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Trump Plan Would Break Up Childhood Combination Vaccines

The executive order calls for separating combination vaccines, including the measles, mumps and rubella (MMR) shot, and spacing vaccinations further apart.

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President Donald Trump’s plan to change childhood vaccination policy could create major manufacturing, financial and logistical challenges, according to health experts and former regulators.

The executive order calls for separating combination vaccines, including the measles, mumps and rubella (MMR) shot, and spacing vaccinations further apart. Individual versions of those vaccines have not been routinely marketed in the U.S. for decades.

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Experts said drugmakers could need new clinical studies, manufacturing facilities and separate FDA approvals. Industry experts estimate new vaccine plants can take about five years to build and approve.

Parents could also face significantly more medical appointments. Splitting the two-dose MMR schedule into three separate vaccines could require six visits instead of two, raising costs and potentially increasing missed vaccinations.

According to the report, Merck said there is currently no published evidence showing benefits from separating MMR shots. Drugmakers also have little financial incentive to develop competing individual versions of existing combination products.

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