Four Democratic-controlled Western states today issued their own recommendations on who should get three common seasonal vaccines, a sharp rejection of efforts by Health Secretary Robert F. Kennedy Jr. to upend vaccine policy at the federal level.

The so-called West Coast Health Alliance — which includes health officials in California, Oregon, Washington and Hawaii — recommended that every resident 6 months and older receive the flu vaccine this fall. They also recommended that broad swaths of the population receive a COVID-19 shot, including pregnant women and all children from 6 months to 2 years old, and that RSV vaccines be given to infants under 8 months and adults over 75, as well as to others with certain risk factors.

The detailed guidance generally mirrors clinical recommendatio

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