Florida will move to end all vaccine mandates in the state, Florida Surgeon General Dr. Joseph Ladapo announced Wednesday. The move would make Florida the first state to end a longstanding – and constitutionally upheld – practice of requiring certain vaccines for school students. The state health department will immediately move to end all non-statutory mandates in the state, Ladapo said at a news conference. Florida Gov. Ron DeSantis, who was also at the event, said state lawmakers would then look into developing a legislative package to end any remaining mandates. Ladapo said that every vaccine mandate "is wrong and drips with disdain and slavery." All 50 states have had school immunization requirements since the beginning of the 1980s, with incoming kindergartners needing shots to protect against diseases including measles, polio and tetanus. No states require a Covid-19 vaccine for schoolchildren. All states allow medical exemptions from these school vaccine mandates, and most also allow for exemptions due to personal or religious beliefs. Exemption rates have been on the rise for years in the US, with a record share of incoming kindergartners skipping the required shots in the 2024-25 school year. Florida's school vaccine exemption rate last school year– about 5% – was higher than the national average, data from the US Centers for Disease Control and Prevention shows, and nearly all were for nonmedical reasons. "We are concerned that today's announcement will put children in Florida public schools at higher risk for getting sick, which will have a ripple effect across our communities," Dr. Rana Alissa, president of the Florida Chapter of the American Academy of Pediatrics, said in a statement. "For many kids, the best part of school is being with friends — sharing space, playing on the playground, and learning together. Close contact makes it easy for contagious diseases to spread quickly," she said. "When everyone in a school is vaccinated, it is harder for diseases to spread and easier for everyone to continue learning and having fun. When children are sick and miss school caregivers also miss work, which not only impacts those families but also the local economy." A study published last year by the CDC estimated that routine childhood vaccinations – such as those included in school mandates – will have prevented about 508 million illnesses, 32 million hospitalizations and 1,129,000 deaths among children born between 1994 and 2003. They also were estimated to avert $540 billion in direct costs. Ladapo said that vaccination should be an individual choice. "People have a right to make their own decisions, informed decisions," he said. "What you put into your body is because of your relationship with your body and your god. I don't have that right. Government does not have that right." But experts say that freedom comes with responsibilities. "We're all routinely subject to rules that enable us to live together safely, and I personally want those rules in place to protect me and the people I care about. We abide by speed limits, traffic lights, infant car seat and seatbelt laws — all requirements that have expanded over the years as safety technology and engineering has improved," said Dr. Kelly Moore, president and CEO of immunize.org, a nonprofit organization focused on vaccine access. "I share with many other people the belief that all children who are required to attend school should also have a right to the best possible defense from vaccine-preventable diseases while they are there," she said. Some vaccine mandates in Florida can be rolled back unilaterally by the state health department, Ladapo said, but others will require coordination with lawmakers. Experts who oppose the move to end vaccine mandates emphasize that the change is not final and that timing is critical. With the announcement coming after the start of the school year, Floridians will have a chance to experience and reflect on what a year of low vaccination coverage looks like, Moore said. "This timing gives leaders several months to reconsider whether this is what's best for Florida families. It's quite likely that Floridians will have reasons to regret that decision as time goes by and outbreaks disrupt learning," she said. The American Medical Association "strongly opposes" the plan to end vaccine mandates, Dr. Sandra Adamson Fryhofer, an internal medicine physician and member of the professional organization's board of trustees, said in a statement. "This unprecedented rollback would undermine decades of public health progress and place children and communities at increased risk for diseases such as measles, mumps, polio, and chickenpox resulting in serious illness, disability, and even death," she said. "While there is still time, we urge Florida to reconsider this change to help prevent a rise of infectious disease outbreaks that put health and lives at risk." — CNN
