Local pediatricians across multiple states bypass recent CDC vaccine schedules to offer independent guidance to patients. After the agency removed several universal childhood vaccines, regional health departments formed alternative coalitions to maintain evidence-based immunization standards.

Pediatricians and health officials are sidestepping Trump's CDC on vaccine advicePediatrician John Snyder gives vaccine information to Tenzin Dekey, who had brought her 1-year-old son to Amherst Pediatrics for an annual exam. She accepted the vaccines that Snyder recommended. Karen Brown/New England Public Mediawww.npr.org