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EE. UU. destituye a 17 científicos de su comité de vacunas y apuesta por restaurar la confianza pública
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El secretario de Salud de Estados Unidos, Robert F. Kennedy Jr., anunció el 9 de junio de 2025 la destitución de los 17 integrantes del Comité Asesor sobre Prácticas de Inmunización (ACIP), argumentando que: “es necesario hacer tabla rasa para restablecer la confianza del público en la ciencia de las vacunas”.
Decisión histórica en The Wall Street Journal
El anuncio fue realizado a través de una columna de opinión publicada en The Wall Street Journal, en la que Kennedy Jr. defendió la necesidad de un “barrido limpio” del comité ante lo que describió como crecientes conflictos de interés y una pérdida de credibilidad en las recomendaciones de vacunas . Según reportes de medios como político, los correos electrónicos de destitución se enviaron inmediatamente después de la publicación de la columna, marcando un precedente sin igual en la historia del Departamento de Salud y Servicios Humanos (HHS) de EE. UU.
El rol y la estructura del comité ACIP
El Comité Asesor sobre Prácticas de Inmunización (ACIP, por sus siglas en inglés) es un órgano federal dependiente de los CDC (Centros para el Control y la Prevención de Enfermedades) que asesora sobre el uso de vacunas en la población civil de EE. UU. . Tradicionalmente, ACIP está conformado por 15 miembros regulares con experiencia en salud pública, inmunización, investigación de vacunas y perspectiva comunitaria, además de varios miembros ex oficio y representantes de asociaciones médicas.
Factores de desconfianza y crisis de credibilidad
Los índices de confianza en la vacunación muestran disparidades: mientras el 88 % de los estadounidenses considera que los beneficios de las vacunas infantiles (MMR) superan los riesgos, solo el 62 % opina lo mismo sobre las vacunas contra la COVID-19. Este escenario se agrava con percepciones mixtas sobre efectos adversos: menos de la mitad de la población califica como “muy alto” el beneficio de la vacuna COVID-19, y un 58 % considera que el riesgo de efectos secundarios es medio o alto . Kennedy Jr. atribuye esta brecha a “una cultura de ciencia sesgada” y a supuestos vínculos financieros que habrían socavado la transparencia del comité.
Reacciones de expertos y organismos
La medida ha provocado rechazo en la comunidad médica: la American Medical Association advirtió que podría socavar la elaboración de políticas públicas basadas en la evidencia . Legisladores como la senadora Susan Collins criticaron la falta de consulta previa, mientras que especialistas como el epidemiólogo Katelyn Jetelina y el inmunólogo Paul Offit alertaron sobre el riesgo de retroceso en las tasas de vacunación y el posible resurgimiento de enfermedades prevenibles.
Implicaciones para la política de inmunización
Las recomendaciones de ACIP, una vez adoptadas por el director de los CDC, se convierten en política oficial y se publican en el Morbidity and Mortality Weekly Report (MMWR). Al sustituir sin preaviso a todos los miembros, el HHS interrumpe un proceso de consenso técnico basado en revisiones sistemáticas y en el marco GRADE, lo que podría retrasar la actualización de calendarios vacunales y la respuesta ante emergencias sanitarias.
Próximos pasos y perspectivas
A pesar de la remoción, ACIP mantiene su calendario de reuniones, incluida la sesión del 25 al 27 de junio de 2025 para debatir vacunas contra la COVID-19, el virus sincitial respiratorio (VSR), la influenza, el VPH y la meningocócica . El Departamento de Salud convocó el nombramiento urgente de nuevos miembros con perfiles libres de conflictos de interés y ha abierto un periodo de comentarios públicos hasta el 20 de junio para garantizar transparencia en el proceso.
El desafío de la reestructuración: próximos pasos
A mediano plazo, el éxito de esta medida dependerá de la rigurosidad en la selección de los nuevos miembros y de la transparencia en cada etapa del proceso. Será crucial que los próximos asesores cuenten con credenciales intachables, prácticas de divulgación claras y compromiso con la evidencia científica. Además, la comunidad profesional y los responsables de políticas sanitarias deberán mantener un seguimiento cercano de las próximas recomendaciones del ACIP, evaluando su impacto en la cobertura vacunal y en los indicadores de salud poblacional. ConsultorSalud continuará informando y analizando cada avance, para apoyar la toma de decisiones fundamentadas y fomentar la confianza de la sociedad en las estrategias de inmunización.
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