How Shifting Vaccine Policy Could Affect MI School-Age Children

MICHIGAN — The new school year could bring changes in how Michigan’s school-aged kids are protected against viruses due to shifts in federal health policy and overall attitudes about vaccine safety, public health experts warn.

Amplifying their concerns is Health and Human Services Secretary Robert F. Kennedy Jr.’s complete overhaul of the Advisory Committee on Immunization Practices, or ACIP, which makes recommendations on what vaccinations children should get.

These recommendations form the basis of Michigan law, which currently provides that incoming kindergarteners are required to get six vaccinations, including for diphtheria, tetanus and pertussis, polio, chickenpox, Hepatitis B, and measles, mumps and rubella.

All U.S. states and territories require that children attending child care centers and schools be vaccinated against a number of diseases, including, measles, mumps, polio, tetanus, whooping cough and chickenpox.

Rates can be influenced by policies that make it harder or easier to obtain exemptions, and by local attitudes among families and doctors about the need to get children vaccinated. Online misinformation and the political divide that emerged around COVID-19 vaccines have led more parents to question routine childhood vaccinations, experts say.

Michigan Vaccination Rates Down

U.S. kindergarten vaccination rates inched down again last year, and the share of children with exemptions rose to an all-time high, according to federal data posted Thursday. Public health officials focus on vaccination rates for kindergartners because schools can be cauldrons for germs and launching pads for community outbreaks.

In Michigan, 91.7 percent of kindergarteners were current on their vaccinations at the start of school last year, compared to 92.5 percent the year before, according to the Centers for Disease Control and Prevention data.

Vaccine Exemptions In Michigan

All states allow exemptions for children with medical conditions that prevent them from receiving certain vaccines. And most also permit exemptions for religious or other nonmedical reasons. In the last decade, the percentage of kindergartners with medical exemptions has held steady, at about 0.2 percent. But the percentage with nonmedical exemptions has risen.

Overall, the fraction of kids exempted from vaccine requirements rose to 3.6 percent, up from 3.3 percent the year before. It’s the third record-breaking year in a row for the national average exemption rate, and the vast majority are parents withholding shots for nonmedical reasons.

The highest exemption rate was in Idaho, where 15.4 percent of kindergarteners had at least one exemption. The lowest was in Connecticut, where fewer than 0.5 percent of students had a vaccine exemption.

Personal and religious exemptions are allowed in Michigan, but any parent/guardian who wants to claim a nonmedical waiver will need to receive education regarding the benefits of vaccination and the risks of disease from a county health department before obtaining the certified nonmedical waiver form through the Local Health Department.

Measles Vaccinations In Michigan

The vaccination numbers were posted as the U.S. experiences its worst year for measles spread in more than three decades, with more than 1,300 cases so far.

The CDC said 92.5 percent of 2024–25 kindergartners got their required measles-mumps-rubella shots, down slightly from the previous year. Before the COVID-19 pandemic, the vaccination rate was 95 percent — the level that makes it unlikely that a single infection will spark a disease cluster or outbreak.

In Michigan, 91.6 percent of kindergarteners last year got their MMR shots, compared to 92.1 the previous year.

Vaccination A ‘Personal Decision’

The CDC traditionally releases the vaccination coverage data in its flagship publication, the Morbidity and Mortality Weekly Report. CDC officials usually speak to the trends and possible explanations, and stress the importance of vaccinations. This year, the agency quietly posted the data online and — when asked about it — emailed a statement to The Associated Press.

“The decision to vaccinate is a personal one. Parents should consult their health care providers on options for their families,” the statement said, adding; “Vaccination remains the most effective way to protect children from serious diseases like measles and whooping cough, which can lead to hospitalization and long-term health complications.”

The wording is more ambivalent about the importance of vaccinations than in the past. That is in keeping with communications from Kennedy, a leading voice in the anti-vaccine movement before President Donald Trump put him in charge of federal health agencies.

Dr. Sean O’Leary, of the American Academy of Pediatrics, noted the changes in the CDC messaging, which places personal choice before community protection.

“To sort of weaken the language or weaken the messaging that they're sending is very concerning, because what they say does matter,” O’Leary, a University of Colorado pediatric infectious diseases specialist, told The Associated Press.

“The concern, of course, is that with a further dip in the (vaccination) coverage, we’re going to see even more measles in the coming months,” O’Leary said.

It’s good news that the vast majority of parents continue to get their kids vaccinated, O’Leary said. And it’s noteworthy that there is a gap between the percentage vaccinated and the percentage who are exempted — meaning there likely are unmet access issues, he added.

The Associated Press contributed reporting.