Global Snapshot: COVID-19 Vaccine Guidance in 2025
22 Aug 2025
Global Snapshot: COVID-19 Vaccine Guidance in 2025
The debate over COVID-19 vaccination looks very different depending on where you stand.
While the U.S. has entered a full-scale clash between AAP, CDC, and HHS Secretary Robert F. Kennedy Jr., other countries have taken quieter, more conservative approaches.
Australia (ATAGI)
- Healthy children under 18 — not recommended.
- Children with medical risk factors — eligible, annual boosters.
- Adults 75+ — boosters every 6 months.
- ATAGI has not shifted in response to U.S. controversies; guidance remains stable and risk-based.
Canada (NACI)
- Children 6 months–4 years — two-dose Moderna regimen if unvaccinated, but mainly emphasized for immunocompromised or medically vulnerable.
- Additional doses for immunocompromised children.
- No blanket recommendation for healthy kids.
- NACI continues to back both mRNA and protein-subunit vaccines for broader use, but keeps pediatrics risk-focused.
United Kingdom (JCVI)
- Reversal since 2022: universal 5–11 rollout withdrawn.
- Healthy young children — eligible for at most a single dose, not a series.
- High-risk kids — still offered vaccination.
- Emphasis is on protecting the vulnerable, not mass pediatric uptake.
United States (CDC vs AAP)
- CDC: Shared decision-making for healthy kids; no broad recommendation.
- AAP: Strong recommendation for children 6 months–2 years, and optional for older kids.
- HHS Secretary RFK Jr.: Warning doctors about liability if they diverge from CDC, sparking legal and political fights.
The Takeaway
- Australia, Canada, UK: Conservative, risk-based, cautious with pediatric recommendations.
- United States: An outlier — divided, politicized, and now legally contested.
This divergence underscores a new reality: there is no global consensus on how to handle COVID-19 vaccination for children. Instead, national approaches reflect not only science and risk, but also politics, trust, and institutional battles.
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