Presidential Actions

# Aligning United States Core Childhood Vaccine Recommendations with Best Practices from Peer, Developed Countries

Presidential Memoranda
December 5, 2025

MEMORANDUM FOR THE SECRETARY OF HEALTH AND HUMAN SERVICES

THE DIRECTOR OF THE CENTERS FOR DISEASE CONTROL AND PREVENTION

SUBJECT: Aligning United States Core Childhood Vaccine Recommendations with Best Practices from Peer, Developed Countries

In January 2025, the United States recommended vaccinating all children for 18 diseases, including COVID-19, making our country a high outlier in the number of vaccinations recommended for all children. Peer, developed countries recommend fewer childhood vaccinations — Denmark recommends vaccinations for just 10 diseases with serious morbidity or mortality risks; Japan recommends vaccinations for 14 diseases; and Germany recommends vaccinations for 15 diseases. Other current United States childhood vaccine recommendations also depart from policies in the majority of developed countries. Study is warranted to ensure that Americans are receiving the best, scientifically-supported medical advice in the world.

I hereby direct the Secretary of Health and Human Services and the Director of the Centers for Disease Control and Prevention to review best practices from peer, developed countries for core childhood vaccination recommendations — vaccines recommended for all children — and the scientific evidence that informs those best practices, and, if they determine that those best practices are superior to current domestic recommendations, update the United States core childhood vaccine schedule to align with such scientific evidence and best practices from peer, developed countries while preserving access to vaccines currently available to Americans.

This memorandum is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.

DONALD J. TRUMP

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