Vaccines should be treated with nuance, recognizing differences between seasonal vaccines and childhood immunizations,” Dr. Ralph L. Abraham, the state’s surgeon general, wrote in a memo.

The directive continues a dramatic shift in vaccine policy within the health department under the leadership of Surgeon General Dr. Ralph Abraham and Deputy Surgeon General Dr. Wyche Coleman, both of whom have repeated vaccine misinformation.

The Louisiana Dept. of Health is shifting vaccine policies—including policies about flu & COVID-19 shots. Here’s what it means for you.