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Committee member, Dr. Joseph Hibbeln, listens during a meeting of the Advisory Committee on Immunization Practices at the CDC on Thursday, Sept. 18, 2025, in Chamblee, Ga. (AP Photo/Brynn Anderson)

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Committee member Dr. Martin Kulldorf, speaks during a meeting of the Advisory Committee on Immunization Practices at the CDC on Thursday, Sept. 18, 2025, in Chamblee, Ga. (AP Photo/Brynn Anderson)

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Committee member, Dr. James Pagano listens during a meeting of the Advisory Committee on Immunization Practices at the CDC on Thursday, Sept. 18, 2025, in Chamblee, Ga. (AP Photo/Brynn Anderson)

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Committee member Dr. Retsef Levi listens during a meeting of the Advisory Committee on Immunization Practices at the CDC on Thursday, Sept. 18, 2025, in Chamblee, Ga. (AP Photo/Brynn Anderson)

Four Democratic-led Western states announced joint recommendations Wednesday about who should be vaccinated for seasonal respiratory viruses, including the flu and COVID-19, saying the Trump administration has jeopardized public health by politicizing the U.S. Centers for Disease Control and Prevention. California, Oregon, Washington and Hawaii early this month formed the West Coast Health Alliance in an effort to combat what they describe as the “weaponization” of federal health agencies to advance antivaccine policies, despite decades of scientific research showing that vaccines are safe and effective. Their recommendations came a day before a panel of CDC advisers was due to begin meeting to review recommendations for some vaccines.

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Lead medical assistant Maria Teresa Diocales goes over vaccine information with Huanyu Zhen as her daughter Lena Kuang, 1, looks on at International Community Health Services, Wednesday, Sept. 10, 2025, in Seattle. (AP Photo/Lindsey Wasson)

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Clinic support supervisor May Fengmei Lin, CMA, displays a syringe of the Fluarix flu vaccine at International Community Health Services, Wednesday, Sept. 10, 2025, in Seattle. (AP Photo/Lindsey Wasson)