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Are vaccine mandates needed to achieve high vaccination rates? | Health News

US states have relied on vaccine mandates since the 1800s, when a smallpox vaccine offered the first successful protection against a disease that had killed millions.

More than a century later, Florida’s top public health official said vaccine requirements are unethical and unnecessary for high vaccination rates.

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“You can still have high vaccination numbers, just like the other countries who don’t do any mandates like Sweden, Norway, Denmark, the [United Kingdom], most of Canada,” Florida Surgeon General Dr Joseph Ladapo said on October 16. “No mandates, really comparable vaccine uptake.”

It’s true that some countries without vaccine requirements have high vaccination rates, on a par with the United States. But experts say that fact alone does not make it a given that the US would follow the same pattern if it eliminates school vaccination requirements.

Florida state law currently requires students in public and private schools from daycare through 12th grade to have specific immunisations. Families can opt out for religious or medical reasons. About 11 percent of Florida kindergarteners are not immunised, recent data shows. With Florida Governor Ron DeSantis’s backing, Ladapo is pushing to end the state’s school vaccine requirements.

The countries Ladapo cited – Sweden, Norway, Denmark, the UK and parts of Canada – don’t have broad vaccine requirements, research shows. Their governments recommend such protections, though, and their healthcare systems offer conveniently accessible vaccines, for example.

UNICEF, a United Nations agency which calls itself the “global go-to for data on children”, measures how well countries provide routine childhood immunisations by looking at infant access to the third dose in a DTaP vaccine series that protects against diphtheria, tetanus and pertussis (whooping cough).

In 2024, UNICEF and the World Health Organization (WHO) reported that 94 percent of one-year-olds in the United States had received three doses of the DTaP vaccine. That’s compared with Canada at 92 percent, Denmark at 96 percent, Norway at 97 percent, Sweden at 96 percent and the UK at 92 percent.

Universal, government-provided healthcare and high trust in government likely influence those countries’ vaccine uptake, experts have said. In the US, many people can’t afford time off work or the cost of a doctor’s visit. There’s also less trust in the government. These factors could prevent the US from having similar participation rates should the government eliminate school vaccine mandates.

Universal healthcare, stronger government trust increase vaccination

Multiple studies have linked vaccine mandates and increased vaccination rates. Although these studies found associations between the two, the research does not prove that mandates alone cause increased vaccination rates. Association is not the same as causation.

Other factors that can affect vaccination rates often accompany mandates, including local efforts to improve vaccination access, increase documentation and combat vaccine hesitancy and refusal.

The countries Ladapo highlighted are high-income countries with policies that encourage vaccination and make vaccines accessible.

In Sweden, for example, where all vaccinations are voluntary, the vaccines included in national programmes are offered for free, according to the Public Health Agency of Sweden.

Preventive care is more accessible and routine for everyone in countries such as Canada, Denmark, Norway, Sweden and the UK with universal healthcare systems, said Dr Megan Berman of the University of Texas Medical Branch’s Sealy Institute for Vaccine Sciences.

“In the US, our healthcare system is more fragmented, and access to care can depend on insurance or cost,” she said.

More limited healthcare access, decreased institutional trust and anti-vaccine activists’ influence set the US apart from those other countries, experts said.

Some of these other countries’ cultural norms favour the collective welfare of others, which means people are more likely to get vaccinated to support the community, Berman said.

Anders Hviid, an epidemiologist at Statens Serum Institut in Copenhagen, told The Atlantic that it’s misguided to compare Denmark’s health situation with the US – in part because Danish citizens strongly trust the government to enact policies in the public interest.

By contrast, as of 2024, fewer than one in three people in the US over age 15 reported having confidence in the national government, according to data from the Organisation for Economic Co-operation and Development, a group of advanced, industrialised nations. That’s the lowest percentage of any of the countries Ladapo mentioned.

“The effectiveness of recommendations depends on faith in the government and scientific body that is making the recommendations,” said Dr Richard Rupp, of the University of Texas Medical Branch’s Sealy Institute for Vaccine Sciences.

Without mandates, vaccine education would be even more important, experts say

Experts said they believe US vaccination rates would fall if states ended school vaccine mandates.

Maintaining high vaccination rates without mandates would require health officials to focus on other policies, interventions and messaging, said Samantha Vanderslott, the leader of the Oxford Vaccine Group’s Vaccines and Society Unit, which researches attitudes and behaviour towards vaccines.

That could be especially difficult given that the United States’s top health official, Health and Human Services Secretary Robert F Kennedy Jr, has a long history of anti-vaccine activism and scepticism about vaccines.

That makes the US an outlier, Vanderslott said.

“Governments tend to promote/support vaccination as a public health good,” she said. It is unusual for someone with Kennedy’s background to hold a position where he has the power to spread misinformation, encourage vaccine hesitancy and reduce mainstream vaccine research funding and access, Vanderslott said.

Most people decide to follow recommendations based on their beliefs about a vaccine’s benefits and their child’s vulnerability to disease, Rupp said. That means countries that educate the public about vaccines and illnesses will have better success with recommendations, he said.

Ultimately, experts said that just because something worked elsewhere doesn’t mean it will work in the United States.

Matt Hitchings, a biostatistics professor at the University of Florida’s College of Public Health and Health Professions, said a vaccine policy’s viability could differ from country to country. Vaccination rates are influenced by a host of factors.

“If I said that people in the UK drink more tea than in the US and have lower rates of certain cancers, would that be convincing evidence that drinking tea reduces cancer risk?” Hitchings said.

Google Translate was used throughout the research of this story to translate websites and statements into English.

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Couple needed for dream job in UK beauty spot with £80k salary and free cottage

A private Scottish estate is looking to hire a couple on a long-term basis who will support the smooth running of the estate, which includes a seven-bed main property

A “special opportunity” for a couple to relocate to a private Scottish estate for work has come up. Included with the positions is a three-bedroom cottage.

An estate in rural Dumfriesshire is currently looking to hire two people on a long-term basis. The successful couple will support the smooth running of the “beautifully restored” estate in the south of Scotland.

The salary for the positions is listed as between £70,000 and £80,000 on the Greycoats Lumleys job listing. As well as the “private” three-bedroom cottage, the accommodation includes council tax and firewood.

One half of the couple will serve as the estate’s housekeeper, overseeing a seven-bed main residence plus several guest properties. The other partner will work as a handyperson, taking charge of the estate’s upkeep and maintenance.

Core duties for the housekeeper include cleaning, laundry, ironing, and wardrobe management, alongside maintaining household inventories and shopping responsibilities. They’ll also handle household supplies and coordinate with estate contractors, whilst caring for antiques, fine furnishings, and delicate finishes.

The housekeeper will also assist with entertaining guests and their arrivals, plus handle light cooking and meal preparation. Overall, they’ll be expected to establish and maintain a serene, well-organised, environmentally conscious, and efficiently managed household.

Meanwhile, the handyperson will handle general upkeep and care for all properties both indoors and outdoors. Duties will encompass pressure washing sandstone terraces and pathways, coordinating tradespeople and overseeing repairs and timetables, plus supporting security and the seamless daily running of the estate.

The handyperson will also need to provide driving and errand assistance, alongside inspecting all estate properties—including one situated a 15-minute drive away. Additionally, they’ll be expected to maintain a swimming pond and building.

Candidates applying for these roles should possess prior experience in comparable positions, plus hold a full UK driving licence and solid references. Further sought-after qualities include “a good understanding of privacy and discretion”, adaptability to work evenings and weekends, and contentment working in a rural countryside environment.

The job advert reads: “Greycoat Lumley’s client are seeking a kind, capable, and discreet Domestic Couple to support the smooth running of a beautifully restored Private Estate in rural Dumfriesshire. The previous housekeeper was in post for seven years prior to the building work.

“There is a seven bed principal property and further ancillary guest properties. Full details are available on application.

“This is a long-term opportunity for a professional Couple who bring warmth, initiative, and pride to their work and who value the rhythm of life in the countryside. You’ll be joining a supportive, established estate team, and caring for a home with beautiful interiors set in a stunning garden.

“Willingness to work flexible hours is essential as this is a second home and there are consequently periods of intense activity balanced by quieter spells.”

The Greycoat Lumleys website adds: “This is a special opportunity to join a thoughtful and well-supported household where your contribution will be genuinely appreciated. The right couple will enjoy the peace and beauty of the locality while helping to maintain a beloved family home.”

According to the job advert, the positions are set to begin in February 2026. For further information about the roles, visit the Greycoat Lumleys website.

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Idaho victim’s mom reveals heartbreaking decision family needed to make after Bryan Kohberger stabbed triplet to death

A DEVASTATED family ripped apart by the death of their beloved son in the Idaho murder tragedy was forced to quickly move on from unimaginable heartbreak in less than five months for the sake of their surviving children. 

Ethan Chapin, 20, was a triplet and one of Bryan Kohberger’s four victims in the sickening University of Idaho knife attack in November 2022.

Ethan Chapin and his mom Stacy Chapin posing for a family photo on a dock.

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The Chapins have vowed to move forward with their lives following the shocking murder of one of their triplet childrenCredit: Facebook/Stacy Chapin
Stacy Chapin and Ethan Chapin smiling.

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Stacy Chapin spoke to The U.S. Sun about dealing with the tragic murder of her beloved sonCredit: Facebook/Stacy Chapin
Bryan Kohberger in an orange jumpsuit and handcuffs during a sentencing hearing, flanked by two female lawyers and two male officers.

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Bryan Kohberger will die in jail following the brutal murders of four University of Idaho students in November 2022Credit: AP

Brave mom, Stacy, opened up her heart to The U.S. Sun at Crimecon last month about the nightmare of dealing with her beloved, fun-loving son being murdered with the world at his feet. 

She stressed that even though sick Kohberger will rot behind bars for the rest of his life after eventually pleading guilty to the savage killings of Ethan, Madison Mogen, Kaylee Goncalves and Xana Kernodle, her family aren’t interested in the reasons why. 

But Stacy, who has thrown herself into vitally important advocacy work in the wake of her son’s shocking death, has revealed there was no time for her and husband Jim to wallow in misery. 

With Ethan’s brother and sister, Maizie and Hunter, who were on campus on that fateful evening, recently completing their own studies, the couple made the decision to somehow come to terms with the tragedy and move on for the sake of the remaining triplets’ future.

Read more on Bryan Kohberger

She says a heart-heart with Jim over a cup of morning coffee helped them realize that the best way forward was to “just get up and live life.”

They will never forget their beloved son, who they joked was minoring in Bud Light Lime and Taco Bell.

But with his brother and sister needing their parents more than ever to deal with the aftermath of Ethan’s senseless killing, Stacy and Jim vowed to honor his memory by ensuring Maizie and Hunter have their unconditional attention and support. 

“We just decided that you can lose yourself in grief, “ Stacy told The U.S. Sun.

“We had to do that for Ethan’s siblings. They didn’t deserve parents who had potentially gone in the tank or lost themselves. 

“We made a decision on a day in March of 2023 that we couldn’t change the outcome, and we had to still live our life and be great parents to Maizie and Hunter, giving them the best life they deserved.”

Shocking bodycam footage released in Idaho murders after Bryan Kohberger is sentenced

BRAVE FACE

The Chapin’s were the only family to abstain from attending Kohberger’s sentencing hearing earlier this summer.

They didn’t want to subject themselves to any more pain. 

Once the deranged Washington State graduate admitted to his heinous crimes, that at least removed the prospect of Ethan’s brother and sister having to take the stand and retrace the moments leading up to the sickening murders in a potential retrial.

Kohberger has never revealed why he cut short the lives of the four students. 

Stacy admits she won’t waste any time wondering why. 

The agony remains and will never leave her. Seeing her children recover from the nightmare and thrive, however, fills her and husband with hope.

“I would be lying if I didn’t say there are still tough moments,” Stacy continued. 

“But even now, every day feels like we’re a little bit closer to our new normal, whatever that looks like. Our kids are doing great. 

“They’ve also persevered in a way that amazes me as a mom. They were there that day. They all went to college together; they spent every second together.

“The fact that they went back to school and graduated and are now looking at their careers. I couldn’t be more proud of them.”

Kohberger avoided the death penalty upon pleading guilty on July 23 and was hit with four consecutive life sentences. 

The full details of Bryan Kohberger’s sentence

On July 23, 2025, Judge Steven Hippler sentenced Bryan Kohberger to the following:

  • Count 1: Burglary – 10 years fixed, zero years in determinate. $50,000 fine.
  • Count 2: First-degree murder of Madison Mogen: Fixed term of life in prison without the possibility of parole. $50,000 fine and civil penalty of $5,000 payable to the family of the victim.
  • Count 3: First-degree murder of Kaylee Goncalves: Fixed term of life in prison without the possibility of parole. $50,000 fine and civil penalty of $5,000 payable to the family of the victim.
  • Count 4: First-degree murder of Xana Kernodle: Fixed term of life in prison without the possibility of parole. $50,000 fine and civil penalty of $5,000 payable to the family of the victim.
  • Count 5: First-degree murder of Ethan Chapin: Fixed term of life in prison without the possibility of parole. $50,000 fine and civil penalty of $5,000 payable to the family of the victim.

The sentencings will run consecutively to one another.

ALWAYS REMEMBERED

While the Chapins stayed away from court, Ethan was on their mind. Stacy posted an emotional message on social media declaring her late son would “forever” be in their hearts.

His name will also shine on through Ethan’s Smile Foundation, which was established by the family to honor his memory. 

It aims to showcase “his love of life, people and new adventures” by providing scholarships for fellow students to “follow their dreams.”

“Ethan’s love for life was boundless. With a booming laugh and infectious smile, he spread joy to all who were fortunate enough to know him. Ethan was our storyteller, hard worker, and friend-maker,” Stacy and Jim declared on the foundation website.

‍“In the wake of his absence, the foundation was born—a tribute to Ethan’s unwavering passion for life. Our mission is simple yet profound: to carry forward the legacy of Ethan by providing scholarships that enable others to follow their dreams.

‍“In every corner we venture, in every heart we touch, we strive to keep the spirit of Ethan alive, reminding ourselves and others of the adventures and kindness that life has to offer.”

Stacy has also begun to foster a strong relationship with cutting-edge forensics company Othram, who helped accelerate the process of proving Kohberger’s guilt.

The Texas based specialists were able to extract DNA from the tan leather knife sheaf which was found in the room of Goncalves following the killings.

Investigators believe she was the first victim, with Kohberger leaving it behind after her friends came back to check on her wellbeing. 

“Myself and Jim are a team,” Stacy concluded. “To have closure means the world to us.”

Photo of University of Idaho victims Kaylee Goncalves, Madison Mogen, Xana Kernodle, and Ethan Chapin with two other people.

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Kaylee Goncalves, Madison Mogen, Xana Kernodle and Ethan Chapin were all knifed to death by Kohberger on the university’s campus in Moscow, IdahoCredit: Instagram/kayleegoncalves

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Newcastle: Pride, passion & heartbreak – but end to Alexander Isak saga needed

Liverpool were certainly clinical.

But Newcastle will still rue not pressing home their advantage with a full complement of players when the game was goalless.

Set-plays were wasted. The hosts were screaming out for a poacher to get on the end of teasing crosses that were gratefully claimed by Alisson. On the one occasion a delivery from Harvey Barnes picked out the head of Gordon, the forward failed to hit the target.

Digging deeper, Newcastle have had 26 shots in their opening two league games of the season, but Howe’s side have managed just six efforts on target and two goals.

Although Osula got on the scoresheet on Monday night, the 22-year-old is still developing and has never started a Premier League game for the club.

However, if Newcastle do not reach a breakthrough in the transfer market in the coming days, the Dane could yet line up against Leeds United on Saturday after bids were turned down for Wolves star Jorgen Strand Larsen and Brentford striker Yoane Wissa.

It was certainly not lost on Howe that one of the best strikers in the world is still on Newcastle’s books – and how the hosts could have used the Isak of old.

“The quality of Alex would have made a difference in the team,” Howe said. “I don’t think there’s any denying that. But, that said, the team has functioned really well.

“The performance of the players and the team in the two games doesn’t happen without every part of the team functioning well. You can’t carry anyone in this division against any opponent. Yes, we needed to score in that first half when we were on top. Goals change games, but we’re just dealing with what we have.”

Howe said he was “not party to the talks that were happening” after suggestions that Jamie Reuben, the club’s owner, had held face-to-face discussions with Isak while chairman Yasir Al-Rumayyan is also in town.

But, one way or the other, a resolution to this saga is finally imminent, with the window closing on 1 September.

How it is needed.

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