College of Urgent Care Medicine Statement on Vaccines

We know this has been a confusing time for families making decisions about vaccines. Federal guidance on the childhood immunization schedule has shifted, national medical organizations have raised concerns, and false claims linking vaccines to autism persist despite decades of research finding no link. For a new or expecting parent trying to sort fact from fear, that noise can be exhausting.

As urgent care clinicians, we are often the ones families see when they or their child is sick. We are a trusted, accessible checkpoint for many families — and we take that seriously.

How we ground our guidance

Sound vaccine recommendations don’t come from intuition or personal preference. They come from a deliberate process: research involving tens of thousands of people, independent scientific review, and adoption by physician leadership accountable to the patients they serve- the same process behind cancer screening guidance or blood pressure targets. Vaccines are not treated differently, nor should they be. When that process is bypassed or when guidance changes without new evidence behind it, it is reasonable for families to have questions, and reasonable for us to call it out.

What history teaches us

Most parents raising children today in developed countries have never watched a child struggle to breathe through diphtheria, seen a loved one paralyzed by polio, or lost an infant to pertussis. That is not an accident, and it is not because these diseases stopped existing on their own. It is because generations of proven, rigorously studied vaccines drove them to the margins of memory. Measles, mumps, rubella, polio, diphtheria, tetanus, pertussis, Haemophilus, meningitis and other once common childhood killers and disablers receded because vaccinations work. That protection is not permanent on its own. It depends on vaccinations continuing at the levels that keep these diseases rare. When vaccination rates fall, these illnesses do not stay in the past — they return, and with them the death and lifelong disability that earlier generations knew all too well. Recent measles activity in this country is an early reminder of how quickly that protection can erode.

Where we stand

We believe two things can be true at once: vaccination decisions belong to patients and families, and that choice is best made when it’s informed by evidence. We will tell you what the data show, including the history of the diseases these vaccines were built to stop. We will respect the decision you reach once you have the real information in front of you. If you’re unsure what’s right for your child, yourself, or a loved one, talk to your Urgent Care or primary care clinician. That conversation — not a headline, a social media post, or an executive order — is where good vaccine decisions get made.

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