Do you like working with young children or have an interest in pursuing a degree in the education field? The Early Childhood Access Consortium for Equity (ECACE) is offering college scholarships to students and daycare professionals that plan to teach or become administrators in the early childhood care and education field in Illinois once they have earned their degree. The scholarship is available for students studying at any one of 63 colleges and universities in the state. If you currently work or have worked in the early childhood education field and want additional credentials like a 2- or 4-year degree, you may be eligible for the scholarship. The award is designed to help cover college costs for an academic year - including a summer session - after financial aid from other sources has been received by the applicant. "The program was created to address the shortage of qualified early childhood educators by encouraging the pursuit of credentials and advancement of already-held degrees in early childhood education, with an aim toward building a strong, well-prepared workforce," according to scholarship announcement on the isac.org. The application deadline for the upcoming academic year is March 1. For more information and to apply, follow this link: ECACE Scholarship Program.
College scholarships available for future Illinois teachers
Do you like working with young children or have an interest in pursuing a degree in the education field? The Early Childhood Access Consortium for Equity (ECACE) is offering college scholarships to students and daycare professionals that plan to teach or become administrators in the early childhood care and education field in Illinois once they have earned their degree. The scholarship is available for students studying at any one of 63 colleges and universities in the state. If you currently work or have worked in the early childhood education field and want additional credentials like a 2- or 4-year degree, you may be eligible for the scholarship. The award is designed to help cover college costs for an academic year - including a summer session - after financial aid from other sources has been received by the applicant. "The program was created to address the shortage of qualified early childhood educators by encouraging the pursuit of credentials and advancement of already-held degrees in early childhood education, with an aim toward building a strong, well-prepared workforce," according to scholarship announcement on the isac.org. The application deadline for the upcoming academic year is March 1. For more information and to apply, follow this link: ECACE Scholarship Program.
Eight fascinating facts about playground swings
by Casey CartwrightContributing Writer
Playground swings have remained one of the most recognizable features of parks and schoolyards for generations. Children eagerly line up for a turn because swinging combines excitement, movement, and imagination in a simple activity. Communities continue to invest in quality playground equipment because outdoor recreation strengthens neighborhoods and supports healthy childhood development.
The history and benefits of playground swings reveal why they continue to hold an important place in public spaces across Illinois and beyond. Explore eight fascinating facts about playground swings and why kids and adults cherish these windy moments.
1. Swings Have Entertained Children for Thousands of Years
The concept of swinging dates back much farther than many people realize. Archaeological discoveries and historical records suggest that early forms of swings appeared in ancient civilizations, including Greece. While early versions served ceremonial purposes in some cultures, children quickly embraced them as a source of recreation. Over time, swings evolved into familiar playground equipment found in schools, parks, and neighborhoods around the world.
Modern playground swings feature stronger materials and improved engineering than their historical counterparts. Steel frames, durable chains, and weather-resistant seats provide greater longevity and safety than earlier wooden designs. Manufacturers continue refining swing systems to improve accessibility and durability. These advancements allow today’s playgrounds to welcome larger numbers of visitors throughout the year.
2. Swinging Supports Physical Development
Swinging may look simple, but it activates several important muscle groups at once. Children strengthen their legs, core muscles, arms, and balance while learning to coordinate body movements. Pumping a swing also develops timing and rhythm as children discover how body position influences motion. These physical skills often transfer into sports and other recreational activities.
Regular outdoor play also encourages healthy movement habits during childhood. Time spent climbing, swinging, running, and exploring offers valuable alternatives to extended screen time. Physical activity supports cardiovascular health while helping children develop endurance and coordination. Playground visits often become an enjoyable part of a family’s weekly routine.
3. Swings Benefit Emotional Well-Being
Many parents notice that children often leave the playground happier than when they arrived. The smooth, repetitive motion of swinging creates a calming experience that helps many children relax and focus. Outdoor play also reduces stress while providing opportunities to enjoy fresh air and natural surroundings. These emotional benefits contribute to overall childhood wellness.
Swinging also builds confidence as children master new skills. Learning how to pump independently or safely jump from a swing creates a sense of accomplishment. Small achievements encourage children to continue challenging themselves in healthy ways. Confidence developed through play often extends into school, sports, and social situations.
4. Modern Designs Welcome More Children
Today’s playground designers place greater emphasis on accessibility than previous generations. Inclusive swing seats provide opportunities for children with varying physical abilities to enjoy the same recreational experiences as their peers. Accessible playground planning also considers pathways, surfacing materials, and surrounding amenities. These thoughtful improvements help more families participate together.
Communities increasingly recognize that inclusive recreation benefits everyone. Children learn empathy and cooperation when they play alongside peers with different abilities. Families also appreciate parks that welcome every child without unnecessary barriers. Inclusive design reflects broader community values centered on participation and belonging.
5. Safety Standards Continue To Improve
Playground safety has advanced significantly during the past several decades. Manufacturers follow detailed standards regarding equipment construction, spacing, fall zones, and protective surfacing. Regular inspections also identify maintenance needs before small issues become larger safety concerns. These practices create safer environments for children while giving parents greater peace of mind.
Parents and caregivers still play an important role during playground visits. Active supervision allows adults to encourage safe behavior while helping younger children navigate equipment appropriately. Simple reminders about taking turns and using swings correctly reduce unnecessary risks. Combining quality equipment with attentive supervision creates the safest experience possible.
6. Swings Bring Communities Together
Neighborhood parks are excellent gathering places where families build lasting relationships. Children naturally interact while waiting for swings or inventing games together on the playground. Parents and grandparents frequently meet neighbors during these visits, creating stronger community connections. These everyday interactions contribute to friendlier and more welcoming neighborhoods.
Many planners also recognize that commercial playgrounds encourage active lifestyles by creating inviting destinations for families, schools, and community organizations. Well-designed playgrounds motivate children to spend more time outdoors while encouraging adults to participate in physical activity alongside them. These shared experiences strengthen individual health and community engagement. Public recreation spaces continue to play an important role in supporting active living.
7. Playground Swings Inspire Imaginative Play
Children rarely see a swing as just a seat hanging from chains. One moment it becomes a soaring airplane, and the next it transforms into a pirate ship crossing rough seas. Imaginative play encourages creativity while helping children develop storytelling and problem-solving skills. Open-ended recreation allows every child to create unique adventures.
Creative play also supports communication and cooperation. Friends invent games together while negotiating rules and sharing ideas throughout their time at the playground. These interactions strengthen social skills in a relaxed setting. Playgrounds remain valuable spaces where learning happens naturally through fun.
8. Small Maintenance Efforts Make a Big Difference
Even the strongest playground equipment requires regular care. Routine inspections help identify worn chains, loose hardware, damaged seats, or deteriorating surfacing before they become hazards. Parks departments that prioritize preventive maintenance often extend the life of their playground investments while reducing costly repairs. Consistent upkeep also keeps parks attractive for local families.
Communities can support these efforts by reporting damaged equipment promptly and respecting posted playground rules. Shared responsibility preserves public recreation spaces for future generations. Local volunteers sometimes assist with cleanup days that improve neighborhood parks. These cooperative efforts strengthen community pride while protecting valuable public resources.
What Makes Playground Swings So Enduring?
Several qualities explain why playground swings continue to remain popular across generations:
- They encourage active outdoor play.
- They support physical coordination and balance.
- They promote creativity and imaginative thinking.
- They provide calming sensory experiences.
- They create opportunities for social interaction.
- They welcome children across a wide range of ages.
Playground swings continue to offer far more than simple entertainment. They promote physical activity, encourage emotional well-being, strengthen social connections, and support imaginative play in ways few recreational activities can match. Communities that invest in safe, accessible playgrounds create valuable gathering spaces that benefit families for years to come. As neighborhoods continue to grow and evolve, the familiar playground swing will likely remain a fascinating symbol of childhood and community life.
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Group urges passage of child care bill to help Illinois families
by Mark Richardson
Public News Service
The bill would fund grants to open new child care centers and guarantee higher wages for providers, in order to stabilize and grow the workforce. The two biggest programs in the bill, Child Care and Development Fund and Head Start, would receive about $12 billion each. Most House and Senate Democrats are backing the bill, while Republicans oppose it because of its cost. Knight noted many Illinois families, especially those in rural areas, live in so-called "child care deserts," where the supply is insufficient to meet the need. She stressed it forces working families to make hard social and financial decisions. "People are able to go to work if their child is being taken care of and also be able to take care of their family by not putting their whole paycheck to child care," Knight explained. She pointed out studies show children who get an early start on education perform better during their entire time is school and are more successful later in life. "Early childhood education is so beneficial to the children and families and being able to give them the access in any way we can," Knight added. "Helping the families or helping the centers will really benefit our future."
Recent study suggests childhood trauma could haunt Illinois adults for life
by Terri DeeIllinois News Connection
New data from the Centers for Disease Control and Prevention showed 75% of U.S. high school students said they have had at least one adverse childhood experience, or ACE.
Research has shown ACEs can alter a child's brain chemistry and produce a prolonged toxic stress response. Experiencing at least one ACE as a child is linked to having alcohol and substance use problems in adulthood, and chronic diseases such as diabetes and obesity.
Joe Bargione, a certified school psychologist, said the symptoms are troubling.
"We're seeing some of the same kinds of patterns," Bargione pointed out. "That increased sense of loneliness, isolation in our youth, increased levels of suicide ideation, exposure to violence, exposure to other adverse childhood experiences."
The Illinois Department of Public Health said 61% of adults have had at least one ACE, including witnessing domestic violence in the home, parental separation, or physical and sexual abuse. Females and several groups who identify as a racial or ethnic minority were at greater risk for experiencing four or more ACEs.
The Illinois Department of Health said preventing ACEs may lower the risk for depression, asthma, cancer, and diabetes in adulthood. Bargione added schools can help address the youth mental health crisis by cultivating a sense of belonging and connectedness, as well as increasing suicide prevention programs.
"Promoting mental health awareness," Bargione urged. "Teaching kids around social-emotional learning and dealing with their emotions in an effective way, increased mental health services."
The Illinois Department of Health said healthy childhoods can provide lasting benefits throughout their lives. One way to help at-risk youth is by educating communities, youth-serving and faith-based organizations, coaches, and caregivers to better understand ACEs.
Foundation study reports Illinois' child well-being varies widely by race
by Terri DeeIllinois News Connection
A new report looks at children's well-being in every state and finds in Illinois, the outcomes vary greatly depending on race. In its Race for Results report, the Annie E. Casey Foundation analyzed indicators of child well-being, from early childhood education and reading achievement, to family resources. One indicator needing attention is fourth-grade reading proficiency. One in three Illinois students is reading at grade level, but only 13% of Black fourth graders. Katelyn Jones, vice president of policy research and evaluation at YWCA Metropolitan Chicago, explains the need to correct the discrepancy early. "We know for a fact, based on lots of research, that reading proficiency levels at the fourth grade level are really strong indicators for high school graduation rates, college enrollment, income," Jones outlined. "All of these benchmarks for success later in life." On the Casey Foundation's scale of 1,000 points, white children got the highest score for well-being in Illinois, at 740 points. Hispanic children saw a score of just over 500 points, and Black children, 341 points. Jones noted parents working long hours and the cost of early childhood education programs are additional factors in the education disparities. The report suggested expanding the federal Child Tax Credit and Earned Income Tax Credit could help narrow the gaps for children of color, along with targeted programs and policies. Jones pointed out the need for continued support for early childhood education to help set kids up for success in school. She acknowledged one resource is showing promise to achieve the goal. "Illinois is doing a pretty good job of that," Jones noted. "The governor's Smart Start Illinois program, as that goes into effect, I'm sure that will work to address many of the challenges." The Smart Start Illinois program is a multiyear plan to provide every child with access to preschool, increase funding to child care providers and reach more vulnerable families with early support.
Commentary | Measles is back! And it's worse than you think
The escalating number of measles infections in the U.S. brings haunting memories from the year I spent leading an immunization team in Nepal. I was trekking through a rural district without roads, electricity, or modern conveniences. We immunized kids under age five against diphtheria, tetanus, whooping cough, and tuberculosis, but a heat-stable measles vaccine was not yet available. Sadly, in those small villages the deadliest, most feared illness was measles. I wrote in my journal about a day I was called to see a child suffering from measles. We moved into the shadows of a low-slung house and stepped inside. An elderly woman sat on a mat, holding the now lifeless body of a small child, pale and still, in her arms. She was half-singing, half-crying an ancient sound of mourning, rocking him gently and fondling his face, arms, and legs. It was a painful sight, almost too difficult to witness. I took a deep breath, fighting back tears, an immense effort to keep my composure in the face of this tragic scene. “There’s the boy’s mother,” whispered the local health assistant, pointing with his chin to a younger woman weeping quietly next to the grandmother. In her arms was an older child, also suffering from measles. Other adults and children milled about the shadows of the room. Dust motes floated in the narrow beacon of sunlight streaming through one small window. We approached the two women with a deep namaste. “Kasto dukhha, Aama,” I said and bowed respectfully. So much pain. The child’s mother looked up with the saddest of eyes and nodded her acknowledgement. Before a vaccine was widely available, measles caused two to three million deaths around the world every year, most often among malnourished kids. The first measles vaccine required freezing and refrigeration at every point prior to injection, so it was years before a new formulation was available that could be used in areas without electricity. Even today, measles is still a leading cause of child death in poor countries, killing over 100,000 children annually. In pre-vaccine U.S., measles was an expected rite of passage for kids. “Just get it over with,” was the usual advice. During that era, around half a million U.S. kids came down with measles and roughly 500 of them died every year. When immunization programs were launched after 1963, the numbers gradually dropped to fewer than 100 cases a year by the late 1990s. But now -- it’s coming back. In 2025, more than 2200 cases were reported in the US, most in families with religious or other objections to immunizations. Three of them died. In only the first six weeks of 2026 over 900 cases have been reported, encompassing half the U.S. states. Among that group are many children of “anti-vaxxer” parents, who unknowingly put their children at risk by refusing the vaccine. Even college campuses are seeing a surge in infections because of generally lower immunization rates among incoming groups. Why such rapid spread? Measles is in fact one of the most infectious diseases we know: Just spending a few minutes in a room soon after a measles patient has left is enough exposure to lead to infection. Similarly, touching something contaminated by droplets from the sick person’s sneezing or coughing also will do it. We can combat deaths from measles with widespread vaccinations. “Herd immunity” for measles requires that 95% of susceptible people are vaccinated, and as coverage drops below that level, the risk of outbreaks increases. But the value of vaccines is apparently not understood by our Secretary of Health and Human Services, Robert F. Kennedy, Jr. Though without formal health training, Kennedy has expressed unverified concerns about the safety of many routine childhood immunizations. Before President Trump took office, the U.S. was a major supporter of organizations providing vaccines and other basic health interventions for children around the world. But funding for vaccines meant to save children’s lives was cut by the Trump administration, and other sources of support have been slow to emerge. The result: many families—some who live in the most impoverished places on earth—are on their own to provide for their children’s health. Vaccines prevent kids’ dying from measles and other infectious diseases. We must not return to the era of tragic, needless child deaths that I encountered in Nepal - which could return to this country, unless we safeguard the system that protects our most vulnerable.
Dr. Mary Anne Mercer is a University of Washington public health faculty member and author whose four-decade career has focused on maternal and child health in developing nations. Beginning with her transformative year providing immunizations in rural Nepal in 1978, she has developed health projects in 14 countries and authored books including Beyond the Next Village (2022) and Sickness and Wealth: The Corporate Assault on Global Health. Her recent work strengthening midwifery care through mobile technology in Timor-Leste has been adopted as a national program.
More Editorial Viewpoints
Whether you agree, disagree, or want to build on the ideas in this piece, we’d love to hear your voice. If you have an opinion you’d like to share — on this topic or any other — you can find our submission guidelines here: Sentinel submission guideline. We welcome a wide range of viewpoints and would be glad to consider your perspective for publication on OurSentinel.com. . Send your letter or commentary to editor@oursentinel.com and help keep the community conversation moving forward.
Seven questions with Tolono's Susan Plackett
Born and raised in Tolono, Plackett enjoys making memories for those growing up in Tolono like many of the members of the community did for her during her childhood.
"There is nothing more uplifting in these times than seeing families and children having fun," she said.
The Halloween parade was a first for Tolono according Plackett and the third parade in the village this year. With the annual Tolono Fun Day festival canceled due to restriction on large public gatherings in Illinois to prevent the rapid spread of the Coronavirus, a 4th of July parade was put together at the last minute she said because "everyone was missing not having Fun Day the weekend before."
"The Tolono Fun Days committee is trying to give the community something to do during the pandemic," Plackett said. "We had 18 participate 4th of July and 20 participants at the September 4 golf cart parade. [For the] Halloween [parade] there were over 40 vehicles and I don’t know how many walkers."
She shared 146 photos from the parade on Facebook from the parade. Here's a look at some of her photos from three weeks ago and a little bit about her Halloween memories.
I don’t normally take posed shots but at the request from a close friend several years ago I started to taking senior photos for family and friends. I just like taking action shots. I like catching the moment or a memory. "
I make memories beyond the camera by being involved in the school, my church and several organizations in town.
See the rest of Plackett's Halloween parade gallery on Facebook.
'American' most often associated with white English speaker
by Judith Ruiz-BranchIllinois News Connection
She said humans categorize others using cognitive shortcuts, which can cause prejudice and stereotypes, and lead to real-world consequences such as determining hiring decisions and ultimately making individuals feel like they don't belong. Studying the development of social attitudes in kids, Kinzler said she found young children initially perceive English speakers as "more American." As they grow older, they then associate both English speakers and white faces with American identity. Kinzler said children often pick up on the statistical realities of their world, which can also color their beliefs. "So they might be noticing, 'Who are the people I come in contact with? Who are the people that my parent talks to, who come over for dinner? Who are the people in my school? What access to resources do they have?' And so forth," she said. "And so, kids are paying attention to the social realities of their world and kind of adding it up." While it's impossible to control everything children are exposed to, Kinzler suggested parents try to broaden their early experiences by exposing them to diverse ideas, languages, people and places, especially from a young age. She said formed biases are more often a result of social and cultural attitudes rather than political messages.
TELL THE SENTINEL WHAT YOU THINK: Can someone be "American" if they speak English, but are not 'white'? Send us a letter and tell us what you think. .::. Here is how and where to sent it
More stories ~
New trauma tool shows high adversity levels for children in southern Illinois
by Judith Ruiz-BranchIllinois News Connection
"It's really important to understand that it was never designed to say that this is a burden that only schools need to address," Cicchetti emphasized. "This really is talking about what is the context, the community context that schools are operating in that is impacting their ability to educate their students." Chiquetti pointed out the index will be updated every two years and aims to guide resource allocation more efficiently across state agencies to address the root causes of potential issues for children. Chiquetti noted it includes informing school-level decision-making to help principals better prioritize interventions based on community context and school data, like focusing on increased mental health services, addressing disparities, or implementing social-emotional learning programs. "There's a lot of things that people are being exposed to that look different," Chiquetti observed. "So it really does mean that by using database decisions, we might invest in different things in parts of the state than in others, as opposed to globally saying, ‘oh, everybody needs more access.'" The index builds upon state-level initiatives such as the Children’s Behavioral Health Transformation Initiative and the Whole Child Task Force, which Chiquetti said all calls for a reconfiguring of the silos of government in order to achieve a more holistic approach to addressing the well-being of children across the state. "It really is shared across all of these different entities," Chiquetti noted. "It's a public health issue, it's an education issue, it's also a child welfare issue, it's a juvenile justice issue, it's Medicaid insurance access, it's health care … you need all of the systems to have what they need to support those children, families and communities."
More stories ~
ADHD in adults, online quizzes may spread misconceptions and mis-self-diagnosis
by Matt SheehanOSF Healthcare
Guest Commentary | A public health perspective on Iran: They are more like us than we think
My work in global health always nudges me to learn about places and people I read about in the news. Right now: Iran, of course. Though I’ve never been there, I knew it was an incredibly old civilization, dating back several millennia with a vibrant culture and elegant, stunning architecture from the past. In recent decades it’s been led by a dictatorial, hard-line Muslim, the Supreme Leader. I investigated a few facts about the country because understanding how the health of people in other settings compares with ours is often enlightening. Iran is poorer economically than the U.S., so the population probably would have lower living standards, life expectancy, and literacy rates than we do. I’ve worked in public health in a number of low-income countries, so I also expected that use of important services like immunizations for children and family planning for women would be limited. A quick web search revealed that, indeed, our population is much wealthier than Iran’s. That country has a median income of $4300, compared to the U.S. with around $19,300. But the other assumptions didn’t fit what I expected. A surprising 100% of the population has access to electricity. Much lower life expectancy? No, they are not dying at young ages: the average Iranian man in 2024 would live to be 76 years old, not far behind the American man at 77 years. I also didn’t expect that most of the main causes of death were the same as ours – heart disease, stroke, hypertension and injuries. Adult literacy, an important social determinant of health, was even more perplexing: only 11% of Iranians were nonliterate in 2023, compared to 21% of Americans around that time. Maternal and child health practices are important monitors of a population’s well-being. So, another surprise: over 99% of Iranian children have the full set of immunizations by age five--while in the U.S. that rate is only 94% and said to be dropping. For women, childbearing patterns hint at their roles in family decision-making. How does that work in this solidly Muslim country? Another puzzler: at today’s birth rates, both Iranian and American women will have, on average, fewer than two children over their lifetimes. Pondering these numbers, I couldn’t escape the feeling that Iranians were, put simply, very much like us. They have strong families, send their children off to school every day, have basic conveniences and an efficient public health system. Or at least they did, until the current military onslaught by the U.S. and Israel began. Since then, the devastation of the country has been relentless: bombing of military targets with unknown numbers of civilian deaths— including the well-documented strike that killed some 160 schoolgirls. Over a dozen hospitals have been bombed, a pall of toxic “black rain” has fallen on Tehran as a result of the destruction of oil facilities, and food shortages in the cities are under way. It appears, however, that to date the death, destruction and massive displacement inflicted on their country has only strengthened the determination of the Iranian leadership, and also perhaps its people, to endure. At some point this war will end. Until then the people of Iran, whose everyday lives had not been so very different from ours just a few weeks ago, will continue to go to bed every night wondering what hell the Americans and Israelis will inflict their country the next day.
Dr. Mary Anne Mercer is a University of Washington public health faculty member and author whose four-decade career has focused on maternal and child health in developing nations. Beginning with her transformative year providing immunizations in rural Nepal in 1978, she has developed health projects in 14 countries and authored books including Beyond the Next Village (2022) and Sickness and Wealth: The Corporate Assault on Global Health. Her recent work strengthening midwifery care through mobile technology in Timor-Leste has been adopted as a national program.
More Editorial Viewpoints
Whether you agree, disagree, or want to build on the ideas in this piece, we’d love to hear your voice. If you have an opinion you’d like to share — on this topic or any other — you can find our submission guidelines here: Sentinel submission guideline. We welcome a wide range of viewpoints and would be glad to consider your perspective for publication on OurSentinel.com. . Send your letter or commentary to editor@oursentinel.com and help keep the community conversation moving forward.
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Florida defies CDC advice telling parents it's okay to send unvaccinated kids to school during recent outbreak
Kaiser Health News
With a brief memo, Florida Surgeon General Joseph Ladapo has subverted a public health standard that’s long kept measles outbreaks under control.
On Feb. 20, as measles spread through Manatee Bay Elementary in South Florida, Ladapo sent parents a letter granting them permission to send unvaccinated children to school amid the outbreak.
The Department of Health “is deferring to parents or guardians to make decisions about school attendance,” wrote Ladapo, who was appointed to head the agency by Florida Gov. Ron DeSantis, whose name is listed above Ladapo’s in the letterhead.
Ladapo’s move contradicts advice from the Centers for Disease Control and Prevention.
“This is not a parental rights issue,” said Scott Rivkees, Florida’s former surgeon general who is now a professor at Brown University. “It’s about protecting fellow classmates, teachers, and members of the community against measles, which is a very serious and very transmissible illness.”
Most people who aren’t protected by a vaccine will get measles if they’re exposed to the virus. This vulnerable group includes children whose parents don’t get them vaccinated, infants too young for the vaccine, those who can’t be vaccinated for medical reasons, and others who don’t mount a strong, lasting immune response to it. Rivkees estimates that about a tenth of people in a community fall into the vulnerable category.
The CDC advises that unvaccinated students stay home from school for three weeks after exposure. Because the highly contagious measles virus spreads on tiny droplets through the air and on surfaces, students are considered exposed simply by sitting in the same cafeteria or classroom as someone infected. And a person with measles can pass along an infection before they develop a fever, cough, rash, or other signs of the illness. About 1 in 5 people with measles end up hospitalized, 1 in 10 develop ear infections that can lead to permanent hearing loss, and about 1 in 1,000 die from respiratory and neurological complications.
“I don’t know why the health department wouldn’t follow the CDC recommendations,” said Thresia Gambon, president of the Florida chapter of the American Academy of Pediatrics and a pediatrician who practices in Miami and Broward, the county affected by the current measles outbreak. “Measles is so contagious. It is very worrisome.”
Considering the dangers of the disease, the vaccine is incredibly safe. A person is about four times as likely to die from being struck by lightning during their lifetime in the United States as to have a potentially life-threatening allergic reaction to the measles, mumps, and rubella vaccine.
Nonetheless, last year a record number of parents filed for exemptions from school vaccine requirements on religious or philosophical grounds across the United States. The CDC reported that childhood immunization rates hit a 10-year low.
In addition to Florida, measles cases have been reported in 11 other states this year, including Arizona, Georgia, Minnesota, and Virginia.
Only about a quarter of Florida’s counties had reached the 95% threshold at which communities are considered well protected against measles outbreaks, according to the most recent data posted by the Florida Department of Health in 2022. In Broward County, where six cases of measles have been reported over the past week, about 92% of children in kindergarten had received routine immunizations against measles, chickenpox, polio, and other diseases. The remaining 8% included more than 1,500 kids who had vaccine exemptions, as of 2022.
Broward’s local health department has been offering measles vaccines at Manatee Bay Elementary since the outbreak began, according to the county school superintendent. If an unvaccinated person gets a dose within three days of exposure to the virus, they’re far less likely to get measles and spread it to others.
For this reason, government officials have occasionally mandated vaccines in emergencies in the past. For example, Philadelphia’s deputy health commissioner in 1991 ordered children to get vaccinated against their parents’ wishes during outbreaks traced to their faith-healing churches. And during a large measles outbreak among Orthodox Jewish communities in Brooklyn in 2019, the New York City health commissioner mandated that anyone who lived, worked, or went to school in hard-hit neighborhoods get vaccinated or face a fine of $1,000. In that ordinance, the commissioner wrote that the presence of anyone lacking the vaccine in those areas, unless it was medically contraindicated, “creates an unnecessary and avoidable risk of continuing the outbreak.”
Ladapo moved in the opposite direction with his letter, deferring to parents because of the “high immunity rate in the community,” which data contradicts, and because of the “burden on families and educational cost of healthy children missing school.”
Yet the burden of an outbreak only grows larger as cases of measles spread, requiring more emergency care, more testing, and broader quarantines as illness and hospitalizations mount. Curbing a 2018 outbreak in southern Washington with 72 cases cost about $2.3 million, in addition to $76,000 in medical costs, and an estimated $1 million in economic losses due to illness, quarantine, and caregiving. If numbers soar, death becomes a burden, too. An outbreak among a largely unvaccinated population in Samoa caused more than 5,700 cases and 83 deaths, mainly among children.
Ladapo’s letter to parents also marks a departure from the norm because local health departments tend to take the lead on containing measles outbreaks, rather than state or federal authorities. In response to queries from KFF Health News, Broward County’s health department deferred to Florida’s state health department, which Ladapo oversees.
“The county doesn’t have the power to disagree with the state health department,” said Rebekah Jones, a data scientist who was removed from her post at the Florida health department in 2020, over a rift regarding coronavirus data.
DeSantis, a Republican, appointed Ladapo as head of the state health department in late 2021, as DeSantis integrated skepticism about covid vaccines into his political platform. In the months that followed, Florida’s health department removed information on covid vaccines from its homepage, and reprimanded a county health director for encouraging his staff to get the vaccines, leading to his resignation. In January, the health department website posted Ladapo’s call to halt vaccination with covid mRNA vaccines entirely, based on notions that scientists call implausible.
Jones was not surprised to see Ladapo pivot to measles. “I think this is the predictable outcome of turning fringe, anti-vaccine rhetoric into a defining trait of the Florida government,” she said. Although his latest decision runs contrary to CDC advice, the federal agency rarely intervenes in measles outbreaks, entrusting the task to states.
In an email to KFF Health News, the Florida health department said it was working with others to identify the contacts of people with measles, but that details on cases and places of exposure were confidential. It repeated Ladapo’s decision, adding, “The surgeon general’s recommendation may change as epidemiological investigations continue.”
For Gambon, the outbreak is already disconcerting. “I would like to see the surgeon general promote what is safest for children and for school staff,” she said, “since I am sure there are many who might not have as strong immunity as we would hope.”
KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.
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