California, Oregon, Washington, and Hawaii have joined together to issue their own independent vaccine recommendations ahead of flu season, breaking from the Centers for Disease Control and Prevention guidelines and what they call a federal “assault on science.”

Governors of the four blue states formed the West Coast Health Alliance to collaborate on deviating from Health and Human Services Secretary Robert F. Kennedy Jr.’s federal vaccine policies. The alliance issued independent recommendations on the COVID-19, flu, and RSV vaccines on Wednesday, two days before the CDC vaccine advisory committee is set to discuss COVID-19 vaccines .

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