Four Democratic-led Western states on Wednesday issued their own guidelines for seasonal vaccines, a direct rebuke of federal health policies under Health Secretary Robert F. Kennedy Jr.

The West Coast Health Alliance — made up of California, Oregon, Washington and Hawaii — recommended flu shots for everyone 6 months and older, broad use of COVID-19 vaccines and targeted R.S.V. vaccinations for infants, older adults and those at higher risk.

The recommendations closely track guidance from major medical groups but depart from the Centers for Disease Control and Prevention (CDC), which, under Kennedy, has scaled back COVID vaccine advice for pregnant women and young children. State health officials said their goal is to protect residents and reduce hospital strain this winter.

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