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Most other high-income countries have universal health care and parental leave, both of which can support prevention and early care and contribute to lower disease prevalence." In a statement, the American Lung Association said it is "deeply concerned about the changes made to the childhood immunization schedule." The organization specifically criticized the decision to no longer recommend the flu shot for all kids without any science to support the change amid record-breaking spikes in flu illnesses this season, and the most pediatric flu deaths ever recorded last season