Measles (VA/ND clusters) + hantavirus + ACIP/RFK volatility + COVID vaccine update + Trump executive order + ACOG breaks with CDC + mRNA flu vaccine + hantavirus quarantine + pediatricians sidestep CDC + Virginia outbreak expansion + meningitis vaccine requirement + ACIP charter changes + COVID vaccine effectiveness study + pneumococcal update + Colorado case + COVID booster efficacy in IMID patients + influenza vaccine effectiveness against pediatric death + former CDC CMO criticizes RFK Jr. + AAAAI workgroup report on vaccination in immunosuppressed + CDC internal suppression of COVID vaccine data + new CDC VISION data + mRNA flu vaccine policy threat + CDC data gaps article + CDC Cyclospora warning + medetomidine drug safety signal + Delaware measles outbreak + Teton County measles booster guidance + back-to-school shots + shingles vaccine safety study + US measles cases hit 2,318 + RFK Jr. team updates CDC website on vaccines and autism + NIH shuts down COVID vaccine injury research + Ohio horse auction measles exposure + Kentucky measles cases + Virginia measles surge + Former CDC CMO warns of broader public health erosion + Oregon measles exposure + Virginia school immunization data + pregnancy vaccine knowledge gap + Michigan back-to-school vaccine push + CRS report on frozen 2026 childhood immunization schedule; federal judge blocks RFK Jr.'s changes + St. Luke's Lehigh Valley measles case + ACIP recommendation for additional updated COVID-19 vaccine dose + new GBS-VAERS study confirms influenza, RSV, zoster signals; low absolute risk + NFID back-to-school vaccine checklist + RSV vaccine recommendations for older adults + ACP reaffirms evidence-based immunization + pediatricians sidestep CDC, launch Valley Vax campaign + Texas AG Ken Paxton investigates American Academy of Pediatrics over childhood vaccine recommendations + Senate confirms Dr. Erica Schwartz as CDC director + ACOG issues own vaccine schedule for pregnant women + Vaccine policy changes rescind universal recommendations for COVID, flu, rotavirus, hepatitis + FDA approves Moderna's mRNA seasonal flu vaccine for 50+ + Compassionate piece on vaccine injury

US 2,318 cases in 2026, 35-year high, worst since 1991. 93% in unvaccinated, 69% children. ACIP universal recommendations removed. VA measles outbreak expands to 177 cases (144 in Central Virginia). New: measles alerts at 3 US airports underscore rapid spread. New: Measles guidance for GI/hepatologists – don't rely on commercial serology for MMR immunity; therapy interruption risks for immunosuppressed. New: ACIP charter changes may delay vaccine recommendations – IDSA criticizes politicization, reduced meeting frequency, shift of authority to CDC director. New: FDA VRBPAC unanimously recommends Moderna mRNA flu vaccine for older adults (65+) – split regulatory path. WashU study shows mRNA flu vaccine triggers stronger germinal center response. New: COVID-19 vaccine study (suppressed by CDC, now published) shows 2025-26 COVID vaccine reduced ED/urgent care visits among immunocompetent adults. New: CDC VISION interim data (May 2027) shows 2025-26 COVID vaccines cut ED visits by 50% and hospitalizations by 55% in immunocompetent adults. New: Op-Ed warns federal policy (ACIP dysfunction, RFK Jr. grant cuts) may block insurance coverage of Moderna's mRNA flu vaccine despite unanimous FDA recommendation. New: Pneumococcal vaccine update for older adults (Capvaxive at 65) from MVEC. Other: RFK Jr. hantavirus quarantine order, ACIP turmoil, ACOG diverges, Trump executive order (realigns childhood vaccine schedule from 17 to 11 core – sparks expert concern from Offit and Carney), VA outbreak expansion, measles airport alerts, meningitis vaccine requirement, KFF poll, VA study on same-day vaccination, UK HPV study. Also: Travel vaccine warnings rising this summer. New: Colorado measles case in unvaccinated teen with international travel – 24th case, mostly in kids 5-17, specific exposure locations (Longmont, Aurora). New: COVID-19 booster significantly reduces hospitalization/death in IMID patients on immunosuppressants (dose-response: one booster aOR 0.56, three boosters aOR 0.20). New: CDC study on influenza vaccine effectiveness against pediatric death over 10 years – vaccination significantly reduces mortality risk, supporting flu vaccine promotion for children. New: Pediatrics commentary on immunization to prevent childhood deaths from influenza – provides clinical context and reinforces flu vaccine importance for children. New: Former CDC chief medical officer says RFK Jr. caused ‘irreparable harm’ to public health trust, with CDC trust dropping from 77% to 50%. This reinforces concerns about vaccine policy politicization and ACIP volatility. New: AAAAI workgroup report on vaccination in immunosuppressed patients – authoritative guidance on vaccine safety and efficacy in vulnerable populations, calls for better trial inclusion and safety surveillance. New: CDC internal suppression of COVID vaccine effectiveness data revealed – acting director blocked publication; study later published shows 2025-26 COVID vaccine reduced ED/urgent care visits. Raises concerns about political interference in vaccine guidance. New: Article reveals systematic removal of CDC datasets and staff cuts creating dangerous blind spots for disease tracking (flu, COVID, RSV, HIV, maternal health) – reinforces concerns about political interference in public health data. New: CDC issues new warning on Cyclospora spike – 145 cases, 17 states, 20 hospitalized; no source identified; actionable produce safety guidance. New: Medetomidine emerging as drug safety signal – veterinary sedative in illicit drug supply, causing severe sedation and respiratory depression. New: Delaware declares measles outbreak – 4 cases in Kent County, all unvaccinated, national cases at 2,260 in 2026. New: Teton County Public Health advises adults born 1963-1967 or pre-1989 to consider measles booster – specific population guidance. New: Local physician recommends back-to-school shots, emphasizing MMR due to ongoing outbreaks in AZ, PA, UT, VA. New: VAERS analysis of Shingrix/Zostavax (2017-2024) confirms low serious AE rates (2.9% for Shingrix) – useful for vaccine safety education. New: US measles cases hit 2,318 in 2026, surpassing last year's total – 93% in unvaccinated, worst since 1991. New: RFK Jr. team quietly updates CDC website to say science doesn't know if vaccines cause autism – major shift in official stance, undermines vaccine safety communication. New: NIH officials shut down research on COVID vaccine neurological injuries – raises concerns about political interference in vaccine safety research. New: Measles exposure reported at horse auction in Trumbull County, Ohio – no cases yet, vaccine clinic scheduled, incubation period up to 21 days. New: Kentucky reports 4 measles cases in Jessamine County – part of national surge. New: Virginia measles surge – 177 cases, 35x increase, 72% two-dose rate for 5-year-olds, hotspots in Buckingham/Cumberland. New: Former CDC CMO warns measles surge reflects broader public health erosion under RFK Jr. – staffing cuts, WHO withdrawal, misinformation from HHS. New: Oregon measles exposure at Gresham Urgent Care – specific location and time, reinforces need for MMR vaccination. New: Virginia school immunization data shows low MMR rates in Charlotte (58.2%) and Lunenburg (58%) – actionable local data for vaccine education. New: Survey finds most US adults unsure which vaccines CDC recommends during pregnancy – clear knowledge gap for public health content. New: Michigan health officials urge parents to update vaccines before school – 6.2% waiver rate (highest since 2013), local measles outbreaks, pertussis cases. Actionable back-to-school guidance. New: CRS report on frozen 2026 childhood immunization schedule; federal judge blocks RFK Jr.'s changes, creating fractured system of recommendations. New: St. Luke's reports first Lehigh Valley measles case; Pennsylvania total reaches 176, 33 hospitalized, all unvaccinated. New: ACIP recommendation for additional updated COVID-19 vaccine dose (2023-2024 formulation) – reinforces booster guidance. New: GBS-VAERS study (21 years) confirms known influenza associations, flags novel signals for RSV and zoster vaccines; absolute risks low (1-9 per million). Supports evidence-based vaccine safety communication. New: NFID back-to-school vaccine checklist reinforces MMR, DTaP, HPV, flu, COVID-19 – timely for National Immunization Awareness Month. New: RSV vaccine recommendations for older adults (Arexvy, Abrysvo) from CDC/ACIP. New: ACP reaffirms evidence-based immunization amid federal policy chaos. New: Pediatricians and health departments sidestep Trump's CDC on vaccine guidance, launching Valley Vax campaign. New: Texas AG Ken Paxton investigates American Academy of Pediatrics over childhood vaccine recommendations – major escalation in vaccine policy battle, further polarizing immunization guidance and challenging credibility of pediatric vaccine recommendations. New: Senate confirms Dr. Erica Schwartz as CDC director after year of turmoil; Schwartz's confirmation hearing revealed she may not push back on vaccine policy changes, raising concerns about continued political interference. New: ACOG issues its own vaccine schedule for pregnant women, diverging from federal recommendations – adds to fragmentation. New: Vaccine policy changes rescind universal recommendations for COVID, flu, rotavirus, hepatitis – major shift affecting public health messaging. New: FDA approves Moderna's mRNA seasonal flu vaccine for adults 50+ (27% fewer cases vs standard in 50-64 group) – significant milestone despite political opposition. New: A compassionate piece on vaccine injury reinforces need for research and empathy – complements data-driven content.