On September 23, 2025, listeners should be aware that public health authorities in the United States are managing several emerging alerts, vaccine policy updates, and ongoing infectious disease concerns. The CDC’s Advisory Committee on Immunization Practices, known as ACIP, recently shifted COVID-19 vaccine recommendations for most adults to an individual-based decision-making model. This means adults 18 and older are encouraged to discuss vaccination with their healthcare provider, considering personal health risks and benefits rather than following a universal recommendation. Importantly, the COVID-19 vaccine remains available to anyone over six months, but shared decision-making between patients and clinicians is now the standard according to ACIP. The advisory board debated requiring prescriptions for COVID-19 vaccination but experts cautioned this could reduce access for those without regular healthcare or insurance. State-level recommendations for COVID-19 vaccination may differ, with the West Coast Health Alliance specifically recommending COVID-19 vaccine for all children ages 6 through 23 months, children at higher risk of severe disease, and those in household contact with high-risk individuals.
There is a significant measles outbreak affecting 42 U.S. jurisdictions, with 1,491 cases reported as of September 16 by the CDC. The vast majority, 92 percent, are among unvaccinated people, and 12 percent have led to hospitalization. Three deaths have been confirmed. States impacted include Alabama, California, Ohio, Texas, Florida, and New York, among many others. Measles transmission is also widespread in Canada and Australia, reflecting global trends requiring vigilance. Public health officials continue to stress measles vaccination, especially for young children and those who remain unprotected. ACIP also adjusted its guidance: children aged three should receive the varicella (chickenpox) vaccine as a standalone shot, not in the combination MMRV vaccine, due to an increased risk of febrile seizures in young children when the vaccines are combined.
Additionally, there are regional alerts for respiratory illnesses as autumn begins. Governors of California, Oregon, Washington, and Hawaii promoted broad respiratory vaccination strategies for the season, including recommendations for COVID-19 vaccines and continued influenza vaccination, particularly for children, the elderly, pregnant people, and those with risk factors for severe disease.
Listeners should also be aware that, recently, medical societies and states have begun to issue their own vaccine recommendations, seeking clarity and consistency in the wake of federal guidance changes. This divergence may affect insurance coverage and vaccine costs, depending on location.
Other notable alerts include a localized Legionella outbreak in Iowa, increased reporting of Vibrio vulnificus cases in Florida, and ongoing monitoring of antimicrobial resistance and global influenza strains, though there are no novel U.S. pandemic alerts today. There is no nationwide food recall, but general warnings continue about unpasteurized products and proper food safety for those traveling.
It’s crucial for listeners to confirm that their routine vaccinations are up to date, especially for children and vulnerable adults. For those seeking COVID-19, flu, or measles vaccines, policies may vary by state, with some insurers responding to changing federal recommendations. Always consult with your healthcare provider and check state health department updates for specific advice.
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