2026年8月10日 美国东部时间下午2:19 / 美国有线电视新闻网（CNN）
亚当·坎林、萨拉·奥弗莫勒 报道
更新于4分钟前
更新于2026年8月10日 美国东部时间下午3:23
发布于2026年8月10日 美国东部时间下午2:19
近几个月来，总统唐纳德·特朗普一直敦促卫生官员在儿童疫苗接种计划方面采取更多行动
伊夫林·霍克斯坦/路透社/资料图
据美国有线电视新闻网获得的文件草案显示，唐纳德·特朗普总统周一签署了一项行政令，旨在重塑联邦政府对待儿童疫苗的政策。
这项范围广泛的行政令提议减少幼儿推荐接种的疫苗总剂次，并将全国儿童疫苗接种计划分为三类。
该命令还建议将麻腮风联合疫苗（MMR）拆分为三种单独注射的疫苗，这一做法违背了广泛的科学共识，但符合特朗普近几个月来的主张——他坚持要对这种广泛接种的疫苗进行调整。
“我们正在减少接种剂次，”特朗普在椭圆形办公室说道，“这不仅意味着你接种的疫苗或他们所说的‘针剂’更少了，还意味着你需要分多次就诊来完成接种。”
公共卫生专家警告称，拆分麻腮风联合疫苗并非明智之举。
根据该行政令草案，拜登政府的新政策规定，所有儿童都应接种麻疹、腮腺炎、风疹、白喉、破伤风、百日咳、脊髓灰质炎、B型流感嗜血杆菌、肺炎球菌疾病、人乳头瘤病毒以及水痘疫苗。
目前仅建议高风险人群接种呼吸道合胞病毒（RSV）单克隆抗体，以及甲型肝炎、乙型肝炎、B群脑膜炎球菌、ACWY群脑膜炎球菌和登革热疫苗。这与现行接种计划有所不同，现行计划建议所有儿童接种其中大部分疫苗。
其中几种疫苗，如肝炎疫苗，将采用共同决策模式，即与孩子的医生进行沟通后决定。这类疫苗包括轮状病毒疫苗、脑膜炎球菌疫苗、流感疫苗和新冠疫苗。
《华盛顿邮报》率先报道了这份行政令草案。
特朗普的这项声明与美国卫生与公众服务部今年1月的一项举措一脉相承，该举措旨在缩减儿童疫苗接种计划中推荐的疫苗种类。医疗团体就此修订后的计划提起诉讼，一名法官作出了有利于医疗团体的裁决。
近几个月来，特朗普一直敦促卫生与公众服务部部长小罗伯特·F·肯尼迪在儿童疫苗接种计划方面采取更多行动，并加紧研究疫苗与自闭症之间的关联。
此前已有大量科学研究表明，没有证据显示疫苗与自闭症存在关联。
尽管特朗普的政治顾问长期以来一直担忧，推行备受争议的疫苗政策在民众中极不受欢迎，可能会在11月的中期选举前疏远选民，但特朗普仍签署了这项行政令。
本文已更新，补充了更多报道和背景信息。
Trump signs executive order aimed at reducing number of recommended childhood vaccines
2026-08-10 2:19 PM ET / CNN
By Adam Cancryn, Sarah Owermohle
Updated 4 min ago
Updated Aug 10, 2026, 3:23 PM ET
PUBLISHED Aug 10, 2026, 2:19 PM ET
In recent months, President Donald Trump has pressed health officials for more action on the childhood vaccine schedule
Evelyn Hockstein/Reuters/File
President Donald Trump signed an executive order on Monday aimed at reshaping the federal government’s approach toward childhood vaccines, according to a draft of the document obtained by CNN.
The sweeping order proposes reducing the total number of immunizations recommended for children in their earliest years and dividing the nation’s childhood vaccine schedule into three categories.
It also advises that the mumps, measles and rubella (MMR) vaccine be separated into three individual shots, against broad scientific consensus but in keeping with Trump’s insistence in recent months that the widely administered shot be altered.
“We’re reducing them,” Trump said from the Oval Office. “It’s not only that you’re doing fewer vaccines, or jabs, as they say, but you’re doing them in a series of visits to the doctor.”
Public health experts warned that splitting the MMR vaccines was a bad idea
Under the draft order, the administration’s new policy states that all children are recommended to receive vaccines for measles, mumps, rubella, diphtheria, tetanus, pertussis, polio, Hib, pneumococcal disease, HPV and varicella, or chicken pox.
Only high-risk populations are now advised to receive respiratory syncytial virus (RSV) monoclonal antibodies and vaccines against hepatitis A, hepatitis B, meningococcal B, meningococcal ACWY and dengue. That marks a change from the current schedule, which recommends that all children receive most of those shots.
Several of those, such as the hepatitis immunizations, will be subject to shared decision-making, or conversations with a child’s doctor. Those include shots for rotavirus, meningococcal disease, influenza and Covid-19.
The Washington Post first reported on the draft executive order.
Trump’s announcement hews closely to a US Department of Health and Human Services effort in January to whittle down the number of recommended vaccines in the childhood schedule. Medical groups sued to challenge that revised schedule, and a judge ruled in their favor.
Trump in recent months has pressed HHS Secretary Robert F. Kennedy Jr. for more action on the childhood vaccine schedule, as well as for stepping up efforts to search for links between vaccines and autism.
There have been extensive scientific studies of vaccines that have yielded no evidence of a connection to autism.
The executive order signing comes despite long-running reservations among Trump’s political advisers that advancing controversial vaccines policies is widely unpopular and could alienate voters ahead of November’s midterms.
This story has been updated with additional reporting and context.
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