If a patient's family was traveling to Africa or Asia, he would check the latest CDC vaccine recommendations for overseas travel. Some doctors are launching their own vaccine education efforts, sometimes in collaboration with local public health departments. A "shocking" thing to tell patientsThe back-and-forth "creates a whole bunch of confusion in the public," Snyder said. Still, she said it's the first time she's had to contradict health information from the CDC. And governors of 14 states and Guam set up the Governors Public Health Alliance in response to declining trust in federal health agencies.