In a significant departure from federal policy, the American Academy of Pediatrics (AAP) has recommended that all children aged 6 to 23 months receive a COVID-19 vaccine. This guidance contrasts with the Centers for Disease Control and Prevention’s (CDC) current stance, which allows parents and doctors to decide on vaccinations for healthy children. The AAP’s recommendation emphasizes the importance of vaccinating young children to prevent severe illness and hospitalization due to COVID-19.
AAP’s Stance on COVID-19 Vaccination for Young Children
The AAP’s new guidance advises that all children aged 6 to 23 months receive a COVID-19 vaccine, regardless of prior infection or previous doses. This recommendation is based on data indicating that hospitalization rates for children under 2 remain the highest among pediatric age groups, comparable to those aged 50-64. The AAP criticizes the CDC’s approach of shared decision-making, stating that it lacks clear guidance and does not emphasize the importance of vaccinating high-risk groups. The organization also recommends vaccination for older children in specific risk groups.
Federal Policy and the AAP’s Divergence
The CDC’s current policy, established in May, made COVID-19 vaccination optional for healthy children, leaving the decision to parents and doctors through shared clinical decision-making. The AAP argues that this policy creates confusion and downplays the importance of vaccinating those at high risk for severe illness. In response to the AAP’s stance, the U.S. Department of Health and Human Services announced the reinstatement of a federal task force focused on safer childhood vaccines after a 27-year hiatus.
Legal Actions and Policy Implications
In July, the AAP, along with other medical groups, filed a lawsuit against Health and Human Services Secretary Robert F. Kennedy Jr. for removing routine vaccine recommendations. The AAP’s move highlights tensions with the current administration, which has replaced expert advisory panels with ones including vaccine skeptics and excluded key medical organizations from policy development. The Department of Health and Human Services criticized the AAP’s stance, accusing it of prioritizing commercial interests.
Conclusion
The AAP’s recommendation for COVID-19 vaccinations in young children underscores the ongoing debate between federal health policies and pediatric health organizations. As the situation evolves, it remains crucial for parents and caregivers to consult with healthcare professionals to make informed decisions about their children’s health.
References
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Reuters. (2025, August 19). US pediatric group breaks with federal policy, recommends COVID-19 vaccines for young children. Retrieved from (reuters.com)
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Reuters. (2025, August 19). US pediatric group recommends COVID-19 vaccines for young children, contrasting federal policy. Retrieved from (reuters.com)
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The Washington Post. (2025, August 19). Pediatricians’ association recommends COVID-19 vaccines for toddlers and some older children, breaking with CDC guidance. Retrieved from (washingtonpost.com)
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Center for Science in the Public Interest. (2025, August 19). Pediatricians’ association recommends COVID-19 vaccines for toddlers and some older children, breaking with CDC guidance. Retrieved from (cspi.org)
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American Health Law Association. (2025, August 22). Pediatric Group Departs from Federal Guidelines and Recommends COVID Shots for Young Children. Retrieved from (americanhealthlaw.org)
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