Thought Archive

Global Snapshot: COVID-19 Vaccine Guidance in 2025

22 Aug 2025

Global Snapshot: COVID-19 Vaccine Guidance in 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 18not 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  • Reversal since 2022: universal 5–11 rollout withdrawn.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.