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Vaccine mandates misinformation: 2 experts explain the true role of slavery and racism in the history of public health policy – and the growing threat ignorance poses today

Vaccine mandates misinformation: Florida’s vaccination rates decline as the state plans to eliminate mandates. Experts warn this could deepen health disparities, undermine public trust, and threaten community health, especially given the history of racism in vaccination practices.

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Vaccine mandates misinformation
Vaccination rates in Florida schools have dipped below the threshold for immunity to certain preventable diseases. Suzi Media Production/iStock via Getty Images Plus

Vaccine mandates misinformation:

Lauren MacIvor Thompson, Kennesaw State University and Stacie Kershner, Georgia State University

On Sept. 3, 2025, Florida announced its plans to be the first state to eliminate vaccine mandates for its citizens, including those for children to attend school.

Current Florida law and the state’s Department of Health require that children who attend day care or public school be immunized for polio, diphtheria, rubeola, rubella, pertussis and other communicable diseases. Dr. Joseph Ladapo, Florida’s surgeon general and a professor of medicine at the University of Florida, has stated that “every last one” of these decades-old vaccine requirements “is wrong and drips with disdain and slavery.”

As experts on the history of American medicine and vaccine law and policy, we took immediate note of Ladapo’s use of the word “slavery.”

There is certainly a complicated history of race and vaccines in the United States. But, in our view, invoking slavery as a way to justify the elimination of vaccines and vaccine mandates will accelerate mistrust and present a major threat to public health, especially given existing racial health disparities. It also erases Black Americans’ key work in centuries of American public health initiatives, including vaccination campaigns.

What’s clear: Vaccines and mandates save human lives

Evidence and data show that vaccines work, as do mandates, in keeping Americans healthy. The World Health Organization reported in a landmark 2024 study that vaccines have saved more than 154 million lives globally in just the past 50 years.

In the United States, vaccines for children are one of the top public health achievements of the 20th century. Rates of eight of the most common vaccine-preventable diseases in school-age children dropped by 97% or more from pre-vaccine levels, preventing an estimated 1,129,000 deaths and resulting in direct savings of US$540 billion and societal savings of $2.7 trillion.

History of vaccine mandates in the United States

Vaccine mandates in the United States date to the Colonial period and have a complex history. George Washington required his troops be inoculated, the predecessor of vaccination, against smallpox during the American Revolution.

To prevent outbreaks of this debilitating, disfiguring and deadly disease, state and local governments implemented smallpox inoculation and vaccination campaigns into the early 1900s. They targeted various groups, including enslaved people, immigrants, people living in tenement and other crowded housing conditions, manual laborers and others, forcibly vaccinating those who could not provide proof of prior vaccination.

Although religious exemptions were not recognized by law until the 1960s, some resisted these vaccination campaigns from the beginning, and 19th-century anti-vaccination societies urged the rollback of state laws requiring vaccination.

By the turn of the 20th century, however, the U.S. Supreme Court also began to intervene in matters of public health and vaccination. The court ultimately upheld vaccine mandates in Jacobson v. Massachusetts in 1905, in an effort to strike a balance between individual rights with the need to protect the public’s health. In Zucht v. King in 1922, the court also ruled in favor of vaccine mandates, this time for school attendance.

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Vaccine mandates expanded by the middle of the 20th century to include vaccines for many dangerous childhood diseases, such as polio, measles, rubella and pertussis. When Jonas Salk’s polio vaccine became available, families waited in long lines for hours to receive it, hoping to prevent their children from having to experience paralysis or life in an iron lung.

Scientific studies in the 1970s demonstrated that state declines in measles cases were correlated with enforcement of school vaccine mandates. The federal Childhood Immunization Initiative launched in the late 1970s helped educate the public on the importance of vaccines and encouraged enforcement. All states had mandatory vaccine requirements for public school entry by 1980, and data over the past several decades continues to demonstrate the importance of these laws for public health.

Most parents also continue to support school mandates. A survey conducted in July and August 2025 by The Washington Post and the Kaiser Family Foundation finds that 81% of parents support laws requiring vaccines for school.

Black Americans’ long fight for public health equity

Despite the proven success of vaccines and the importance of vaccine mandates in maintaining high vaccination rates, there is a vocal anti-vaccine minority in the U.S. that has gained traction since the COVID-19 pandemic.

Misinformation proliferates both online and off. Some of the misinformation originates in the historical realities of vaccines and social policy in the United States.

When Ladapo, the Florida surgeon general, invoked the term “slavery” to refer to vaccine mandates, he may have been referring to the history of racism in the medical field, such as the U.S. Public Health Service Untreated Syphilis Study at Tuskegee. The study, which started in 1932 and spanned four decades, involved hundreds of Black men who were recruited without their knowledge or consent so that researchers could study the effects of untreated syphilis. Investigators misled the participants about the nature of the study and actively withheld treatment – including penicillin, which became the standard therapy in the late 1940s – in order to study the effects of untreated syphilis on the men’s bodies.

Today, the study is remembered as one of the most egregious instances of racism and unethical experimentation in American medicine. Its participants had enrolled in the study because it was advertised as a chance to receive expert medical care but, instead, were subjected to lies and painful “treatments.”

Three men standing shoulder to shoulder in long-sleeve shirts.
The 40-year untreated syphilis study at Tuskegee ended in 1972. National Archives Catalog/Centers for Disease Control and Prevention

Despite these experiences in the medical system, Black Americans have long advocated for better health care, connecting it to the larger struggle for racial equality.

Vaccination is no exception. Despite the fact that they were often the subject of forced innoculation, enslaved people helped to lead the first American public health initiatives around epidemic disease. Historians’ research on smallpox and slavery, for example, has found that inoculation was widely accepted and practiced by West Africans by the early 1700s, and that enslaved people brought the practice to the Colonies.

Although his role is often downplayed, an African man known as Onesimus introduced his enslaver Cotton Mather to inoculation.

Throughout the next century, enslaved people often continued to inoculate each other to prevent smallpox outbreaks, and enslaved and free people of African descent played critical roles in keeping their own communities as healthy as possible in the face of violence, racism and brutality. The modern Civil Rights Movement explicitly drew on this history and centered health equity for Black Americans as one of its key tenets, including working to provide access to vaccines for preventable diseases.

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In our view, Ladapo’s reference to vaccines as “slavery” ignores this important and nuanced history, especially Black Americans’ role in the history of preventing communicable disease with vaccines.

Black and white scanned engraving of colonialist Cotton Mather.
Puritan slave owner Cotton Mather learned about smallpox inoculation from one of his slaves, an African man named Onesimus. benoitb/DigitalVision Vectors via Getty Images

Lessons to learn from Tuskegee

Ladapo’s word choice also runs the risk of perpetuating the rightful mistrust that continues to exist in communities of color about vaccines and the American health system more broadly. Studies show that lingering effects of Tuskegee and other instances of medical racism have had real consequences for the health and vaccination rates of Black Americans.

A large body of evidence shows the existence of persistent health disparities for Black people in the United States compared with their white counterparts, leading to shorter lifespans, higher rates of maternal and infant mortality and higher rates of communicable and chronic diseases, with worse outcomes.

Eliminating vaccine mandates in Florida and expanding exemptions in other states will continue to widen these already existing disparities that stem from past public health wrongs.

There is an opportunity here, however, for health officials, not just in Florida but across the nation, to work together to learn from the past in making American public health better for everyone.

Rather than weakening vaccine mandates, national, state and local public health guidance can focus on expanding access and communicating trustworthy information about vaccines for all Americans. Policymakers can acknowledge the complicated history of vaccines, public health and race, while also recognizing how advancements in science and medicine have given us the opportunity to eradicate many of these diseases in the United States today.

Lauren MacIvor Thompson, Assistant Professor of History and Interdisciplinary Studies, Kennesaw State University and Stacie Kershner, Deputy Director of the Center for Law, Health & Society, Georgia State University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

The Bridge is a section of the STM Daily News Blog meant for diversity, offering real news stories about bona fide community efforts to perpetuate a greater good. The purpose of The Bridge is to connect the divides that separate us, fostering understanding and empathy among different groups. By highlighting positive initiatives and inspirational actions, The Bridge aims to create a sense of unity and shared purpose. This section brings to light stories of individuals and organizations working tirelessly to promote inclusivity, equality, and mutual respect. Through these narratives, readers are encouraged to appreciate the richness of diverse perspectives and to participate actively in building stronger, more cohesive communities.

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The Knowledge

So, Here’s the Story of Mound Bayou, Mississippi

Discover the inspiring history of Mound Bayou, Mississippi — one of America’s most successful Black-founded towns and a symbol of resilience, freedom, and progress.

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Last Updated on June 9, 2026 by Daily News Staff

Discover the inspiring history of Mound Bayou, Mississippi — one of America’s most successful Black-founded towns and a symbol of resilience, freedom, and progress.
Mound Bayou welcome sign in 2020. Image Credit: Chillin662

Did you know there was once a thriving Black-founded town in the Mississippi Delta built on the dream of freedom, self-reliance, and opportunity?

Mound Bayou

Founded in 1887 by Isaiah T. Montgomery and Benjamin T. Green, Mound Bayou, Mississippi became one of the most successful all-Black communities in American history. Established just decades after the Civil War, the town represented hope during a time when racial segregation and violence dominated much of the South.

Mound Bayou quickly grew into a center of Black business, education, healthcare, and agriculture. Residents built schools, churches, newspapers, banks, and medical facilities, proving that economic independence and community leadership could flourish despite enormous challenges.

Isaiah Thornton Montgomery House West Main Street Mound Bayou Bolivar County Mississippi
Mound Bayou, Black History, Mississippi History, Civil Rights Movement, Forgotten History. Wikipedia

The city even gained national attention from leaders like Booker T. Washington and President Theodore Roosevelt, who recognized Mound Bayou as a symbol of progress and determination.

During the Civil Rights era, the town also played a role in the fight for justice, particularly through the work of Dr. T.R.M. Howard following the murder of Emmett Till.

Today, Mound Bayou stands as a powerful reminder of resilience, entrepreneurship, and a chapter of American history that deserves far more recognition.

Now you know.

Here are some related article links you can include at the bottom of your STM Daily News post for further reading:

Related Articles & Further Reading

• The Official History of Mound Bayou
https://www.cityofmoundbayou.com/our-history

• Mound Bayou: The Historic Black Community in Mississippi
https://en.wikipedia.org/wiki/Mound_Bayou,_Mississippi

• The Historic Bank of Mound Bayou
https://en.wikipedia.org/wiki/Bank_of_Mound_Bayou

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• The Legacy of Dr. T.R.M. Howard and Civil Rights Activism
https://www.cityofmoundbayou.com/our-history

• How Mound Bayou Became Known as “The Jewel of the Delta”
https://cityofmoundbayou.com/

How Little Mound Bayou Became a Powerful Engine for African American Civil Rights and Economic Advancement

• Community Discussion About Mound Bayou’s History
https://www.reddit.com/r/BlackHistoryPhotos/comments/1ta0r2e/famous_allblack_american_cities_towns_mound_bayou/

Dive into “The Knowledge,” where curiosity meets clarity. This playlist, in collaboration with STMDailyNews.com, is designed for viewers who value historical accuracy and insightful learning. Our short videos, ranging from 30 seconds to a minute and a half, make complex subjects easy to grasp in no time. Covering everything from historical events to contemporary processes and entertainment, “The Knowledge” bridges the past with the present. In a world where information is abundant yet often misused, our series aims to guide you through the noise, preserving vital knowledge and truths that shape our lives today. Perfect for curious minds eager to discover the ‘why’ and ‘how’ of everything around us. Subscribe and join in as we explore the facts that matter.  https://stmdailynews.com/the-knowledge/

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Entertainment

Life isn’t all diamonds – money and fame don’t shield the many ‘Real Housewives’ facing criminal charges

“The Real Housewives” is more than messy drama—it’s a crash course in real-world crime, as cast members face charges from DUIs and theft to fraud, assault, and federal prison.

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The Real Housewives
Jen Shah, a cast member of the “Real Housewives” series, leaves a Manhattan federal court in January 2023 after receiving a 6½-year sentence for conspiracy to commit wire fraud. Gotham/GC Images

C. Clare Strange, Drexel University

“The Real Housewives” reality TV series, which showcases the lives of a rotating cast of wealthy women in 11 cities in the U.S. and places in several other countries, is famous for its characters’ over-the-top drama and messy personal antics.

But there are also useful lessons that the characters’ lives and frequent run-ins with the law offer to casual observers and criminology students alike.

I developed the idea for The Real Housewives of Criminology course when I heard a story on NPR in 2023 about how the Bravo Network franchise was becoming more like a true-crime TV series.

Jen Shah, a cast member from “The Real Housewives of Salt Lake City,” had recently been sentenced to six years in federal prison for her role in a nationwide telemarketing scheme – but she wasn’t the only one on the show who met such a fate.

Many people who appear on “Housewives” share a real-life penchant for crime – from driving-under-the-influence charges and theft to fraud and assault.

During any given episode, viewers may find “Housewives” stars and their families navigating the fallout – from court dates to public shaming.

I realized that these scenes illustrate core concepts from criminal justice theory and practice as well as any textbook.

A window into the course

The course examines the criminal cases of the “Housewives” and compares them to those of the general public.

Students discuss how factors such as social class, age and race can impact people’s experiences with the justice system. At the same time, they come to understand that factors such as how serious a crime is, a person’s criminal history and the harm done to victims tend to drive case outcomes more than any other factor.

I believe that this course is especially relevant now, because it is increasingly common for undergraduate students to consume news about crime and punishment from streaming platforms and social media.

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It seems there is a new “Housewife” arrest every several months, which brings with it new circumstances and a new case study to dissect.

Critical lessons

One key takeaway from the course is that there are many meaningful differences – and similarities – between the criminal cases shown in “Housewives” and those of most people.

While money and power can often go a long way in fighting a criminal conviction, sometimes they fall short when the harm to victims or society is too great, or the pattern of behavior is too obvious.

Many “Housewives” stars and their families have learned this lesson the hard way.

Read along

This course requires students to view footage from “The Real Housewives,” read peer-reviewed criminological research, and listen to podcast episodes from “The Bravo Docket.”

We even read book chapters straight from some of the Housewives’ memoirs. All of this culminates in a “Final Reunion,” meaning a final verbal exam for students, in which they embody one of the “Housewives” cast members and answer questions from me – dressed as host Andy Cohen – about their criminal cases.

A group of five women dressed in formal wear pose and stand in front of a backdrop that says 'Bravo.'
Teresa Giudice, right, poses with others in ‘The Real Housewives of New Jersey’ cast in April 2013. She is among the cast members who have faced criminal charges. Taylor Hill/FilmMagic

Real takeaways

While the court of public opinion tends to quickly draw conclusions from limited information, my honors students learn that there is more than meets the eye when it comes to the U.S. justice system.

The Real Housewives of Criminology helps them to navigate the nuance beneath the headlines about popular crime news stories, in and beyond the “Bravosphere.”

C. Clare Strange, Assistant Research Professor of Criminology and Justice Studies, Drexel University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Blog

The Substitute Teacher Who Wanted Blueprints of Our House

A fifth-grade assignment took a strange turn when a substitute teacher asked students to draw schematics of their homes. What followed — a wildly fictional floor plan and a priceless reaction from my mom — turned into one of my funniest childhood memories.

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Last Updated on June 4, 2026 by Daily News Staff

Comedic illustration of a 1970s–1980s elementary school classroom with a substitute teacher holding a blueprint while confused fifth graders draw exaggerated house schematics, including a two-story doghouse.

 

The Substitute Teacher Who Wanted Blueprints of Our House

Elementary school memories tend to blend together — cafeteria pizza, playground arguments, the eternal struggle of times tables — but every once in a while, something happens that sticks with you for life. For me, that moment came in the fifth grade during a week when our regular teacher was out, and we cycled through substitute teachers like we were testing models for durability.

By midweek, in walked a substitute with a mysterious, slightly intense energy — the kind of vibe that suggested he either meditated at dawn or worked a graveyard shift doing something he couldn’t talk about. We settled into our seats, expecting worksheets or quiet reading time.

But nope.

He had other plans.

“Today,” he announced, “we’re going to draw schematics of our houses.”

Schematics. Not drawings. Not little houses with smoke coming out of the chimney. Actual blueprint-style schematics. He wanted the layout of our bedrooms, our parents’ rooms, and where the pets slept. Every detail.

Now, to be fair, Highlights Magazine did have a feature that month teaching kids how to draw floor plans. So maybe he was just a bit overenthusiastic about cross-curricular learning. Or maybe — and this is my completely rhetorical adult theory — he worked the graveyard shift as a cat burglar gathering intel between heists. Just moonlighting between blueprints.

While the rest of the class tried their best to recreate their actual homes, my imagination sprinted in a totally different direction. The house I drew had:

  • A massive master bedroom with an oversized bathroom for my parents
  • Separate bedrooms for us kids on the opposite side of the house
  • A kitchen placed right in the center like a command center
  • And the dog — the true VIP — had a luxurious two-story doghouse

I had basically created a dream home designed by a 10-year-old watching too much Fantasy Homes by the Yard.

A young African American boy shows his mother an exaggerated, hand-drawn house schematic with unrealistic room layouts and a two-story doghouse, while she reacts with a mix of concern, confusion, and relief in a cozy 1970s–1980s living room.

Later that day, my mom asked the usual question: “So, what did you guys do today?”

“We drew schematics of our house,” I said casually.

The look on her face was instant and intense. She wasn’t panicked, but there was definitely a “Why does a substitute teacher need to know the exact layout of my home?” expression happening. Parental instincts activated.

But then I showed her my diagram.

She stared at it. Blinked. Then sighed with massive relief.

“This isn’t our house,” she said.

“Nope! I made it up,” I replied proudly.

Her shoulders relaxed so much she probably lost five pounds of tension in one instant. If the substitute was secretly planning a heist, my masterpiece of misinformation would have sent him to the wrong house entirely.

Looking back, the whole moment feels like a sitcom setup — a mysterious substitute collecting “house schematics,” me creating a completely fictional piece of architecture, and my mom going on a full emotional journey in under 30 seconds.

Maybe he was just excited about the Highlights Magazine floor-plan activity. Or maybe — just maybe — he moonlighted in cat burglary. We’ll never know.

But if he was, I like to think I threw him completely off the scent.


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