[SaneVax: The CDC has finally admitted that a one-size-fits-all vaccination program does not work. Not all vaccine-preventable diseases carry the same risks, everyone has a different medical history and all vaccines are not created equal when it comes to safety and efficacy. It is good to see some common sense enter the vaccine debate.]
Revised Recommendations for Vaccines Are Being Phased In, CDC Report Says
By Gergana Koleva, Contributor, Forbes
Can vaccines be more useful for some people than for others?
Until now, most physicians have recommended immunizations for all infants and children, as well as for adults at various ages who may have missed shots. But new guidelines that take into account the strength of scientific evidence and individual health to determine whether specific vaccines should be recommended or simply optional for patients are being used in medicine for the first time, a report by the Centers for Disease Control and Prevention says.
The recommendations are based on a framework for evaluating science used by more than 60 major organizations, including the American College of Physicians and the World Health Organization, and will each fall in one of two categories, reflective of evidence that a vaccine is essential to good health. Category A recommendations will include vaccinations considered necessary for all people of a certain age or those who are at an increased risk for contracting a vaccine-preventable disease. Category B recommendations will provide guidance to physicians in the context of individual cases where patients with varying health conditions may or may not benefit from a vaccine.
“Over the years, the science of developing recommendations has changed,” said Faruque Ahmed, PhD, a senior scientist at the CDC and a member of the U.S. Department of Health and Human Services’ Advisory Committee on Immunization Practices (ACIP), which is leading the effort, in a telephone interview.
The need for updating immunization guidelines stems from the fact that the current language does not always indicate the importance of some vaccines over others. For example, the meningococcal vaccine, which protects against a debilitating and potentially life-threatening disease and can be routinely administered at various stages in a patient’s life, may be recommended with the same urgency as the hepatitis B vaccine for older adults with diabetes, for whom that vaccine is not always beneficial.