The Brief

The federal government has drastically scaled back the number of recommended childhood immunizations, sidelining six routine vaccines that have safeguarded millions from serious diseases, long-term disability and death.

Just three of the six immunizations the Centers for Disease Control and Prevention says it will no longer routinely recommend — against hepatitis A, hepatitis B and rotavirus — have prevented nearly 2 million hospitalizations and more than 90,000 deaths in the past 30 years, according to the CDC's own publications.

Vaccines against the three diseases, as well as those against respiratory syncytial virus, meningococcal disease, flu, and COVID, are now recommended only for children at high risk of serious illness or after "shared clinical decision-making," or consultation between doctors and parents.

The CDC maintained its recommendations for 11 childhood vaccines: measles, mumps, and rubella; whooping cough, tetanus, and diphtheria; the bacterial disease known as Hib; pneumonia; polio; chickenpox; and human papillomavirus, or HPV.

Federal and private insurance will still cover vaccines for the diseases the CDC no longer recommends universally, according to a Department of Health and Human Services fact sheet; parents who want to vaccinate their children against those diseases will not have to pay out-of-pocket.

Experts on childhood disease were baffled by the change in guidance. HHS said the changes followed "a scientific review of the underlying science" and were in line with vaccination programs in other developed nations.

HHS Secretary Robert F. Kennedy Jr., an anti-vaccine activist, pointed to Denmark as a model. But the schedules of most European countries are closer to the U.S. standard upended by the new guidance.

For example, Denmark, which does not vaccinate against rotavirus, registers around 1,200 infant and toddler rotavirus hospitalizations a year. That rate, in a country of 6 million, is about the same as it was in the United States before vaccination.

"They're OK with having 1,200 or 1,300 hospitalized kids, which is the tip of the iceberg in terms of childhood suffering," said Paul Offit, the director of the Vaccine Education Center at the Children's Hospital of Philadelphia and a co-inventor of a licensed rotavirus vaccine. "We weren't. They should be trying to emulate us, not the other way around."

Public health officials say the new guidance puts the onus on parents to research and understand each childhood vaccine and why it is important.

Here's a rundown of the diseases the sidelined vaccines prevent:

RSV. Respiratory syncytial virus is the most common cause of hospitalization for infants in the U.S.

The respiratory virus usually spreads in fall and winter and produces cold-like symptoms, though it can be deadly for young children, causing tens of thousands of hospitalizations and hundreds of deaths a year. According to the National Foundation for Infectious Diseases, roughly 80% of children younger than 2 who are hospitalized with RSV have no identifiable risk factors. Long-awaited vaccines against the disease were introduced in 2023.

Hepatitis A. Hepatitis A vaccination, which was phased in beginning in the late 1990s and recommended for all toddlers starting in 2006, has led to a more than 90% drop in the disease since 1996. The foodborne virus, which causes a wretched illness, continues to plague adults, particularly people who are homeless or who abuse drugs or alcohol, with a total of 1,648 cases and 85 deaths reported in 2023.

Hepatitis B. The disease causes liver cancer, cirrhosis, and other serious illnesses and is particularly dangerous when contracted by babies and young children. The hepatitis B virus is transmitted through blood and other bodily fluids, even in microscopic amounts, and can survive on surfaces for a week. From 1990 to 2019, vaccination resulted in a 99% decline in reported cases of acute hepatitis B among children and teens. Liver cancer among American children has also plummeted as a result of universal childhood vaccination. But the hepatitis B virus is still around, with 2,000-3,000 acute cases reported annually among unvaccinated adults. More than 17,000 chronic hepatitis B diagnoses were reported in 2023. The CDC estimates about half of people infected don't know they have it.

Rotavirus. Before routine administration of the current rotavirus vaccines began in 2006, about 70,000 young children were hospitalized and 50 died every year from the virus. It was known as "winter vomiting syndrome," said Sean O'Leary, a pediatrician at the University of Colorado. "It was a miserable disease that we hardly see anymore."

The virus is still common on surfaces that babies touch, however, and "if you lower immunization rates it will once again hospitalize children," Offit said.

Meningococcal vaccines. These have been required mainly for teenagers and college students, who are notably vulnerable to critical illness caused by the bacteria. About 600 to 1,000 cases of meningococcal disease are reported in the U.S. each year, but it kills more than 10% of those it sickens, and 1 in 5 survivors have permanent disabilities.

Flu and covid. The two respiratory viruses have each killed hundreds of children in recent years — though both tend to be much more severe in older adults. Flu is currently on the upswing in the United States, and last flu season the virus killed 289 children.

What is shared clinical decision-making?

Under the changes, decisions about vaccinating children against influenza, covid, rotavirus, meningococcal disease, and hepatitis A and B will now rely on what officials call "shared clinical decision-making," meaning families will have to consult with a health care provider to determine whether a vaccine is appropriate.

"It means a provider should have a conversation with the patient to lay out the risks and the benefits and make a decision for that individual person," said Lori Handy, a pediatric infectious disease specialist at the Children's Hospital of Philadelphia.

In the past, the CDC used that term only in reference to narrow circumstances, like whether a person in a monogamous relationship needed the HPV vaccine, which prevents a sexually transmitted infection and certain cancers.

The CDC's new approach doesn't line up with the science because of the proven protective benefit the vaccines have for the vast majority of the population, Handy said.

In their report justifying the changes, HHS officials Tracy Beth Høeg and Martin Kulldorff said the U.S. vaccination system requires more safety research and more parental choice. Eroding trust in public health caused in part by an overly large vaccine schedule had led more parents to shun vaccination against major threats like measles, they said.

The vaccines on the schedule that the CDC has altered were backed up by extensive safety research when they were evaluated and approved by the FDA.

"They're held to a safety standard higher than any other medical intervention that we have," Handy said. "The value of routine recommendations is that it really helps the public understand that this has been vetted upside down and backwards in every which way."

Eric Ball, a pediatrician in Orange County, Calif., said the change in guidance will cause more confusion among parents who think it means a vaccine's safety is in question.

"It is critical for public health that recommendations for vaccines are very clear and concise," Ball said. "Anything to muddy the water is just going to lead to more children getting sick."

Ball said that instead of focusing on a child's individual health needs, he often has to spend limited clinic time reassuring parents that vaccines are safe. A "shared clinical decision-making" status for a vaccine has no relationship to safety concerns, but parents may think it does.

HHS' changes do not affect state vaccination laws and therefore should allow prudent medical practitioners to carry on as before, said Richard Hughes IV, an attorney and a George Washington University lecturer who is leading litigation against Kennedy over vaccine changes.

"You could expect that any pediatrician is going to follow sound evidence and recommend that their patients be vaccinated," he said. The law protects providers who follow professional care guidelines, he said, and "RSV, meningococcal, and hepatitis remain serious health threats for children in this country."

This story comes from NPR's health reporting partnership with KFF Health News, a national newsroom that produces in-depth journalism about health issues. KFF Health News is one of the core operating programs at KFF, the independent source for health policy research, polling, and journalism.

Topline:

Key topics: The candidates each had about 45 minutes to individually answer questions from Erin Stone, an LAist senior reporter focused on climate and environment.

Here are some of the topics they covered:

• Extreme heat
• Emergency preparedness and recovery
• Protecting communities from pollution
• Water
• Public transit

About the organizers: The event is organized by a coalition of local environmental and environmental justice groups including: Los Angeles League of Conservation Voters, SCOPE-LA, Sierra Club, Clean and Healthy California, Neighborhood Council Sustainability Alliance and Communities for a Better Environment

LAist will have more coverage and analysis of the conversations Friday morning.

The Trump administration is taking steps to advance a mysterious and unprecedented project to compile state-by-state lists of people it has decided are eligible citizens over the age of 18 who can vote in the upcoming midterm election. But it will no longer meet its own deadline to publish that information on a portal on Friday, which is 60 days before Election Day.

Department of Justice attorneys told opposing counsel in two separate lawsuits that instead of meeting the Sept. 4 deadline, they would give 48-hours notice to plaintiffs' counsel before the state citizenship portal was launched, according to recent court filings.

The U.S. has never attempted to create a comprehensive list of American citizens before this administration. Maintaining voter lists is the responsibility of states, not the federal government, as the Constitution dictates that states control elections. But President Trump has repeatedly taken steps to try to exert executive control over elections.

The basis for the federal government creating state citizenship lists is an executive order Trump signed on March 31. A lower court had blocked implementation of key parts of that executive order in 23 states and Washington, D.C., but the Supreme Court stayed that injunction late last month, opening the door for the plan to be implemented after all.

The March 31 executive order directs U.S. Citizenship and Immigration Services and the Social Security Administration to create "State Citizenship Lists" of individuals the agencies believe are citizens in each state, and send those lists to state officials "no fewer than 60 days before each regularly scheduled Federal election."

The next section of the executive order says the U.S. attorney general will prioritize investigating and prosecuting state and local officials who issue federal ballots to anyone not eligible to vote.

"States here have a strong incentive to actually use these lists to try to avoid federal investigation," said Jules Torti, counsel at the nonprofit Protect Democracy, in an interview with NPR. "But we know that these lists are going to be based on really inaccurate data. So the risk of disenfranchisement here is really, really palpable."

The privacy group Electronic Privacy Information Center, along with individual voters, filed a motion Thursday asking a federal judge in Maryland to block the administration from creating the citizenship lists and publishing them on a portal. Specifically, they seek to block a June 8 implementation memo authored by USCIS director Joseph Edlow that outlines the plan.

The motion, which was brought by Protect Democracy, along with another nonprofit legal group, Citizens for Responsibility and Ethics in Washington, argues the administration's plans to share Americans' personal data between agencies and then disseminate the data to states violates multiple federal laws, including the Privacy Act, the Social Security Act and the Administrative Procedures Act. Under the Privacy Act, federal agencies must give the public 30 days notice and the opportunity to comment before they collect and disseminate Americans' personal data for a new purpose.

The EPIC lawsuit also argues the government does not have access to accurate, up-to-date information on American citizens, especially those who move frequently, have changed their names, or are foreign-born. For example, Social Security's citizenship data often isn't updated when people naturalize, and the SAVE data system, operated by USCIS, frequently doesn't include records for people who became citizens as minors when their parents naturalized.

Torti said it is "deeply concerning" that the administration is still planning to go ahead with the creation of citizenship lists but is no longer going to meet the deadline, since that means the lists will be completed even closer to Election Day.

"It means additional chaos, additional confusion for the state election officials and just for voters," Torti said. "And I think that's the point. The point here is to create chaos in advance of the election."

Neither the Department of Justice, nor the Department of Homeland Security, which is tasked with compiling the citizenship lists, responded to NPR's request for comment.

The June 8 implementation memo stated that the portal for state election officials would be available around June 30 and a second portal where citizens could check their information would be available at a later date – but that deadline passed without further updates.

The federal government has secured a domain for the state citizenship lists portal. While the portal is not currently online, it was briefly live in recent days with a landing page that said "Coming Soon," according to court filings.

Lawyers representing Democratic party groups that had challenged the March 31 executive order in a separate lawsuit filed in April, accused the administration in a recent filing of failing to notify the court or the parties about its plans to move forward with the state citizenship portal. They asked the judge to require the federal government to give immediate updates about their plans to implement the executive order.

This latest legal battle over the administration's plans to compile state citizenship lists comes as the Department of Homeland Security is ramping up its efforts to analyze state voter rolls with the goal of identifying potential noncitizens who are registered to vote. Previous audits have found instances of noncitizens casting ballots to be incredibly rare. 

Additionally, last week, ICE published a request for information on a federal procurement site seeking vendors who can compile public voter rolls and voter history files from all 50 states, Washington, D.C., and U.S. territories, "to support Homeland Security Investigations (HSI) fraud detection and data segmentation activities."

NPR's Hansi Lo Wang contributed reporting to this story. 
Copyright 2026 NPR

A group of California lawmakers called on federal officials to halt and reject a proposed land exchange in Yosemite National Park that would allow a private developer to take control of a strip of land in the park for an access road to the park’s main attractions.

The letter to Department of the Interior Secretary Doug Burgum on Wednesday was signed by a bipartisan group of 61 state legislators led by Assemblymember Greg Wallis, a Republican who represents Riverside and San Bernardino counties.

“Republicans and Democrats from both houses of the Legislature are standing together because some things are bigger than politics,” Wallis said in a statement. “Yosemite is not a subdivision. It is not a bargaining chip. And it is not for sale. Secretary Burgum and the administration should put an end to this proposal.”

Interior Secretary Doug Burgum (center) visited the Tunnel Tops in San Francisco in 2025 after he and then-Attorney General Pam Bondi toured Alcatraz ahead of their announcement to reopen the former federal prison.

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Katie DeBenedetti

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KQED

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The group argued that the proposed land exchange is counter to the mission of the National Park Service and the founding of Yosemite in 1864, which set aside the start of the park for public use and protection for the first time in the history of the federal government.

“What is being proposed now runs directly against that founding principle, more than a century and a half later,” the letter states.

It continues later: “Our national parks belong equally to every American. They are not the Department’s to trade away, and they are not for sale.”

The proposal was first reported by news outlet NOTUS, which published a story last week alleging that members of the Trump administration were meeting with representatives of Kingsbarn Realty Capital, a private equity group that owns an 83-acre parcel next to the park. In an email to KQED, Kingsbarn’s lawyer Lanny J. Davis confirmed the group is pursuing the land exchange to build a new access road from its property to the park.

Previous owners have pushed for the same deal since the early 2000s and failed in court.

State Assemblymember Marc Berman (D-Menlo Park), who signed on to the letter, called the proposal “indefensible,” and said he’s looking at state laws to ensure a similar proposal could never slip through.

“If the Trump administration can’t defend this publicly in broad daylight, then they shouldn’t be doing it,” he said.

Rep. Jared Huffman (D-Marin) told KQED’s Forum on Wednesday that he’s worried there isn’t enough opposition among his Republican colleagues in Congress to stop the Trump administration’s efforts.

“I have not seen a single Republican colleague willing to stand up to Donald Trump when he decides that he’s just going to do something,” Huffman said. “So that is my concern, that he just plows ahead with this — even if it has dubious legal authority, or even if it’s an open violation of the law. He’s doing stuff like that anyway. And in this Congress, there’s no one here to stop him.”

In a statement to KQED, state Sen. Marie Alvarado-Gil (R-Modesto), whose district includes parts of Yosemite, said she will “keep pressing the Department [of the Interior] for a clear answer that this exchange will not proceed.”

Since the news of the deal broke late last week, it has sparked condemnation from a number of Democratic state leaders, including Sens. Alex Padilla and Adam Schiff, as well as Attorney General Rob Bonta and Bonta’s predecessor, Xavier Becerra, who leads the race for California governor.

“The secretive backroom land-exchange scheme has gotten everyone’s attention,” said Neal Desai, senior Pacific regional director of the National Parks Conservation Association. “I can’t recall another issue — and I’ve been working in the conservation space for over a couple of decades — where the response has been this sharp and so one-sided that this is a terrible idea that should not happen.”

The backlash comes at a turbulent time for National Park Service employees, who have faced layoffs, staffing cuts and fear of retaliation for speaking up against Trump administration policies since the start of the second Trump administration.

Some former employees have also raised concerns about a potential reorganization of the National Park Service, according to a separate letter sent to Burgum’s office Wednesday. According to an email seen by KQED, park superintendents have been asked to attend in-person regional meetings in September — with no clear agenda beyond discussing “agency priorities, our FY 2026 outlook, and other matters important to the work ahead.”

The letter to Burgam, signed by 20 retired parks superintendents warns: “An ill-advised and hastily planned reorganization could dismantle that structure, putting our parks — and those who visit them — at great risk.”

Emily Thompson, executive director of the Coalition to Protect America’s National Parks, which organized the letter, said the email about regional meetings “raises some alarm bells.”

“The Park Service is already operating from a difficult place, from a place of crisis,” she said. “And any additional cuts, any movements or actions that would further jeopardize the capacity of the folks that are left, that’s concerning. It’s worrying, and it’ll have a devastating impact on the Park Service.”

Among the letter’s signatories is Don Neubacher, retired Yosemite superintendent, who has been a vocal advocate for parks amid the Trump administration’s changes.

Thompson said she’s worried parks leaders will be stretched even further than they already are, and local decision-making over parks could be in jeopardy.

“Morale is low,” Thompson said. “It’s a hard time to be a federal employee. Anything that … contributes to this culture of fear, it’s just not acceptable.”

This story first appeared on Long Beach Post.

Long Beach is offering up to $1,500 for local business owners and landlords to equip their storefronts with safety measures like cameras, floodlights, alarms and point-of-sale systems.

The grant program is accepting online applications now. You can apply here.

Businesses with storefronts of 1,500 square feet or less may receive grants of up to $750, while businesses between 1,500 and 5,000 square feet are eligible for up to $1,500.

Nonprofit organizations are eligible as well, and landlords can apply on behalf of commercial storefronts that are vacant or occupied. Franchises can also receive the grant.

To qualify, a business must:

• Have an active business license for a storefront within the city
• Be independently owned and operated (franchises are eligible)
• Be currently open and active for business
• Earn no more than $5 million in annual gross revenue
• Hold “active” status with the California Secretary of State for corporations, limited liability companies and limited partnerships

The funds will be provided as a reimbursement after eligible security improvements are installed. Grants will be given out until funds are exhausted.

It’s a great idea, according to Edwin Jara, who manages a pet store in Belmont Heights and was on the receiving end of a break-in earlier this year.

His store had security measures already in place — two cameras and an alarm system — but even that wasn’t enough to deter a masked burglar who grabbed $1,000 cash and a handful of dog treats.

Despite having footage of the burglar, Jara said police haven’t been able to catch the person and that a detective never responded after he filed a police report.

The grant program is being paid for with $350,000 from the city’s Redvelopment Agency along with $50,000 from Los Angeles County Supervisor Janice Hahn’s office.

“Our local small businesses are part of the fabric of our neighborhoods, and when business owners feel unsafe, the whole community feels it,” Hahn said in a statement.

In a statement, Mayor Rex Richardson said the program is a “direct investment in the hardworking business owners who make our commercial corridors vibrant and welcoming.”

Jara said he would consider applying for a grant if the city could send someone to help him and the store’s owner fill out the application.

He was offered a separate grant to replace a glass door the burglar smashed, but the store’s owner opted not to fill out the application.

“There was a lot of stuff that we needed to do, and I don’t have a lot of that information,” Jara said.