The CDC on Monday dramatically reduced the number of vaccines it recommends for all children. Here’s what parents should know.

California and other Western states reject CDC’s scaled-back vaccine guidance, pledging to follow full immunization schedule for kids.

However, NCDHHS “does not anticipate changes” to its childhood vaccine guidance, a spokesperson told The Charlotte Observer Tuesday. As a result, N.C. students will still be required to receive some vaccinations no longer on the CDC’s list of vaccines recommended for all children.

About 5,000 people have died of the flu so far this season, including 9 children, as the Trump administration pulls back on advice to get kids vaccinated.

The Centers for Disease Control and Prevention said this year’s flu season is “moderately severe” with at least 11 million cases of the illness. Of those 11 million cases, there have been 120,000 hospitalizations and 5,000 deaths so far, Reuters reported.

A mutated strain of influenza A, H3N2 subclade K, is surging worldwide, sparking concern about a severe flu season in the United States.