Responding to Declining Vaccination Rates
The recent decline in childhood vaccination rates poses a serious threat to community health. This toolbox provides school board members with actionable solutions to protect herd immunity and keep our communities safe.
The Problem
Schools face an increasing administrative burden tracking non-compliant students. In 2022-2023, North Carolina saw the highest number of kindergarten exemptions in over a decade, overwhelming staff.
The Solution
Equip schools with resources, clear protocols, and support from community health partners. Actively connect families with vaccination resources, like mobile clinics or local health departments.
Why It Works
This approach creates a supportive, community-wide web of accountability, transforming the school's role from administrative to a proactive partner in public health.
The Problem
Many families struggle to find providers in the Vaccines for Children (VFC) program. Requiring a full well-child visit for a single shot is a major time and cost barrier.
The Solution
Launch a recruitment campaign for VFC providers and advocate for state-level incentives that encourage "vaccine-only" visits to streamline the process.
Why It Works
Removing logistical and financial hurdles is one of the most effective ways to increase vaccination rates and improve compliance.
The Problem
Barriers like transportation, parental work schedules, and appointment availability can prevent children from getting vaccinated even when providers are available.
The Solution
Allow school districts to register as VFC providers to administer vaccines on-site, or contract with local health departments for nursing services.
Why It Works
This strategy brings vaccines directly to where children are, eliminating access barriers and leveraging the school as a trusted, central hub for student health.
The Problem
North Carolina saw a 35% increase in religious exemptions for kindergarteners in 2022-2023, largely fueled by organized misinformation.
The Solution
Collaborate with respected faith and community leaders to share medically accurate information, focusing on the shared value of protecting children and the community.
Why It Works
Information is best received from a trusted source. Empowering local leaders can effectively counter misinformation from within the community.
The Problem
Public health professionals face unprecedented harassment, threats, and political pressure, leading to burnout, high turnover, and a weakened public health system.
The Solution
State and local leadership must publicly support health workers. Implement zero-tolerance policies for harassment and provide mental health and de-escalation resources.
Why It Works
A safe, stable, and respected workforce is essential for any public health strategy. Protecting our staff is a critical investment in the health and safety of everyone.