Three liberal-leaning states on the U.S. West Coast have struck a new public-health compact, promising to issue their own vaccine recommendations and work together as a bulwark against federal cutbacks and ideological shifts under the Donald Trump administration.

The West Coast Health Alliance brings together California, Oregon and Washington at a time when the Centers for Disease Control and Prevention, under the leadership of Health Secretary Robert F. Kennedy Jr., has fired senior leadership, lost staff and replaced members of a key vaccine recommendation panel.

Federal disarray has reduced confidence in the CDC’s commitment to pursuing sound health science and raised “concern around the instability of the organization under this federal administration,” Washington state Secretary o

See Full Page