Labor Day is in the rearview mirror, kids are back to school, and a squall of pumpkin spice is upon us. It's that time again to prepare for the equally inevitable respiratory virus season with annual vaccines.

With fervent anti-vaccine activist Robert F. Kennedy Jr. as the country's top health official, it might seem like the rollout of this year's shots could be a disaster. For instance, one of Kennedy's first actions as health secretary last year was to obliterate an ad campaign for flu shots amid a particularly deadly flu season. As we head into this fall, the Centers for Disease Control and Prevention's vaccine advisory committee—which normally sets vaccination recommendations and insurance coverage for the shots—is nonfunctioning. A federal judge ruled in March that the anti-vaccine allies Kennedy installed on the panel were illegally appointed and unfit to serve. All their changes to vaccine policy have been temporarily voided. And meanwhile, Kennedy spent last week trying to obscure the number of babies who died from measles so far this year (it was two, including a newborn).

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Despite all of that, the fall vaccine effort is looking like it will likely be somewhat smooth, potentially unremarkable even. The Food and Drug Administration has approved updated flu and COVID-19 shots for this season. Those shots have already begun arriving at pharmacies—in case your pharmacy hasn't already sent you multiple texts and reminders. While there are still some snags for access, it seems like it will be a lot like last year's fall vaccine rollout.

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The Centers for Disease Control and Prevention is still secretly counting two measles deaths that were deleted from the agency's public measles data—a deletion that occurred at the direct request of anti-vaccine Health Secretary Robert F. Kennedy Jr., according to two reports released today.

Early today, Reuters reported that Kennedy instructed new CDC director Erica Schwartz to delete the two deaths from the agency's website. CDC staff had reportedly already reviewed information about the deaths and accepted the characterization that they were measles-related. Still, Schwartz deleted the deaths without objection, insiders told Reuters. According to previous reporting, the two deaths were added and then removed from the CDC's website within hours on August 30.

The deaths were of a newborn and a child, and they were reported last week by health officials in Pennsylvania. The state's ongoing measles outbreak has sickened 540 so far, including 119 just in the last week.

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The Centers for Disease Control and Prevention is excluding two measles deaths reported by Pennsylvania health officials last week from its latest update of national measles data. The move publicly challenges the accuracy of the state's death determinations in an extraordinary move that breaks precedent that states are the arbiters of case and death determinations, not the CDC.

The New York Times reported Monday that the CDC's new director, Erica Schwartz, is behind the decision. Schwartz—less than a month into the job—reportedly ordered CDC staff to add an unusual statement onto the CDC's website for measles surveillance data. The statement notes that the update will not include the deaths reported by Pennsylvania and continues: "At this time, available information does not establish whether measles caused or contributed to the deaths or whether the individuals died from other causes while infected with measles."

The Washington Post reported Monday that the CDC had actually changed the information provided on that page multiple times over the weekend. On August 29 at 2:33 pm ET, the website listed the total measles deaths for 2026 as "0" in a chart. On August 30 at 12:09 pm ET, the chart was updated to list the total deaths for 2026 as "2." There was also a note underneath the chart that read: "Health departments make determinations about measles-associated deaths and share relevant information with CDC." By 3:23 pm ET on August 30, the chart was changed again to delete the two deaths, replacing them with an asterisk as a reference to the unusual statement about the deaths not being included. The asterisk and statement remain as of Tuesday.

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Under anti-vaccine Health Secretary Robert F. Kennedy Jr., the US health department is considering changing how vaccine recommendations are categorized and described. The move creates the possibility that vaccinations currently considered "routine" or "universal" could be given new designations that sound less definitive or more conditional, such as "recommended with qualification" or recommended based on "shared clinical decision-making."

Kennedy has made no new rules or recommendations for the categories yet. However, he laid out ideas and possibilities in a Request for Information (RFI) posted online Friday and published in the Federal Register on Monday. In the 10-page document, Kennedy poses questions about the current categories and asks the public to weigh in on ideas for how to change or replace them. The deadline to comment on the questions and ideas is September 20.

Currently, there are three categories of vaccination recommendations granted by the Centers for Disease Control and Prevention, which is informed by a panel of independent expert advisors, the Advisory Committee on Immunization Practices (ACIP). The three categories are: routine, otherwise considered universal (a recommendation that everyone should get a vaccine); risk-based recommendations (only certain groups at higher risk should get a vaccine); and recommendations based on "shared clinical decision-making," or SCDM (a flexible but uncommon recommendation for vaccination based on the characteristics, values, and preferences of a patient and the judgment of their healthcare provider).

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