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

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)

SEATTLE (AP) — 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 follow those of major medical organizations and came a day before a panel of CDC advisers were due to begin meeting to review recommendations for some vaccines, including COVID.

U.S. Health Secretary Robert F. Kennedy Jr., a leading antivaccine activist before becoming the nation’s top health official, fired the entire 17-member panel earlier this year and replaced it with a group that includes several anti-vaccine voices. Former CDC chief Susan Monarez told senators on Wednesday she was fired after 29 days on the job after refusing Kennedy's demands that she sign off on changes to the childhood vaccination schedule without data to back up the changes.

“Public health leaders warn these moves dismantle independent, science-based oversight and inject politics into decisions that protect Americans’ health — undermining the CDC’s credibility at a moment when trust and clarity are most needed,” the West Coast Health Alliance said Wednesday.

In a written statement Wednesday, U.S. Department of Health and Human Services spokesman Andrew Nixon criticized the effort.

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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)

“Democrat-run states that pushed unscientific school lockdowns, toddler mask mandates, and draconian vaccine passports during the COVID era completely eroded the American people’s trust in public health agencies,” Nixon said. “HHS will ensure policy is based on rigorous evidence and Gold Standard Science, not the failed politics of the pandemic.”

The recommendations from the West Coast Health Alliance include that all residents older than 6 months get a flu vaccine and that all babies receive protection from RSV. Among those who should receive the COVID vaccine are children 6 months to 23 months old; all adults over 65, and everyone younger than 65 who has risk factors or is in contact with people with risk factors; anyone pregnant or planning a pregnancy; and “all who choose protection.”

Kennedy's moves have prompted debate and action in the states. Florida has taking steps to become the first state to get rid of school vaccine mandates, with some states looking to follow its lead. Others are promising to protect vaccines for children and adults.

Democratic Massachusetts Gov. Maura Healey governor has said the state is requiring insurance carriers to cover vaccinations recommended by its public health department, regardless of whether they are endorsed by the federal government. Her state is also leading a bipartisan coalition of eight Northeast states that met over the summer to discuss coordinating vaccine recommendations.

In New Mexico, pharmacists have received the go-ahead to administer COVID-19 shots based on state health department guidelines rather than just the federal government’s immunization advisory committee.

Pennsylvania’s pharmacy board voted this month to protect the availability of COVID-19 vaccines for those most in need and to make it accessible across the state, at the urging of Gov. Josh Shapiro. Colorado Gov. Jared Polis and Washington Gov. Bob Ferguson have directed health officials to make sure residents are able to be vaccinated against the virus.