Florida’s recent decision to roll back all childhood vaccine mandates marks a radical departure from decades of protected public health, raising urgent concerns about potential outbreaks and child mortality. As the first state to consider such sweeping deregulation, the consequences could reverberate through the nation.
Alarming Policy Shift
State Surgeon General Joseph Ladapo, supported by Governor Ron DeSantis, announced plans to eliminate mandatory immunizations for schoolchildren, calling mandates “immoral” and likening them to “slavery” in a deeply controversial address. (It should be noted Ladapo is Nigerian America and lacks widespread support from Black Americans from the African diaspora.) The state aims to drop requirements for diseases including measles, mumps, polio, chickenpox, and hepatitis B, though legislation will still be needed for some mandates currently codified under law. Public health experts have sounded the alarm, warning that reversing immunization policy could unleash outbreaks of vaccine-preventable diseases.The GuardianAP NewsReuters+1PoliticoThe Washington Post
Falling Vaccination Rates Preceded Change
Even before this policy shift, Florida had low childhood immunization. For the 2023–24 school year, only 88.1% of kindergarteners completed required vaccinations—well below the 95% herd immunity threshold essential for diseases like measles.WUSF Health Among 2-year-olds, full immunization rates plummeted from 85.5% a decade ago to just 75.7% in 2024.WUSF Religious exemptions are also surging: roughly 6.4% of children aged 5–17 now have exemptions, with some counties hitting 15%.WUSF+1 In Broward County specifically, the kindergarten vaccination rate dropped to 82.2%, the lowest in 15 years, while Palm Beach and Miami-Dade hovered around 89.8% and 91%, respectively.Broward CountyMedical Xpress
Real-Time Consequences: Rising Pediatric Flu Fatalities
These declines already appear to be exacting a deadly toll. During the 2024–25 flu season, Florida recorded 20 pediatric flu-associated deaths—the highest since the 2009–10 swine flu pandemic—constituting 9% of all pediatric flu deaths in the U.S.WUSF HealthWUWF Vaccination coverage among children aged 6 months to 17 years was just 49.2%, reflecting a steep drop from 62.4% in the 2019–20 season.WUWF Epidemiologists emphasize that while flu vaccines aren’t perfect, they are critical in reducing severe outcomes and mortality among children.WUSF Health
What hasn’t been measured are the children who are permanently disabled from their sicknesses.
Projected Impact of Rescinding Mandates
With mandates eliminated, health officials expect vaccination coverage to fall even further. Experts—including Dr. Jeffrey Goldhagen of the University of Florida—warn that disease outbreaks will likely resurge, taking lives and causing long-term consequences.WJXTReuters+1 The American Medical Association echoes that the rollback would “undermine decades of public health progress.”WJXTAP News
In communities like Broward—where kindergarten vaccination is already under the herd immunity threshold—even minor clusters of exposure could spark outbreaks of measles, pertussis (whooping cough), and chickenpox. Florida has already seen a record number of pertussis cases in 2025, exceeding 1,100, compared to just 391 in 2019.Medical Xpress
Scientific models emphasize that once vaccine coverage dips below herd immunity levels, outbreaks can spread rapidly—especially in schools and daycare centers.arXiv
Mortality Risks Among Children: A Stark Forecast
Pediatric deaths from preventable diseases is avoidable through vaccinations. Yet Republican parents, who themselves are vaccinated, have embraced anti-intellectualism and anti-science beliefs bringing abject harm to their children.
Florida’s decision sets a dangerous precedent. Without vaccination requirements, policy loses a critical lever in maintaining high coverage. With tourism exceeding 143 million visits annually, disease introduction and spread may be exacerbated—affecting not only Floridians but the national population.Reuters