HIPHI and HIC support AAP’s Evidence-Based Immunization Schedule

Evidence-based immunization schedule outlining routine vaccines for infants and children.

Source: American Academy of Pediatrics

The American Academy of Pediatrics (AAP) has reaffirmed its evidence-based immunization schedule, consistent with its 2025 recommendations. However, the schedule differs from recent guidance issued by the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP). 

On June 9, 2025, 17 sitting members of the ACIP were removed by Robert F. Kennedy Jr. and replaced with eight new members. Some of the new members were reportedly vaccine skeptics and tied to groups spreading vaccine misinformation. Following this change, ACIP released updated guidance that differs from longstanding recommendations. Since then, AAP and ACIPs have issued conflicting immunization schedules and guidance. AAP has stated its commitment to maintaining recommendations grounded in decades of scientific research, safety monitoring, and surveillance systems that evaluate vaccine safety and effectiveness. 

The AAP schedule includes immunizations protecting against 18 diseases, including respiratory syncytial virus (RSV), influenza, and COVID-19. In contrast, ACIP guidance recommends routine vaccination against 11 diseases, with certain vaccines, such as influenza and COVID-19, shifted to a “shared clinical-decision making” approach. Differences in recommendations may contribute to confusion among families and providers, potentially delaying vaccinations and increasing the risk of outbreaks of vaccine-preventable diseases. 

These developments come amid rising measles cases in the continental United States. Measles is highly contagious and can spread rapidly in areas with lower vaccination coverage, placing infants, immunocompromised individuals, and entire communities at risk. 

Hawai‘i has also experienced recent outbreaks. In February, ten cases of chickenpox were confirmed on Kaua‘i. All cases involved individuals under 18 years old, and nine of the ten were unvaccinated. The outbreak underscores the importance of maintaining strong, science-based immunization practices statewide. 

Numerous health and medical societies, including the West Coast Health Alliance and the Hawai‘i State Department of Health, have expressed support for the AAP schedule. In alignment with these organizations, HIPHI and the Hawai‘i Immunization Coalition (HIC) support the AAP’s evidence-based immunization schedule. Vaccine recommendations should remain grounded in rigorous scientific review and ongoing safety monitoring. Clear science-driven guidance is essential to preventing the resurgence of vaccine-preventable diseases and protecting keiki, kūpuna, and families across Hawai‘i. Have questions or want to get involved? Contact us at immunizehawaii@hiphi.org.