Officials issue warning over travel to popular tourist destination due to deadly disease: 'About half the world's population is now at risk'
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Yahoo is using AI to generate takeaways from this article. This means the info may not always match what's in the article. Reporting mistakes helps us improve the experience. Generate Key Takeaways
As travel enthusiasts continue to make plans for the summer, the United States Centers for Disease Control has placed the popular destination Fiji on advisory for dengue fever.
What's happening?
Updates from the World Health Organization pointed toward a recent surge in dengue cases in the Western Pacific, as of early April.
Dengue fever, a sometimes-lethal virus carried by mosquitoes, is on the rise in a variety of countries, including Mexico, Canada, the United States, and much of the Caribbean, Latin America, and Southeast Asia, according to Travel and Tour World. The CDC has recommended wariness for all tourists in at-risk areas, and while travel remains officially unrestricted, the increase in dengue cases could take its toll on the tourism industry.
In Fiji, the government has identified several outbreaks in the Western and Central Divisions, some of which have proven deadly. The Central Division alone has recorded over 1,000 dengue cases between January and late March, wrote the Fiji Government, and the latest March uptick "is above the expected [dengue] levels for the same period last year."
"About half the world's population is now at risk for dengue with an expected 100-400 million infections occurring each year," the WHO added.
Why is dengue fever important?
Dengue can lead to flu-like symptoms such as fever, headache, muscle pains, and nausea, and can prove fatal in severe cases. There is no cure for dengue, although in non-severe cases, acetaminophen and other over-the-counter pain medications can help.
Since the 20th century, dengue outbreaks have only increased. The World Mosquito Program described 2024 as the "worst year for dengue on record."
Based on historical patterns, dengue cases tend to rise after high rainfall and flooding, noted the Fiji Government. As our planet overheats under the duress of the changing climate, erratic weather patterns and extreme drought-flood cycles become more and more common. If we continue to release planet-warming gases into our atmosphere through industrial pollution, landfills, and other forms of pollution, dengue and other vector-borne illnesses will only thrive.
What's being done about dengue fever?
In order to avoid contracting dengue, the CDC has advised travelers to limit mosquito exposure in these at-risk regions of the world.
Researchers are continuing to explore the link between the changing climate and dengue. One study established that unregulated trash accumulation and pollution made dengue cases more likely, as waste-filled shallow water makes for an ideal breeding ground for mosquitoes.
By repurposing our waste to keep it out of landfills — and by avoiding overconsumption in the first place — we can mitigate dengue fever while making more eco-conscious choices.
Join our free newsletter for good news and useful tips, and don't miss this cool list of easy ways to help yourself while helping the planet.

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26 minutes ago
- Yahoo
Healthcare costs can make or break your retirement
The best laid plans for retirement can be totally upended by an unexpected medical emergency, especially if you don't have a reserve of savings to draw from. On this episode of Decoding Retirement, host Robert "Bob" Powell speaks with Sudipto Banerjee, global retirement strategist at T. Rowe Price, about what you can do to factor healthcare costs into your retirement planning. Sudipto discusses maximizing tax efficiency with Health Savings Accounts, whether you should consider a Medigap policy, and whether de-risking some of your investments as you enter retirement may be the right Finance's Decoding Retirement is hosted by Robert Powell. Find more episodes of Decoding Retirement at When it comes to planning, you know, if you're close to retirement and you're really thinking about planning, what you're probably really thinking in your mind is your cash flow that, you know, how much once I retire, you know, how much income I have coming in and how much spending, you know, I outflow do I have, right? How much will you need to pay for healthcare in retirement? Well, a number of institutions have published estimates over the past two decades plus that have lately frightened you into a state of fear and maybe even inertia. Consider the Employee Benefit Research Institute has shown that a 65-year-old couple needs $350,000 to have a 90% chance of covering all healthcare expenses in retirement, and that doesn't include long-term in the world will you pay for all that healthcare? Well, here to help me decode all that is Suduo Banerjee. He is a global retirement strategist at TO Price. Sudoko, welcome. Thank you. Thank you forhaving me. It's a pleasure. Uh, we're old friends, and I, I know the tale well, but I, I want to start here with the EBR numbers, which is a research institution, a nonpartisan one I should add that you once worked at, where we showed, and you showed perhaps maybe Paul Fronston and others showed that a 65 year old couple needs $350,000 to pay for healthcare and retirement andFor someone who might be listening, maybe they're in their 50s or 60s or so, that's a big number and thinking, I don't even have that in my, I maybe I have that in my 401k in my IRA, but what am I gonna use for living expenses? Yeah, yeah, I mean, um, so, you know, my, my first point there would be not to really focus on that number, that one single number that you mentioned where $350,000. Um, but really to understand that, you know, it's one way of looking at healthcare costs. It's basically, it's what a couple will spend over 30 years, right? It's just the sum of, of that, butwhen it comes to planning, you know, if you're close to retirement and you're really thinking about planning, what you're probably really thinking in your mind is your cash flow, that, you know, how much once I retire, you know, how much income I have coming in and how much spending, you know, I outflow do I have, right? Um, and for that, of course, you know, you need to figure out your income side and then you are looking at your spending side and right there there's one big element which is healthcare, right?So I think that's why people should focus on that, you know, doing the cash flow analysis, and which means asking how much am I going to spend on healthcare on an annual basis, right? And then you know the, all the other elements that you know, housing, you know, food, etc. right?And then how that matches up with how much income are you expecting, whether a mismatch or not, then go from there, right? But to focus on that one single number, uh, I think it does not help as much with planning because, you know,Healthcare is not something that you retire, you know, a day, then you got a check of $250,000 to someone and healthcare is taken care of. It doesn't work like know, it's an ongoing process. Every year you have to make decisions. So I would say that focus on that cash flow and the annual numbers. So we have done a lot of research as you mentioned, where we provide you know a lot of different numbers but looking from that annual, you know, uh, point of view, um, so I would say, you know, maybe start there. Yeah, I mean, this is just rough back of the napkin. I'm not going to do a present value of that per se, but if I take a look at, let's call it $300,000 for a couple aged 65/30 years, I'm looking at what, uh, what is that, uh, maybe $10,000 per a couple or $5000 per person over the course of 30 years, which seems like a much more manageable expense given that you might have cash flow and you might have assets to pay for this, and you might have Social Security benefits to pay for this. I know we're gonna dive deeper into but before we do so, I, I wanna talk a little bit about, uh, Medicare Advantage versus, uh, Medi gap, uh, uh, traditional Medicare, and, uh, what you, your, your research has shown around what might be a better way to manage healthcare costs as you think about removing the risk that you might face, or the, the unplanned for costs, let's say. Yeah, yeah. I mean, it's, it's a, it's a really important decision. I think, you know, when it comes to healthcare and retirement, that's the choice of the plan. I mean, exactly what plan you choose, whether you go with traditional Medicare, whether you go the Medicare Advantage or you add a Medi gap. I think that's a really important decision, so people should pay a lot of attention to that. Uh, but particularly when it comes to the, the choice of whether you uh want to add a Medicare policy, you know, with your traditional Medicare or not.I think uh there's two questions really to answer here. So the first one is, can you afford it? Right? Because as you might have seen from the research that we have published and others have done similar work that, you know, Medi gap on average it costs more, you know, annually maybe around $2000 so there is a question of affordability, right? Can you afford that additional, you know, $2000 or so? If you can, that's great, right? Uh, so that then the next question then becomes is basically, why are you, um, what do you want Mia?Basically, right. So usually the, the reason that people want to add Medi gap, you know, to their coverage is to limit their out of pocket expenses, right? Because with traditional Medicare, you have the deductibles, you have the co-insurance and all that. Once you add Medi-gap to that, you know, you my out of pocket expenses, you know, are, are, you know, they, they will be checked. But when we did the research, when we look at the numbers, so on average, people who have Medi gap, you know, they are spending, their out of pocket spending isYou know, similar to people who have other types of coverage, it's not less. Uh, it's only at the extreme end where you see that people who have Mediga, you know, they have uh lower numbers, um, and the reason for that is basically people who have Mediap, they just use more because they know they have that protection, they just use more healthcare. So when people are thinking about this, I just want to make sure that they understand that the expectation, if they have the expectation that, you know, I will have lower out of pocket expenses, that might not happen because what we see is people just end up using more healthcare. Yeah, I, I, I should mention too that this is almost an irreversible decision. If you decide to go with Medicare Advantage when you sign up for Medicare, and you should become unhealthy over the course of retirement, trying to switch from Medicare Advantage to a um original Medicare with a Mediga policy is probably virtually impossible. So you need to think about the 5, 1015 years into your retirement and make that decision not based on today, but perhaps on what the future may hold andAnd though you may pay more for Mediga now in the present, uh, maybe you'll pay less over the course of your retirement for healthcare because you won't be exposed to those, uh, large out of pocket costs that you might face with the Medicare Advantage plan, for instance, should you become unhealthy. You're right, and yeah, it's a personal decision. People know they, they have their own medical histories and all that. So based on that, you need to make a decision, but you're absolutely right, yeah, you have to be aware of that, you know, the down the line, you, it might be an irreversible decision, yeah. Um, there's another, uh, sort of healthcare decision that people need to think about, but maybe in their 30s, 40s, and 50s, which is if they have an HSA available to them, uh, in their employer through a high deductible health plan, uh, they have an opportunity to take advantage of a triple tax-free account that in some ways offers more advantages than, say, a 401k. yeah, what do they need to know?Yeah, I mean, I don't know that, you know, if all your, you know, listeners are aware ofUh, the, the triple tax advantage of HSA assuming they are, um, it is really unique because there is no other, uh, place where you, that the money is basically virtually never taxed, you know, uh, so the contributions are not taxed, the growth is not taxed, and the distributions, of course, they have to be like eligible, you know, for healthcare purposes, so then they're not taxed either. Um, so when it comes to HSAs in, I think, to use, um, how to maximize the value of HSA, I think there is a, a theoretical answer and there is sort of a practical answer to it. So the theoretical answer is that I would say yes, maximize your HSC contributions, right? So there is acontribution limit and, and would you do that? So, would you, would you do that before your your pre-tax 401k like with in terms of sequencing your contribution, would it be?Oh no, the, the 41K comes first because you know with the 401k if you have match, right, that's an instant like you know, whatever, uh whatever per your employer is matching, that's an instant return on your on your contributions, right? So that comes first, but once you sort of, you know, maximize your 401k match and all, all that, right, um, at that point, it might make sense to, you know, put all your money up to the contribution limits in your there are caveats to that. So, uh, the, the, so one is that, you know,The the value of HSA is really, you know, if you keep it invested over the long term, right? So then the let the money grow and then you take the money out in retirement, right? So then you get all the tax advantages, right? Uh, but if you're putting in the money in HSA and taking the money out whenever you need, you know, for healthcare purposes, then you are not using it correctly. And so in that case, you know, you might be better off putting the money in somewhere else, right?Um,So I, so if you know, the other part is you mentioned that high deductibles, so HSS are attached with high deductible plans. So to keep the money invested, they have to meet those high deductibles, right, which might not be, you know, possible for everyone, right? So for the, the practical answer to me seems like, you know, yes, put money to your, into your HSA as much as you can, but try to keep it that if you need, you know, money for healthcare purposes, you try to get the money from somewhere else. So then whatever money you are keeping in your HSA you're actually taking the advantage of the growth and the tax advantage as well. Uh, so, we have to take a short break, but when we come back, I, I want to talk about long term care, which I mentioned at the start of the program, but it's a really important topic that people worry about, so don't go away. Welcome back to Decoding Retirement. I'm speaking with Suddu Bill Banerjee. He is the global retirement strategist at T Rowe Price. Suddu though, I said that we were going to talk about long-term care costs, but I, the first thing I want to talk about is since we were just talking about investing your HSA, I, I want to talk a little bit about the research has traditionally shown that you should allocate your assets based on your age, that you would take 100 minus your age, and that would be the percent allocations that you would split between stocks and bonds, but you have a contrary point of view? Uh, not contrary, so we actually just published some new research, um, uh, just, you know, this week, and it's, uh, it's using data from our, you know, 401k recordkeeping business and we worked with some academics from MIT and Stanford, butThe, the, the key, the, the interesting finding was that so we try to estimate their preferences, like, you know, their equity allocation preferences and how that changes with age, and we also track their actual, you know, how they manage their allocations. So when we looked at preferences, so at younger ages, you know, the preferences are pretty similar, like, you know, it's pretty homogeneous for they all want to be highly invested in equities, which makes sense, you know, people have very little money, they want to grow their portfolio. They all want to be highly invested in equities. But when we look at the older, you know, groups, 50 and above, we see there is a lot more heterogeneity in their allocation preferences. So some people don't want equities at all. Some people want to be, you know, fully invested in equities, and there are a lot of people, you know, in middle, you know, some most people are in that 60 to 80% range in that age group. Uh, so, so that tells us that, you know, there is, there needs to be more personalized solutions, you know, as people get closer to when we track what they're actually doing with their money in their 401k, the interesting finding was that, you know, as people get older, they are more actively making changes to their, uh, uh, to a 401k, which makes sense, right? But the more interesting part was that the older they're getting, we see more and more of them making their their portfolios more aggressive, so they have a higher equity allocation. They're moving towards a higher equity so, so that, that's a very interesting, um, and we did not really dive into the reason why people are, you know, uh choosing higher equity allocation at older ages. We have some theories, like, you know, it could be that just trying to catch up, they're, you know, lagging behind. There are also some research which suggests that as people get older, they are they gain more investing knowledge, their risk preferences, you know, they might be more tolerant of risk and things like that, but that's, you know, for our future research, but this is what we found that, you know, people at older ages, basically there's a lot of, you know, variation. So that's our point. The point trying to make is that more personalized solutions probably make sense at that age. Yeah, I mean, it sounds like the actual advice in this case would be to at least not do this willy-nilly arbitrarily, but to know why you're becoming more aggressive with your asset allocation and, and not just sort of, uh, you know, flip a coin and say, I'm going to invest more in whatever international equities this day because my neighbor has, or whatever the case may right, so I promise we would talk about long-term care, um, which is the, it's the one thing that many people worry about, right? They, they, they think that they will face some sort of tragedy at some point and they'll end up in a nursing home. They don't know how they'll pay for it. They don't know whether they should buy a long-term care insurance policy. They don't know the degree to which they could self-fund their home equity is a break class option. They talk about qualifying for Medicaid to pay for long-term care, but your research seems to suggest that it's a very idiosyncratic risk that, in the main, not that many people will need long term care. So, but to me, I don't know if I'm going to be in the 3% or the 97%, right? Yeah, so it's, it's, it's a tough decision, honestly, because what, this is a classic example of what we call tail risk that, you know, for most people, if you look at the average, you know, people don't spend anything on long term care out of pocket, right? Um, but a very small percentage, you know, uh, will spend a large amount, right? And this is sort of a classic case where, you know, you, you would think that, you know, it' insurance, right? It's, it's, it's a uh situation to be addressed by insurance because uh it's a tail risk, but as you know very well that the long term care, you know, insurance market has not, um, you know, um uh perform or function, you know, very well over the years, you know, they're having a lot of problems and the least of which is that the, the policies are very expensive so people, you know, they don't want to you know, spending so much on, on these policies and never needing the care, so that's the uncertainty of it. Um, in terms of how to think about, you know, whether you insure, you get insurance, whether you sell fund, I so, so for some people, it's an easy decision like if it's you lower end of the, you know, income spectrum or so that most of you don't have, you know, a lot of liquid assets. Most of your income is going from Social Security, you go with Medicaid, right? You're on the opposite end with the higher end, you're probably able to, you know, self-fund yourself. It's people in the middle, uh, who you really have to think about it, whether they want to protect their assets, uh, from, you know, um, uh, Medicaid or I think it's, it's a tough decision. There's no like rule what they should do, but I think we can provide some guidelines as to if you are thinking about, you know, getting, uh, long term care insurance, if you're seriously thinking about long term care insurance, what things you should have in mind. So, uh, so my colleagues, you know, uh, at Trice, they have done an excellent job. They have produced a very good guide on long term care you know, if your listeners are interested, I would highly doubt it, um, towards that. But some of the key takeaways want is when is the right period to get a long-term care insurance, um, because the, the trick is you don't want to be too late when, you know, you have health issues crop up and your premiums will really go up and you don't want to get it too early when you are spending your premium in your, uh, spending on premiums for a long I think somewhere between 55 and 65 is, you know, um, a good uh period to consider long term care insurance. And then the other one is really to figure out, you know, what's your living situation going to be if you know that, you know, if you think that, you know, I'm going to be at home and then I'm going to move into a continuing care, right? So then it's easier to get the type of insurance that you want because there are some umbrella policies which would cover, you know, almost any living arrangement, and those are more you have more targeted, you know, if you have figured out your living situation and you get a more targeted policy, then your cost might be lower. So there are all these different things and there are, you know, benefit limits and all that. So keep all that in mind, to do your research, basically. Yeah. I want to save time to talk about your years in college as a Buckeye sup though, but, but first, I, I want to double back on a topic that we begin with, with in terms of paying for health care expenses over the course of retirement. In your research, correct me if I'm wrong, you've shown that for costs, your Medicare Part B, your Medicare Advantage, your Part D, uh, premiums, whatever those may be, that you would pay for those perhaps out of cash flow as you go through retirement, but for other expenses out of pocket deductibles, copays, etc. that you might use a different bucket of money. Is that fair to say? Yeah, yeah,exactly. So the way, I mean, I mean, we talk about it is, you know, think of premiums and you're out of pocket as two separate elements. So premiums, the reason is that premiums are basically, you know, they're predictable, they're face. Even the year to year changes are minimal. So you have a very good idea how much you are going to need for your health insurance premiums, right? So you can basically build that into your cash flow, your into your income flow, right? Uh, the, the, the more trickier part is the out of pocket expenses where you might not know exactly how you know, something might happen, you know, in some years. So the idea is that you keep sort of a cash reserve for that and we have shared numbers, you know, based on your age and whatever, uh, how much you might expect. So you keep, you know, whatever you're comfortable with $5000 10,000 dollars, you keep that as a reserve. You spend that at the end of the year, you fill that up, you know, again, and start the new year. So that's, that's how we think about it, yeah. Yeah, I should remind our listeners that they can go to the T. Rowe Price website where you have at least 3 if not more research papers that sort of hand walk people how to uh approach this paying for healthcare in retirement. So, and they're, they're quite good that we can only do a sort of a uh a shallow dive here today, I said I wanted to talk about your college years. You, uh, you wrote plays, you directed plays in college as a Buckeye, and I'm curious, what, uh, parallels do you see between maybe writing and directing plays and, you know, you're sort of your role today now as a retirement, uh, strategist. Um, that's, that's a, you know, a difficult connection, but, um, I, I gave up on that dream a long time ago because I just realized it's, it's really hard, uh, to make a career, you know, in, in creative arts, um, but I, I do see one connection, which is really writing, uh, because I, I like to write, and what that has stayed with me over the years andUh, I really, so I value the, the, the skill of writing now more and more because when I'm writing about, you know, all the research papers or anything like that, I think you get a clarity of thought when you are writing in, in that way, I sort of envy you know, journalists like you who get to write on a more daily basis. Um, but, uh, but I think that, that has stayed with me and that has helped me because I still like to, you know, spend some time, you know, it doesn't happen every day, but write some of these thoughts, uh, because that really helps me even think about the research itself, yeah. Yeah, I, I forget exactly whose quote this is, but uh they said something to this effect that writing is easy. I just wait till beads of blood form on my forehead and then the words spill though, I'm afraid we've run out of time. 23 minutes goes by in the blink of an eye, but thank you ever so much for talking with us and sharing your knowledge and wisdom. Uh, we'll have you back on a future episode to, to talk about things we didn't get to today. So thank you. Yeah, absolutely. And thank you for having me. It was an absolute pleasure, um, and, you know, look forward to staying in touch. Thank you. So that wraps up this episode of Decoding Retirement. We hope we provided you with some actionable advice to help you plan for or live in retirement. If you have questions about money or retirement, you can email me at YF podcast@ and I'll answer your questions in a future episode. And lastly, remember you can listen and subscribe to Decoding Retirement wherever you find your favorite podcasts. This content was not intended to be financial advice and should not be used as a substitute for professional financial services. Are you ready to master the markets and dare I say, become a better leader in the process? Well, Yahoo Finance has you covered with our new full suite of original podcast content, whetherIf you're a seasoned investor, but you're just starting your financial journey, we offer invaluable market insights and strategies to help boost your portfolio, build your wealth, and make you a successful investor. Join us on Yahoo the Yahoo Finance app, or wherever you get your podcasts.


CNN
an hour ago
- CNN
This rare but severe flu complication can affect healthy children
Respiratory viruses Vaccines Children's healthFacebookTweetLink Follow We all know that influenza is a common and serious viral infection, but it's good to be reminded ahead of the upcoming flu season, which typically starts in October. There were an estimated 47 million to 82 million flu illnesses in the United States between October 2024 and May 2025, resulting in between 610,000 and 1.3 million hospitalizations, according to preliminary estimated ranges from the US Centers for Disease Control and Prevention. Most fatalities occur in older individuals, but children can also die from the flu. The CDC estimates that flu-related deaths in children have generally ranged from 37 to 199 deaths each flu season. Now, a new study in JAMA has examined a rare but severe complication that can occur in children who contract the flu. This complication, called acute necrotizing encephalopathy, or ANE, carries a mortality rate of 27% despite intensive care and treatment, according to the new research. I wanted to learn more about complications associated with the flu, specifically about ANE, what researchers learned about children with ANE, and how can ANE be prevented. And what should parents and families know ahead of the next flu season? To help with these questions, I spoke with CNN wellness expert Dr. Leana Wen. Wen is an emergency physician and clinical associate professor at George Washington University. She previously was Baltimore's health commissioner. CNN: What are complications associated with the flu? Who is most at risk? Dr. Leana Wen: Most people who have the flu will recover without complications. They may go through days or even weeks having fever, runny nose, headache and fatigue, but these symptoms generally resolve without long-term consequences. Some people, though, experience complications that could result in severe illness or even death. These complications include pneumonia, sinus and ear infections, brain and neurological conditions, and the worsening of existing medical problems such as heart and kidney disease. People at higher risk for flu complications include individuals 65 years and older, children younger than 2 and pregnant women. In addition, there are a variety of chronic medical conditions that increase risk, including chronic lung disease, diabetes, heart disease, liver disorders, kidney dysfunction and any condition that makes you immunocompromised. CNN: What exactly is ANE, and how common is it? Wen: ANE is a rare but very serious condition that occurs as a result of influenza infection. It causes inflammation and swelling in the brain, and it can lead to seizures, impaired consciousness, coma, long-term brain damage and death. It's not known precisely how common this condition is or whether the incidence has been changing in recent years. It can also occur after other viral illnesses, but it has been most closely associated with influenza, and most often in children. CNN: What did researchers in this study find out about children with ANE? Wen: They sought information from US pediatric hospitals and public health agencies regarding cases of pediatric ANE treated between October 2023 and May 2025. In total, they included 41 children with influenza-related ANE. The median age of these children was 5, and about 3 out of 4 were previously healthy. Importantly, just 16% of those for whom vaccination history was available had received the flu vaccine that season. All these patients became very ill, and all developed encephalopathy, or altered brain function. Sixty-eight percent had seizures. Most had abnormalities in their platelet count, liver enzymes and spinal fluid composition. Most patients received a combination of therapies, including steroids and immunoglobulins. Out of 41 patients in the analysis, 11 died. The median period between symptom onset and death was just three days; most of the children who died had such severe brain swelling that the pressure forced the brain downward, crushing vital areas that control breathing and heart function. All but one of the children who died had not received the latest flu vaccine. Among the survivors included in the analysis, 63% had at least moderate disability. The first takeaway for me is that ANE, while rare, is extremely serious, with high morbidity and mortality. It can be deadly within a short period of time, which means prompt diagnosis and treatment are essential. Second, most children with ANE were previously healthy. Third, while some vaccinated children also became ill, most of those with ANE and nearly all of those who died had not received the flu vaccine that season. CNN: How can ANE be prevented? Wen: It is not known why most people who contract flu never develop ANE, but some do. It's also not known whether there is anything that be done once someone contracts the flu to prevent ANE. What is known is that getting the flu vaccine reduces the chance of contracting the flu and of becoming severely ill as a result. This JAMA study also suggests that vaccination reduces the likelihood of developing ANE and of dying from it. The article and an accompanying editorial emphasize the importance of everyone being up-to-date with the flu vaccine. CNN: What else should parents and families know ahead of the next flu season? Wen: Influenza is a common illness that can have serious complications, including in previously healthy individuals. Getting the flu vaccine is helpful both for reducing the chance of contracting the flu and for lowering the likelihood of developing complications. The CDC recommends the flu vaccine for virtually everyone 6 months and older. Parents should be sure that their children receive the flu vaccine in the fall and that they and others in the family are vaccinated, too. Of course, flu is not the only contagious respiratory illness that can spread in fall and winter months. It's important for people who have fever and active respiratory symptoms to stay away from others, especially those most vulnerable to severe illness. Good hand hygiene can lower the risk of spreading contagious diseases, as can taking precautions like masking in indoor crowded settings.


Chicago Tribune
an hour ago
- Chicago Tribune
US pediatricians' new COVID-19 shot recommendations differ from CDC advice
NEW YORK — For the first time in 30 years, the American Academy of Pediatrics is substantially diverging from U.S. government vaccine recommendations. The group's new COVID-19 recommendations — released Tuesday — come amid a tumultuous year for public health, as vaccine skeptics have come into power in the new Trump administration and government guidance has become increasingly confusing. This isn't going to help, acknowledged Dr. James Campbell, vice chair of the AAP infectious diseases committee. 'It is going to be somewhat confusing. But our opinion is we need to make the right choices for children to protect them,' he added. The AAP is strongly recommending COVID-19 shots for children ages 6 months to 2 years. Shots also are advised for older children if parents want their kids vaccinated, the AAP said. That differs from guidance established under U.S. Health Secretary Robert F. Kennedy Jr., which doesn't recommend the shots for healthy children of any age but says kids may get the shots in consultation with physicians. Children ages 6 months to 2 years are at high risk for severe illness from COVID-19, and it was important that recommendations continue to emphasize the need for them to get vaccinated, said Campbell, a University of Maryland infectious diseases expert. Vaccinations also are recommended for older children who have chronic lung diseases or other conditions that put them at higher risk for severe disease, the AAP said. In a statement, Department of Health and Human Services spokesperson Andrew Nixon said 'the AAP is undermining national immunization policymaking with baseless political attacks.' He accused the group of putting commercial interests ahead of public health, noting that vaccine manufacturers have been donors to the AAP's Friends of Children Fund. The fund is currently paying for projects on a range of topics, including health equity and prevention of injuries and deaths from firearms. The 95-year-old Itasca, Illinois-based organization has issued vaccination recommendations for children since the 1930s. In 1995, it synced its advice with recommendations made by the federal government's Centers for Disease Control and Prevention. There have been a few small differences between AAP and CDC recommendations since then. For example, the AAP has advised that children get HPV vaccinations starting at age 9; the CDC says that's OK but has emphasized vaccinations at ages 11 and 12. But in 30 years, this is the first time the recommendations have differed 'in a significant or substantial way,' Campbell said. Until recently, the CDC — following recommendations by infectious disease experts — has been urging annual COVID-19 boosters for all Americans ages 6 months and older. But in May, U.S. Health Secretary Robert F. Kennedy Jr. announced that COVID-19 vaccines are no longer recommended for healthy children and pregnant women. A few days later, the CDC issued language that healthy children may get the shots, but that there was no longer a 'should' recommendation. The idea that healthy older kids may be able to skip COVID-19 boosters has been brewing for some time among public health experts. As the COVID-19 pandemic has waned, experts have increasingly discussed the possibility of focusing vaccination efforts on people 65 and older — who are among those most as risk for death and hospitalization. A CDC expert panel in June was set to make recommendations about the fall shots. Among the options the panel was considering was whether suggest shots for high-risk groups but still giving lower-risk people the choice to get vaccinated. But Kennedy bypassed the group, and also decided to dismiss the 17-member panel and appoint his own, smaller panel, that included vaccine skeptics. Kennedy also later excluded the AAP, the American Medical Association and other top medical organizations from working with the advisers to establish vaccination recommendations. Kennedy's new vaccine panel has yet to vote on COVID-19 shot recommendations. The panel did endorse continuing to recommend fall flu vaccinations, but also made a decision that led to another notable difference with the AAP. The new advisory panel voted that people should only get flu vaccines that are packaged as single doses and do not contain the preservative thimerosal. The AAP said there is no evidence of harm from the preservative, and recommended doctors use any licensed flu vaccine product that's appropriate for the patient.