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Mississippi, West Virginia Toughest on School Immunizations

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Pediatric residents from the Batson Children's Hospital at the University of Mississippi Medical Center wear stickers calling for the lawmakers to support immunizations during a visit to the Capitol, Tuesday, Feb. 10, 2015, in Jackson, Miss. According to the Centers for Disease Control and Prevention, Mississippi has the highest measles immunization rate in the country for children entering kindergarten. (AP Photo/Rogelio V. Solis)

Pediatric residents from the Batson Children’s Hospital at the University of Mississippi Medical Center wear stickers calling for the lawmakers to support immunizations during a visit to the Capitol, Tuesday, Feb. 10, 2015, in Jackson, Miss. According to the Centers for Disease Control and Prevention, Mississippi has the highest measles immunization rate in the country for children entering kindergarten. (AP Photo/Rogelio V. Solis)

JOHN RABY, Associated Press
EMILY WAGSTER PETTUS, Associated Press

CHARLESTON, W.Va. (AP) — With rampant diabetes and obesity, Mississippi and West Virginia have struggled with health crises. Yet when it comes to getting children vaccinated, these states don’t mess around.

The states, among the poorest in the country, are the only ones that refuse to exempt school children from mandatory vaccinations based on their parents’ personal or religious beliefs. Separate efforts to significantly loosen those rules died in both states’ legislatures last week.

Mississippi has the highest immunization rate in the country for children entering kindergarten at 99.7 percent, while West Virginia is at roughly 96 percent, according to the Centers for Disease Control and Prevention. The figures cover vaccines for measles, mumps and rubella; diphtheria, tetanus and pertussis; and varicella, or chickenpox.

Public health officials say a 90 percent immunization rate is critical to minimizing the potential for a disease outbreak.

“Mississippi is not traditionally viewed as a leader on health issues. But in this area, they should be proud of the fact that they have not changed this law. Mississippi and West Virginia could be role models for other states,” said Dr. Mark Schleiss, a pediatrician and vaccine researcher at the University of Minnesota.

A recent measles outbreak that has sickened more than 100 people has brought attention to policies in 48 states that allow parents to opt out of vaccinating their children because of their religious beliefs or personal beliefs, or both.

But in West Virginia and Mississippi the rules are firm: Barring a significant medical reason, kids who haven’t been vaccinated can’t attend school — public or private.

Dr. Rahul Gupta, West Virginia’s state health officer, said the limit on exemptions is the reason his state has been spared from any measles outbreaks for decades. And the policy has been relatively uncontroversial.

“The overwhelming majority of the public … support having more of their children protected through vaccinations than less,” he said.

Some parents in West Virginia are perplexed that people wouldn’t vaccinate their kids.

“I don’t think it’s a big deal,” said Paula Beasley, whose daughter attends fifth grade in Cross Lanes, West Virginia. “Everyone needs to. It’s all for the greater good.”

Mississippi lawmakers are considering a proposal to let doctors grant medical exemptions that would allow children to skip or delay a vaccination. Currently, only the state Department of Health can grant an exemption. Though all 135 requested exemptions were granted for this school year, a group called Mississippi Parents for Vaccine Rights said the department has ignored its concerns that the state requires too many immunizations too early in life. The activists’ demand for a philosophical exemption was stripped from the bill last week.

Tracey Liles of Grenada, Mississippi, who has a 13-year-old daughter and a 3-year-old son, is among those pushing for the change because she thinks the health department has been too stingy in granting medical exemptions. Liles said her daughter is fully vaccinated but ran a high fever and slept for two days after a round of vaccinations about 10 years ago. Her daughter, who is now in eighth grade, had to get a state-mandated booster shot for diphtheria, tetanus and pertussis before entering seventh grade.

“Obviously, I wasn’t going to pull her out of school, being a cheerleader and everything. So, we did it,” Liles said. “Basically, I feel like I was forced to do it, but I didn’t have a choice.”

Dr. Mary Currier, the state health officer in Mississippi, has urged legislators not to weaken the immunization requirements, particularly with measles spreading in other states.

Mississippi enacted a strong vaccination law in the 1970s. In 1979, the Mississippi Supreme Court blocked a father’s request not to vaccinate his son because of religious beliefs.

The protection of students “against the horrors of crippling and death resulting from poliomyelitis or smallpox or from one of the other diseases against which means of immunization are known and have long been practiced successfully, demand that children who have not been immunized should be excluded from the school community until immunization has been accomplished,” the court wrote.

Republican Dean Kirby, chairman of the Mississippi Senate Public Health Committee, said that when proposals to create a philosophical exemption arose in recent years, he received calls mostly from one side — those wanting the change. With the measles outbreak this year, Kirby said he’s hearing from parents who want to keep the law as it is.

“They don’t want their children going to school with people who have not had the shots,” Kirby said.

West Virginia’s school vaccination law has its roots in the 1880s and has been repeatedly changed. But the trend toward expanding exemptions never gained traction.

Last week, a proposed religious exemption was removed from consideration without debate in the legislature.

Dr. Ron Stollings, a state senator, said lawmakers may tweak which state officials can grant medical exemptions, but public safety demands exemptions be kept to a minimum.

“Without this mandate, we’d be in the 60 to 70 percent vaccinate rate and not 90 percent,” he said.

___

Emily Wagster Pettus reported from Jackson, Mississippi. Associated Press writer Jonathan Mattise contributed from Charleston.

Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.

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Activism

COMMENTARY: The Biases We Don’t See — Preventing AI-Driven Inequality in Health Care

For decades, medicine promoted false assumptions about Black bodies. Black patients were told they had lower lung capacity, and medical devices adjusted their results accordingly. That practice was not broadly reversed until 2021. Up until 2022, a common medical formula used to measure how well a person’s kidneys were working automatically gave Black patients a higher score simply because they were Black. On paper, this made their kidneys appear healthier than they truly were. As a result, kidney disease was sometimes detected later in Black patients, delaying critical treatment and referrals.

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Sen. Akilah Weber Pierson, M.D (D-San Diego). File photo. Sen. Akilah Weber Pierson, M.D (D-San Diego). File photo.
Sen. Akilah Weber Pierson, M.D (D-San Diego). File photo.

By Sen. Akilah Weber Pierson, M.D., Special to California Black Media Partners 

Technology is sold to us as neutral, objective, and free of human flaws. We are told that computers remove emotion, bias, and error from decision-making. But for many Black families, lived experience tells a different story. When technology is trained on biased systems, it reflects those same biases and silently carries them forward.

We have seen this happen across multiple industries. Facial recognition software has misidentified Black faces at far higher rates than White faces, leading to wrongful police encounters and arrests. Automated hiring systems have filtered out applicants with traditionally Black names because past hiring data reflected discriminatory patterns. Financial algorithms have denied loans or offered worse terms to Black borrowers based on zip codes and historical inequities, rather than individual creditworthiness. These systems did not become biased on their own. They were trained on biased data.

Healthcare is not immune.

For decades, medicine promoted false assumptions about Black bodies. Black patients were told they had lower lung capacity, and medical devices adjusted their results accordingly. That practice was not broadly reversed until 2021. Up until 2022, a common medical formula used to measure how well a person’s kidneys were working automatically gave Black patients a higher score simply because they were Black. On paper, this made their kidneys appear healthier than they truly were. As a result, kidney disease was sometimes detected later in Black patients, delaying critical treatment and referrals.

These biases were not limited to software or medical devices. Dangerous myths persisted that Black people feel less pain, contributing to undertreatment and delayed care. These beliefs were embedded in modern training and practice, not distant history. Those assumptions shaped the data that now feeds medical technology. When biased clinical practices form the basis of algorithms, the risk is not hypothetical. The bias can be learned, automated, and scaled.

For us in the Black community, this creates understandable fear and mistrust. Many families already carry generational memories of medical discrimination, from higher maternal mortality to lower life expectancy to being dismissed or unheard in clinical settings. Adding AI biases could make our community even more apprehensive about the healthcare system.

As a physician, I know how much trust patients place in the healthcare system during their most vulnerable moments. As a Black woman, I understand how bias can shape experiences in ways that are often invisible to those who do not live them. As a mother of two Black children, I think constantly about the systems that will shape their health and well-being. As a legislator, I believe it is our responsibility to confront emerging risks before they become widespread harm.

That is why I am the author of Senate Bill (SB) 503. This bill aims to regulate the use of artificial intelligence in healthcare by requiring developers and users of AI systems to identify, mitigate, and monitor biased impacts in their outputs to reduce racial and other disparities in clinical decision-making and patient care.

Currently under consideration in the State Assembly, SB 503 was not written to slow innovation. In fact, I encourage it. But it is our duty must ensure that every tool we in the healthcare field helps patients rather than harms them.

The health of our families depends on it.

About the Author 

Sen. Akilah Weber Pierson (D–San Diego) is a physician and public health advocate representing California’s 39th Senate District.

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Activism

As California Hits Aging Milestone, State Releases Its Fifth Master Plan for Aging

“California’s Master Plan for Aging started a powerful movement that is shaping the future of aging in our state for generations to come,” Gov. Gavin Newsom said in a statement, calling the initiative a “future-forward” model delivering real results for older adults, people with disabilities, and their families.

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iStock.
iStock.

By Bo Tefu, California Black Media  

On Jan. 27, California released its Fifth Master Plan for Aging Annual Report,titled “Focusing on What Matters Most,” outlining the state’s progress and priorities as its population rapidly grows older.

The report, issued by the California Health and Human Services Agency (CalHHS), provides updates on the Master Plan for Aging’s “Five Bold Goals”: housing, health, inclusion and equity, caregiving, and affordability.

The report comes as Californians aged 60 and older now outnumber those under 18 for the first time, a demographic shift expected to accelerate over the next decade.

“California’s Master Plan for Aging started a powerful movement that is shaping the future of aging in our state for generations to come,” Gov. Gavin Newsom said in a statement, calling the initiative a “future-forward” model delivering real results for older adults, people with disabilities, and their families.

Launched in 2021, the Master Plan for Aging takes a “whole-of- government” and “whole-of-society” approach, coordinating state agencies, local governments, community organizations, and private partners. The annual report highlights significant milestones, including more than 100 California communities joining AARP’s Age-Friendly Network and $4 million in state funding awarded to local organizations to develop aging and disability action plans in 30 communities statewide.

The report also underscores California’s leadership at the national level, noting that dozens of states have followed its example and that federal legislation inspired by the plan was reintroduced in the U.S. Senate in December 2025.

CalHHS Secretary Kim Johnson emphasized the plan’s focus on equity and resilience amid ongoing challenges.

“The Master Plan for Aging continues to provide a vision, a focus, and a platform for collaboration,” Johnson said. “Equity is at the center of all that we do.”

Looking ahead, the report notes that by 2030, one in four Californians will be age 60 or older, positioning the Master Plan for Aging as a central framework for meeting the state’s long-term social, economic, and health needs.

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Community

Candidates Vying for Governor’s Seat Debate at Ruth Williams–Bayview Opera House in San Francisco

The gubernatorial debate participants included Antonio Villaraigosa, former Los Angeles mayor; Matt Mahan, San Jose mayor; Betty Yee, former California state controller; Xavier Becerra, former U.S. Secretary of Health and Human Services, and attorney general of California; Steve Hilton, political commentator and political adviser; Tom Steyer, entrepreneur, and Tony Thurmond, California’s superintendent of public instruction.

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The gubernatorial debate was hosted by KTVU’s Greg Lee, KTTV’s Marla Tellez and KTVU’s Andre Senior. The candidates are (l.-r.): Xavier Becerra, Steve Hilton, Matt Mahan, Tom Steyer, Tony Thurmond, Antonio Villaraigosa, and Betty Yee.
The gubernatorial debate was hosted by KTVU’s Greg Lee, KTTV’s Marla Tellez and KTVU’s Andre Senior. The candidates are (l.-r.): Xavier Becerra, Steve Hilton, Matt Mahan, Tom Steyer, Tony Thurmond, Antonio Villaraigosa, and Betty Yee.

By Carla Thomas 

 

On Tuesday, Feb. 3, seven candidates took the stage at the historic Ruth Williams–Bayview Opera House in San Francisco for the gubernatorial debate, hosted by the Black Action Alliance (BAA) in partnership with KTVU and sister station KTTV Fox 11 in Los Angeles.

 

For many voters, it marked a first opportunity to hear directly from several candidates seeking to lead the nation’s most populous state.

 

The gubernatorial debate participants included Antonio Villaraigosa, former Los Angeles mayor; Matt Mahan, San Jose mayor; Betty Yee, former California state controller; Xavier Becerra, former U.S. Secretary of Health and Human Services, and attorney general of California; Steve Hilton, political commentator and political adviser; Tom Steyer, entrepreneur, and Tony Thurmond, California’s superintendent of public instruction.

 

Crucial topics and issues addressed throughout the debate included housing, crime, immigration, climate change, health care and homelessness.

 

The debate was moderated by KTVU political reporter Greg Lee alongside KTVU’s Andre Senior and KTTV Fox 11’s Marla Tellez.

 

Candidates also addressed inflation and the rising costs across the state, impacting everything from groceries to childcare and health care. 

 

Thurmond vowed to generate 2.3 million units of housing by placing 12 units on each parcel of available land in the 58 counties of California. Steyer agreed that billionaires should pay their fair share of taxes.

 

Hilton wanted to cut taxes, help working-class families, and end the Democrats “climate crusade and insane regulations.”

 

Yee offered a more transparent governmental approach with accountability, given the state’s debt.

 

Gonzalez said, “This debate was a great way to see who has great ideas and who has substance.”

 

“It’s important to have the debate within a community that requires the most,” said business leader Linda Fadekye.

 

Attendees included State Controller Malia Cohen, representatives of the National Coalition of 100 Black Women, the National Coalition of 100 Black Men, the San Francisco African American Chamber of Commerce, and Black Women Organized for Political Action, among others. 

 

Event host, the Black Action Alliance (BAA) was established to amplify the voices of the Bay Area’s Black community, whose perspectives have too often been overlooked in politics and public policy.  

 

Loren Taylor, CEO of BAA, said it was important to bring the event to the Bayview in San Francisco and shared his organization’s mission.

 

“The Black Action Alliance (BAA) stands for practical, community-driven solutions that strengthen public safety, address homelessness, support small businesses, expand affordable housing, and ensure access to quality education—issues at the heart of the Black experience in the Bay Area,” said Taylor. 

 

California’s primary election will take place on June 2 and the general election will take place on Nov. 3. 

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