins, or chickenpox, for children under the age of 4 years.

Young children can get the same protection by obtaining separate clips for MMR and Faricella, most of them – about 85 % – they are already, according to Record control center data And discussing it at the meeting of the Consulting Committee in September.

This is because the icing shot is linked to a slightly higher risk of fever that can lead to seizures in children under the age of four. Because of the risk of CDC, for more than 15 years, children under the age of 4 are preferred to the shots separately. However, some parents chose to get a snapshot and narration, because they were easier or more available, and the risks associated with the scary but temporary side effect are low.

Due to the recommendation, the MMRV vaccine will not be covered by federal programs that offer supported vaccines. “This committee has made a recommendation to practice what is in its place anyway, but it removed the option to finance those vaccines for those who might believe that this is a better option, before he retired from the agency in 2023,” says Dr. Katrina Cretsenger, a medical epidemic specialist who worked in the policy of vaccine for more than a decade at the Center for Disease Control, before retired from the agency in 2023.

Cretsenger says that various policies of the same safety information that were accurately examined years ago will lead to lack of confidence among parents. “There is confusion about how to follow up, as well as doubts raised by the fact that this is re -examined,” she says, “It enhances a chilling effect on the absorption of the vaccine.”

This change may also cause a lack of separate vaccines, at least, so that manufacturers can control their production to meet the new demand.

A new call to dismantle the mmr vaccine

A few hours after the release of the new vaccine instructions, the director of the Disease Control Center also called on the MMR vaccine makers combined to break it into three separate shots of the stiffness, mumps and measles in Published on x.com. This position praised President Trump to his leadership and re -invited him in September that he was running a mmr vaccine as “three completely separate clips.”

The mixture group for statistics, mumps and measles in the United States has been used for decades.

“This is completely ridiculous and really brings us back to more than 50 years in time, given that the MMR vaccine was licensed here in the United States in 1971,” said Tan, head of the Infectious Diseases Association in America. “It has been made as a composition vaccine to ensure that people will receive all the vaccines that they will need as a single division instead of 3 separate injection. This is crazy and continues to erode the public health system and public trust in the vaccines.”

A statement from Merck said: “There is no published scientific evidence that shows any benefit in the semester of the MMR vaccine into three individual shots.” MMR vaccine. “The use of individual ingredients for combination vaccines increases the number of injections for the individual and may lead to delay or excess vaccination.”

The statement also said that the evidence indicates that the collective vaccines improve the results of children by increasing the completion of the recommended vaccines and obtaining them in the appropriate ages. Merck also said that there are no single vaccines approved for use in the United States for stiffness, mumps or pill.

“By reducing the required number of injections required,” by reducing the number of separate injections, “by reducing the number of separate injections,” said the coverage maker allows the coverage to cover the vaccination; “The compound vaccines play a decisive role in improving vaccination coverage rates;