Overview:
Health and Human Services Secretary Robert F. Kennedy Jr. has announced that COVID-19 shots will no longer be recommended for children and healthy pregnant women, despite clear evidence of the harm it would do to millions, especially the Black community. The data shows that Black people made up around 18% of all cases and two out of every 10 deaths, and Black women are nearly three times more likely to die during childbirth than white women. The move could strip families of choice and exclude healthy people who are pregnant, which would make it significantly harder for millions of Americans to access vaccines they want for themselves and their families.
The data doesnโt lie: During the COVID-19 pandemic, Black people made up around 18% of all cases โ and two out of every 10 deaths โ despite being just 13% of the U.S. population. Black children who became infected were twice as likely as white kids to require hospitalization, and were more than five times as likely to be admitted to intensive care for treatment.
Meanwhile, Black women are nearly three times more likely to die during childbirth than white women, one of the highest maternal mortality rates in the developed world.
Yet Health and Human Services Secretary Robert F. Kennedy Jr. announced on Tuesday that he would end the governmentโs recommendation that children and healthy pregnant women get vaccinated for COVID-19 โ despite clear evidence of the harm it would do to millions, especially the Black community.
In a video posted on social media, Kennedy said he removed COVID-19 shots from the Centers for Disease Control and Preventionโs recommendations for those groups.
Overlooking Who Is Still At Risk
The announcement, which Kennedy said will appear in the CDCโs recommended vaccine schedule, comes one week after health officials from the Food and Drug Administration announced a decrease in the numbers of people who will have access to this yearโs updated COVID-19 vaccine.
The agency plans to limit the vaccine eligibility to adults 65 and older and individuals who have health conditions such as asthma, diabetes, heart disease, obesity, cancer and several others.
The Trump administration officials argue that data show these are โhigh riskโ groups.
But pregnancy and infancy are also considered risk factors for severe COVID-19, which led doctors and healthcare advocates to condemn these decisions. They expressed concern that this apparently arbitrary decision will cause undue harm.
Science Continues to Prove that Vaccines Work
โCOVID-19โs impact on pregnancy is deeply personal to me,โ Dr. Amanda Williams, interim chief medical officer with the nonprofit March of Dimes, said in a statement. โDuring the height of the pandemic, I cared for a healthy patient who was 32 weeks pregnant and tragically died from COVID-19 despite state-of-the-art medical care.โ
โOne of her last words was that she wished she had taken the vaccine,โ Williams said. This loss was not only a personal tragedy, she said, but a reminder of whatโs at stake, especially in communities of color.
โAs a Black woman and physician, I deeply understand the mistrust many feel toward the health system. But the science is clear and has not changed,โ said Williams. โPregnant people are at higher risk for severe illness and complications from COVID-19, and vaccination significantly reduces these risks. This underscores the importance of combining compassionate and patient-centered care with evidence-based recommendations to protect both moms and babies.โ
The evidence seems clear: Black people infected with COVID-19 have worse health outcomes than whites, and are significantly less likely to have access to the vaccine โ access that will be even more restricted if the vaccine is no longer recommended to pregnant women and Black children.
RELATED: 5 Years Later: Black Health Care Workers Reflect on COVID-19
Only 40.5% of Black children aged 5 to 11 and 63.2% of Black adolescents aged 12โ17 had received a COVID-19 vaccine, as of 2022, which is the most recent data available.
The situation was worse for adults: only 8% of Black adults had received the updated COVID-19 vaccine, compared to 15% of white adults, according to CDC data from November 2023. The infection rate was three times higher and death rates six times higher in predominantly Black U.S counties compared to predominantly white counties.
The agency plans to limit the vaccine eligibility to adults 65 and older and individuals who have health conditions such as asthma, diabetes, heart disease, obesity, cancer and several others.
The Trump administration officials argue that data show these are โhigh riskโ groups.
Dr. Steven J. Fleischman, president of the American College of Obstetricians and Gynecologists, said in a May 27 statement that โthe science has not changed. It is very clear that COVID-19 infection during pregnancy can be catastrophic and lead to major disability, and it can cause devastating consequences for families.โ
Moreover, Kennedyโs move โcould strip families of choice,โ Dr. Sean T. OโLeary, chair of the American Academy of Pediatrics Committee on Infectious Diseases, said in a statement. โThose who want to vaccinate may no longer be able to, as the implications for insurance coverage and access remain unclear.โ
Whatโs clear, he said, โis that pregnant women, infants and young children are at higher risk of hospitalization from COVID, and the safety of the COVID vaccine has been widely demonstrated.โ
The AAPโs analysis of HHS data found that more than 11,000 children were admitted to the hospital with COVID during the current respiratory virus season. More than 7,700 of those children were younger than 5 years old. Between October 2022 to April 2024 41% of children ages 6 months to 17 years hospitalized with COVID did not have a known underlying condition.
Health Insurers Might Roll Back Coverage
This weekโs announcement also โcalls into question whether health care workers without underlying conditions will be eligible for vaccination,โ Dr. OโLeary said.
Excluding healthy people who are pregnant means infants younger than 6 months wouldnโt be immunized against the virus despite having COVID hospitalization rates similar to people ages 65-74 years, ACOG pointed out.
โMany health insurers rely on federal recommendations to determine coverage, and this decision could make it significantly harder for millions of Americans to access vaccines they want for themselves and their families,โ said Dr. Tina Tan, president of the Infectious Diseases Society of America.
The ISDA also urged insurers to continue covering the COVID-19 vaccine. CDCโs vaccine advisers were expected to make recommendations in June as to who should be vaccinated. It is unclear which medical experts, if any, were consulted before this weekโs announcement.
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