Orlando Sentinel

Don’t open door to measles, polio, other kid killers

- This editorial reflects the opinion of the Tampa Bay Times editorial board.

COVID-19 isn’t Florida’s only public health threat. A new report from the state Department of Health shows that the percentage of Florida school children getting their required immunizati­ons sunk to a 10-year low. This is a worrisome drop the state and hard-hit counties need to reverse.

About 91.7% of kindergart­en students in public and private schools statewide completed the immunizati­ons required to enter school during the 2021-22 academic year, the News Service of Florida reported, citing state data from September. Among seventh graders, 94.3% completed their shots for the last school year, the lowest rate since 2009-10, when the figure reached 93.4%.

The shots required do not include COVID-19 vaccinatio­ns; they are designed instead to protect against diseases including tetanus, diphtheria, measles, mumps, rubella, influenza B, hepatitis B and polio.

“Those are historical­ly all diseases … that have caused, in the past, significan­t mortality and morbidity in children when these diseases were prevalent and we weren’t vaccinatin­g,” Kathleen Ryan, a pediatrici­an and infectious disease specialist at the University of Florida College of Medicine, told The News Service. “If the immunizati­on rates fall in any one of those areas, we start to see those diseases creep back in.”

Only about one-fourth of Florida’s 67 county school districts met or surpassed the state’s goal of having 95% of kindergart­en students receiving all their required vaccines. In nine districts, including the larger ones of Palm Beach, Orange and Duval counties, fewer than 90% of kindergart­en students completed their shots. While seventh graders statewide fared better overall, vaccinatio­ns among the older children still lagged in 18 Florida counties.

Though the difference in these numbers may seem minor, the 95% threshold is a commonly used benchmark, and every drop represents an ever-larger window for breakthrou­gh diseases, with more real kids suffering as a result.

School immunizati­on rates have been dropping nationwide; for the 2020-21 school year, coverage was approximat­ely 94% for all required vaccines, according to the U.S. Centers for Disease Control and Prevention, or about one percentage point lower than the prior school year, before the COVID pandemic hit.

While the disinforma­tion about COVID vaccines hasn’t helped, there are many reasons for the drop off in inoculatio­ns. The shutdowns and the self-imposed restrictio­ns to contain the pandemic disrupted many Americans’ routines. Parents fell behind on doctor’s visits. School closings put the required shots on the back burner for many. Public health department­s reprioriti­zed their resources to fight COVID-19. And some children even now simply haven’t returned to the classroom, opting instead for virtual schooling that carves them out of the vaccinatio­n reporting requiremen­t.

This decline is no surprise; state health officials knew in August 2021 that childhood immunizati­ons were down, that parents were postponing routine shots and that the impacts were widely disparate among counties. Lisa Gwynn, a Miami pediatrici­an who then served as president of the Florida chapter of the American Academy of Pediatrics, warned at the time that the decline in immunizati­ons was “leaving Florida’s children and most vulnerable population­s at risk for vaccine preventabl­e diseases.” The state needs to work with these lagging counties on expanding their public outreach and education efforts. There’s no reason a medically advanced society should be slipping on childhood shots.

 ?? DAMIAN DOVARGANES/AP 2015 ?? A pediatrici­an uses a syringe to vaccinate a 1-year-old with the measles-mumps-rubella vaccine in Northridge, California.
DAMIAN DOVARGANES/AP 2015 A pediatrici­an uses a syringe to vaccinate a 1-year-old with the measles-mumps-rubella vaccine in Northridge, California.

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