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How lower vaccination rates in schools are affecting high-risk students 
NBC News·2025-09-16 20:00

Vaccination Policy & Exemption Trends - West Virginia's governor issued an executive order to change the state's vaccine exemptions, introducing religious and conscientious exemptions [3] - Previously, West Virginia only allowed medical exemptions and had a high vaccination rate of 98% among kindergarteners in 2023 [4] - Following the governor's announcement, at least 463 non-medical exemptions were issued for the 2025-26 school year [4] - A nationwide trend shows 53% of US counties more than doubled exemption rates, and 77% have seen a decline in vaccination rates since 2019 [5] Legal & Regulatory Landscape - The executive order conflicts with the state code, leading to court battles to determine applicable rules for parents, teachers, and school boards [8] - Lawmakers rejected a bill to put non-medical exemptions into state law, but the governor is backed by the Trump administration [7] - The Department of Health and Human Services requires the state to recognize religious exemptions to receive funding for a childhood vaccine program [7] - Two competing lawsuits are in court, later consolidated, challenging the executive order and seeking to allow non-medical exemptions [7][8][9] Exemption Process & School Board Stance - Obtaining a religious exemption in West Virginia is a simple email process, while medical exemptions require a rigorous two-page form reviewed by a physician and state immunization officer [11][12] - The West Virginia Board of Education is currently not accepting the exemptions because the governor's executive order did not change state law [13] Impact on Children & Education - Children with conditions like Fox G1 syndrome, such as Maxwell, are more vulnerable to illnesses, making vaccination rates a concern [2] - Homeschooling is a safer but isolating option, while public education is considered a constitutional right critical for a child's development [10]