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The vaccine limbo in the US is worsening the measles outbreak
The lack of a functioning US vaccine advisory committee is limiting the country’s response to a worsening measles outbreak, former advisers say. They argue that a properly constituted committee could review vaccination advice as cases and deaths rise, including whether to target adults and bring forward children’s doses in affected areas.
Three measles-associated deaths were announced last week, including a seven-month-old in New York and an infant in Wisconsin; both states had gone three decades without such a death. Babies at outbreak risk can receive their first MMR dose from six months, and a second dose can be given at least four weeks later, rather than at the usual later ages. Former advisers say the committee’s replacement process may take months or years, while changes to recommendations have historically taken 12 to 18 months to consider and adopt.
In short
- Three deaths highlight the worsening US measles outbreak.
- Former advisers say the country lacks a functioning vaccine committee.
- Earlier MMR doses could help protect children in outbreak areas.
Steelman: both sides, in good faith
The strongest fair case each way — we don't pick a winner.
The case for
A functioning vaccine advisory committee could review the outbreak evidence promptly and advise whether earlier doses for infants or targeted vaccination for adults would reduce risk. With measles cases and deaths rising, supporters argue that clear, expert guidance could help officials respond consistently and protect people most vulnerable to severe illness.
The case against
Changes to national vaccine advice should rest on careful review of evidence, safety and likely benefit, rather than being rushed in response to alarming but local outbreaks. A committee’s absence may complicate coordination, but health authorities can still use existing guidance and outbreak-specific measures while appointments and recommendations undergo proper scrutiny.
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