The US Centers for Disease Control and Prevention (CDC) has reduced the number of recommended vaccines for all children from 18 to 11 diseases.[1][2][3] Influenza and rotavirus vaccinations have been moved from a universal recommendation to a category of shared clinical decision-making between parents and physicians.[1][2][3] Vaccines against measles, mumps, diphtheria, tetanus, whooping cough and smallpox remain in the list of mandatory vaccinations.[1] The change was approved without consulting the advisory board and with immediate effect, following a call from President Donald Trump.[1][2][3] The CDC cited scientific evidence that a loss of confidence during the pandemic led to lower vaccination rates against diseases such as measles, rubella, whooping cough, and polio.[2][3] Experts warn that this move may lead to a decrease in interest in vaccinations and the spread of diseases.[2] Officials say the change will not affect vaccine access or insurance coverage.[2]