Childhood vaccinations in the United States have prevented over a billion cases of disease and saved over one million lives. The National Immunization Schedule was created to protect young children from serious infectious diseases when they are at their most biologically susceptible and to ensure widespread consistency across the country in maintaining high levels of community immunity. Strong national policies on vaccines provide both community and individual protection to children and create a safe and healthy environment for entire communities.

As vaccination rates drop to critically low levels, preventable diseases rapidly emerge and spread within communities. Serious and potentially life-threatening complications such as permanent disability and death can occur from infections caused by pneumonia and other vaccine-preventable diseases. The global literature has shown repeatedly that gaps in vaccination coverage lead to direct outbreaks of preventable diseases. Populations that are particularly at risk for these types of outbreaks include young children (especially those under two years old), people who have compromised immune systems (such as HIV/AIDS patients), and rural communities with limited access to healthcare services. Establishing and maintaining a strong national vaccine policy creates trust in the nation's immunization system and provides equal protection for every child, regardless of geographic location or family economic status.

Therefore, we urge U.S. Secretary of Health and Human Services Xavier Becerrato to reinstate and strengthen comprehensive childhood vaccine recommendations that protect children from all of the major preventable illnesses. Every child should be protected equally from preventable illness. Failure to do so will result in an increased number of outbreaks throughout the country and preventable injuries to children. A strong vaccine policy protects children, families, communities, and the long-term public health of the United States.