A worsening flu outbreak amongst recruits attending basic army training at Lackland Air Force Base, Texas, started earlier this month whereas an Air Force request to reinstate a mandatory flu shot requirement axed by Defense Secretary Pete Hegesth wound its manner via the Pentagon forms, in accordance to a protection official and a supply accustomed to the state of affairs.

The outbreak “is getting worse” and has sickened at the very least 275 recruits because it started, Democratic Rep. Joaquin Castro of Texas, whose district contains Lackland, informed NCS. The Air Force confirmed {that a} recruit there died in a military hospital on June 16 after experiencing a “medical emergency” a couple of days before, nevertheless it’s unclear whether or not his demise is linked to the flu outbreak.

Around 60% of beforehand unvaccinated trainees at Lackland initially declined the flu shot throughout the vaccine requirement’s lapse, in accordance to the protection official. The possibility to decline the vaccine was opened to recruits after an April order from Hegseth instructing Pentagon management to get rid of the flu shot requirement.

Hegseth’s order allowed for army providers to request exemptions, nevertheless it was enforce before these exemptions could possibly be processed.

The vaccine mandate for Air Force recruits was restored on June 11, and inside weeks, unvaccinated trainees at Lackland obtained the flu shot, in accordance to the protection official and supply.

But by that time the outbreak at Lackland had already gained steam.

Sean Parnell, the Pentagon’s prime spokesperson, mentioned in a press release that the Defense Department had “granted [exceptions to policy]” enabling mandatory vaccines for particular populations throughout the army.

“The decisions were based upon thorough risk assessments and are designed to maximize operational readiness, lethality, and force generation, while safeguarding at-risk populations,” Parnell mentioned.

When Hegseth announced by way of social media video in April that the flu vaccine was now not mandatory for US troops, he mentioned the army’s all-encompassing mandate was “overly broad and not rational.”

Hegseth’s April 20 memo implementing the change instantly made the flu shot elective for all US troops, no matter state of affairs or mission. The memo had directions for the way the Army, Navy, Air Force, Space Force and Marine Corps might submit packages to reinstate the vaccine requirement for sure at-risk populations.

US Defense Secretary Pete Hegseth attends a meeting between President Donald Trump and NATO Secretary General Mark Rutte in the Oval Office of the White House in Washington, DC, on June 24, 2026.

The army branches every rushed to submit exception requests – together with one for recruits at boot camp – after the Pentagon chief’s announcement, the official and supply mentioned. The Air Force submitted its exception request for basic training attendees on May 5.

But the exception requests took greater than a month to get via the army forms, first clearing the workplace of Hegseth’s prime well being advisor, Keith Bass, before going to the workplace of Anthony Tata, the controversial retired one-star general now serving because the Pentagon’s undersecretary overseeing personnel & readiness.

Tata permitted the Air Force’s request to reinstate the flu shot at basic training on June 11, in accordance to the official and supply. But by then, the outbreak amongst trainees at Lackland was underway – base officers didn’t be taught till June 18 that the shots had been once more mandatory, in accordance to an Air Force official.

Hegseth’s “effective immediately” methodology of rescinding the vaccine requirement resulted in a lapse for shots for some troops, doctor and former Pentagon well being official Terry Adirim argued. Adirim served as a prime official within the Defense Department’s well being affairs workplace throughout President Donald Trump’s first administration before returning throughout the Biden administration because the workplace’s performing chief.

A pedestrian passes the main gate at Lackland Air Force Base in San Antonio, February 5, 2020.

“There can be a real disruption of national security if the medical experts cannot give the best advice to protect the force, and this is an example” mentioned Adirim.

Adirim mentioned that such coordination and coverage assessments usually happen before the division implements sweeping modifications to well being coverage. She mentioned that coordination, which usually entails weeks of back and forth between the Pentagon and the army providers, would allow medical consultants to present essential enter to make sure the coverage was secure from the second it was issued.

In the case of the flu shots, although, these weeks of bureaucratic coordination to course of coverage exception requests didn’t start till Hegseth had already rolled back the requirement.

Davis Winkie’s work at NCS is supported by a partnership between Outrider Foundation and Journalism Funding Partners (JFP). NCS retains full editorial management of the reporting.



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