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From YouTube: Let's Talk - Back to School Immunizations
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A
We're
live
okay,
good
evening,
everybody,
I'm
so
sorry
about
the
delay.
We
had
some
technical
difficulties
getting
started,
but
thank
you
so
much
for
joining
us
tonight.
For
let's
talk
back
to
school
immunizations,
my
name
is
megan
williams
and
I
am
the
parent
of
four
children
that
go
to
buncombe
county
schools,
and
I
am
happy
to
be
here
to
talk
with
some
of
our
local
experts
about
how
to
keep
our
children
healthy
this
school
year.
A
Perhaps
some
of
you
can
relate
to
this,
but
I
know
that
my
household
goes
into
a
crisis
mode
whenever
any
of
my
children
get
sick,
we're
trying
to
figure
out
child
care
and
how
to
get
our
work
done
when
we
have
a
sick
child
at
home,
and
so
I
am
super
interested
and
invested
in
making
sure
my
kids
can
go
to
school
and
be
safe
at
school
this
year.
So
I'm
really
interested
in
hearing
about
how
to
keep
my
children
healthy.
A
So
all
members
of
our
community
stay
up
to
date
on
the
most
current
information
impacting
the
lives
of
bronchum
residents,
we'll
have
a
momentary
pause
at
about
6
p.m.
Halfway
through
well,
it's
probably
about
6
15
pm
halfway
through
our
event,
so
our
interpreters
can
switch
positions
and
that'll
just
be
a
quick
30
seconds
or
so
to
complete
that
process.
So
please
just
bear
with
us
during
that
slight
pause.
A
I
wanted
to
also
let
you
know
that
if
you
want
to
watch
this
in
english,
you
should
go
to
the
buncombe
county
government.
Facebook
page
in
the
spanish
version
should
be
on
the
belcombe
county,
health
and
human
services.
Facebook
page,
you
can
please
put
questions
in
our
chat
box
on
facebook
and
we'll
have
someone
monitoring
the
that
chat
box
and
they
will
pass
those
questions
on
to
us
to
answer
live
if
we
have
time.
A
A
F
A
Great
okay,
so
it
sounds
like
a
lot
of
us
are
very
invested
in
this
topic,
all
right,
so
to
start
off,
if
it,
we
think
it
would
be
kind
of
helpful
to
get
a
vaccination
sort
of
landscape
in
buncombe
county.
So,
dr
mullendore,
if
you
don't
mind,
could
you
share
with
us
what
we
know
about
vaccinations
in
belgium,
county
both
historically
and
currently,
and
maybe
what
the
implications
are
for
that
for
this
coming
school
year?
A
B
And
I'm
going
to
start
actually
too
talking
about
like
the
bigger
picture
us
and
how
the
covid
pandemic
has
affected
immunizations
and
then
drill
down
into
buncombe
county.
So
I
think
we
can
all
understand
that
the
kevin
19
pandemic
has
had
a
significant
and
prolonged
impact
on
everything
about
our
lives,
and
that
includes
routine
immunization
rates.
So
all
the
way
back
in
march
of
2020,
when
the
u.s
declared
a
national
emergency
due
to
cover
19.
B
pretty
quickly,
we
saw
significant
decreases
in
the
number
of
doses
of
childhood
vaccines
that
were
ordered
by
healthcare
providers
again
across
the
united
states
and
we're
talking
about
a
decrease
of
three
million
doses
ordered
by
providers
across
the
us
between
january
and
through
april
of
2020,
compared
to
the
same
time
the
prior
year
in
2019..
B
So
why
was
this?
Well,
if
you
recall,
we
had
stay-at-home
orders
that
were
in
place
all
across
across
the
country.
People
were
staying
home
to
prevent
being
exposed
to
this
new
virus
families
weren't
taking
their
children
to
see
their
doctor
for
reaching
well
care
and
health
care
providers
were
changing
how
they
provided
care.
B
We've
also
seen
that
the
pandemic
worsened
racial
and
ethnic
disparities
in
flu
vaccine
coverage
and
when
we
review
health
insurance
claims
data
from
across
the
united
states,
adolescent
vaccine
administration
improved
slightly
in
the
fall
of
2020,
but
largely
remained
well
below
2019
levels.
So
that's
the
u.s
picture.
B
I
reviewed
buncombe
county
specific
data
and
appears
that
we've
seen
a
slight
decrease
in
immunization
rates
for
our
two-year-olds
county-wide
at
this
time.
This
month,
69
of
those
two
year
olds
are
up
to
date
on
their
recommended
vaccines
compared
to
70
to
71
for
the
prior
two
years,
and
we
know
and
I'm
going
to
show
a
slide
here.
I
can
do
this
real,
quick.
B
All
right
can
everybody
see
that
all
right,
so
we
know
that
in
buncombe
county
we
have
the
unfortunate
distinction
of
consistently
having
the
highest
rate
of
kindergarteners,
who
are
not
fully
vaccinated,
mostly
due
to
the
claiming
of
religious
exemptions
by
some
families,
and
this
has
been
an
increasing
trend.
Since
the
early
2000s
94
to
95
of
kindergarteners
in
each
of
the
last
five
school
years
have
been
fully
vaccinated
with
four
and
a
half
to
five
point.
B
During
that
same
time,
and
when
we
look
at
individual
schools,
there
can
be
great
differences
with
some
kindergarten
classes,
having
25
to
50
percent
of
students
who
aren't
fully
vaccinated
so
per
the
data
that
last
data
point
on
the
slide
per
the
data
from
the
north
carolina
department
of
health
and
human
services,
immunization
branch
for
the
2020
to
2021
school
year
last
school
year,
six
percent
of
kindergartners
in
buncombe
county
had
not
obtained
their
required
immunizations
by
the
deadline,
which
was
up
from
3.4
percent
the
prior
year
and
as
on
the
slide,
four
and
a
half
percent
claimed
a
religious
exemption
which
was
down
from
prior
years,
and
our
thought
is
that
again,
based
on
historical
trends,
you
know
we
wouldn't
necessarily
expect
that
drop,
and
so
maybe
the
percent
claiming
a
religious
exemption
might
have
been
higher.
B
If
more
families
had
submitted
the
required
information
by
the
deadline.
We
did
also
see
a
drop
in
kindergarten
enrollment
in
our
schools
about
just
over
300
students
less
from
the
prior
year.
So
it's
also
possible
that
families
due
to
the
covet
pandemic.
You
know
those
families
that
might
have
claimed
a
religious
exemption
chose.
Homeschooling
instead
and
so
didn't
show
up
in
this
data,
we
didn't
see
a
change
in
our
medical
exemption
rate.
B
It
was
0.1
percent
of
students
claimed
to
medical
exemptions-
that's
stable
from
prior
years,
so
you
know
coven
19,
definitely
trying
to
get
my
screen
back
up
here.
B
All
right
we're
all
good
now
right,
no
more
sharing
screens.
Okay,
so
you
know
we
know
covet
19
had
a
significant
impact.
I
think
we're
eager
to
see
now
that
kids
are
going
back
in
person.
What
will
our
immunizations
rate
rates
do
this
year?.
A
Okay,
well
so
we'll
move
on
to
my
my
next
question,
so
vaccination
rates
have
have
been
kind
of
historically
lowish
in
buncombe
county
and
the
pandemic
caused
them
to
drop.
Even
more
so,
it
sounds
like
a
lot
of
families,
weren't
able
to
get
their
regularly
scheduled
checkups
for
kind
of
a
variety
of
reasons,
including
coved.
So
what
can
we
do
about
that?
A
Maybe,
dr
fogelman,
you
want
to
start.
C
So
the
first
thing
I
would
recommend
is
to
call
your
child's
medical
provider
and
try
to
get
an
appointment
to
get
caught
up
on
immunizations
if
they
need
any
and
then
if
they
are
unable
to
have
an
appointment
in
a
timely
fashion,
then
you
can
go
to
the
buncombe
county
health
department
and
get
them
as
well.
C
Some
of
the
pharmacies
will
give
some
of
the
older
children
immunizations.
Also.
I
think
it's
best
to
have
a
conversation
with
a
provider,
but
a
pharmacy
is
a
oftentimes,
a
faster
option
as
well.
B
So
our
health
department
is
located
at
40
cox
avenue
in
downtown
asheville,
and
you
know
we
do
coven
with
covid
things
have
certainly
changed,
and
so
we
do
offer
people
the
opportunity
to
schedule
appointments
as
well
as
have
some
limited
walk-in
hours.
And
so
I
would
direct
people
just
easy
to
call
our
immunization
clinic
at
828-250-5096.
B
A
Thanks
for
that,
so
maybe
we
could
talk
a
little
bit
about
why
vaccines
are
important,
specifically
in
the
student
population
like
what's
some
of
the
science
behind
vaccines.
Why
do
we
even
want
to
get
our
kids
vaccinated
to
begin
with
dr
fogerman.
C
Answer
so
when
you
have
a
large
group
of
people,
in
particular,
small
people
like
children,
germs
spread
really
easily
and
what
we
can
do
to
help
prevent
the
spread
of
dangerous
germs
that
can
cause
hospitalization
death.
Serious
illness
is
to
help
our
bodies
have
protection
against
those
germs.
So
by
getting
a
vaccine,
your
body
creates
these
chemicals.
C
That
then
help
you
not
get
sick
with
the
the
illness
for
which
you're
getting
the
vaccine,
and
by
doing
so
in
a
large
enough
group
of
people,
then
the
germ
won't
have
the
opportunity,
the
circulator
to
spread
as
easily
and
in
particular
with
babies,
for
instance,
in
daycare.
C
A
lot
of
these
germs
are
airborne
and
spread
just
by
the
air
that
we
breathe,
and
so
the
only
thing
you
really
can
do
to
prevent
these
types
of
illnesses
is
to
have
the
vaccination
so
that
your
body
can
have
the
chemicals
to
produce
the
protection
against
getting
sick
with
those
germs
and
then
in
elementary
school
same
concept
that
you
know,
kids
are
obviously
little
vectors
of
illness.
They
spread
germs
easily.
C
They
touch
things
they
put
their
hands
in
their
mouths.
They
sneeze
on
each
other
cough
in
each
other's
faces
and
that
can
spread
germs
very
easily
so
by
everybody
getting
vaccinated
or
the
majority
of
people
who
are
able
to
getting
vaccinated.
Then
we
can
keep
those
germs
out
of
the
school
setting
and
from
spreading
from
child
to
child.
A
And
this
a
little
follow-up
question
it
might
be
for
dr
malindor,
but
what
are
some
of
the
potential
impacts?
If
that
might
happen,
if
we
don't
have
our
vaccination
rates
kind
of
recover
from
where
they
are
right
now,
can
you
talk
a
little
bit
about
that.
B
Well,
I
mean
we've
seen
it
in
our
county
right.
You
can
remember,
prior
to
covid,
just
a
few
years
prior
to
kevin,
we
had
a
very
large
outbreak
of
chickenpox
in
a
in
a
school
where
there
were
significant
numbers
of
children
who
were
not
vaccinated
against
chickenpox.
B
We
routinely
have
outbreaks
of
pertussis
so
and
then
again
on
other
parts
of
this
country,
like
I
mentioned
before
huge
measles
outbreaks
and
highly
unvaccinated
populations-
and
you
know
these-
these
illnesses
are,
are
you
know?
B
Some
people
can
have
mild
cases
and
some
people
can
end
up
in
the
hospital
and
some
people
can
die,
and
so
you
know
we.
We
know
that
vaccines
can
work.
We
know
that
they're,
safe
and
effective
and
can
keep
those
kids
in
school,
and
I
think,
shannon
or
april
can
speak
to
that.
The
value
of
kids
being
able
to
learn
at
schools.
D
Yes,
absolutely,
as
we
all
know,
we
having
kids
physically
present
in
school
is
really
important.
D
I
think
we
all
know
that
now
more
so
than
ever,
and
you
know
in
a
school
setting,
we
require
that
families
report
their
child's
vaccination
status
when
they
enter
kindergarten
and
in
seventh
grade
and
then
again
in
12th
grade,
because
at
various
times
of
a
child's
life
they're
getting
various
shots
and
boosters,
and
we
do
ask
families
to
produce
those
records.
Of
course,
there's
also
a
religious
exemption
as
well,
and
we
do
see
a
high
religious
exemption.
D
But
you
know
all
of
the
vaccinations
are
very,
very
important.
You
know
at
school
systems
we
feel
like
we
want
to
help
contribute
to
overall
public
safety
and
being
vaccinated
is
one
of
those
ways
that
we
can
help
stop
the
spread
of
infectious
diseases,
and
we
want
to
make
sure
that
kids
are
in
school
and
healthy
as
much
as
possible.
So
we
you
know
in
asheville
city
schools,
we've
we've
had
a
couple
of
vaccination
clinics,
not
just
for
covid
but
for
some
other
vaccinations
as
well.
D
This
past
summer,
I
believe-
and
actually
tomorrow
at
montford
north
star
at
my
school,
we
are
hosting
a
covid
vaccination
clinic
from
9
to
12..
So
if
anyone
is
interested,
we
will,
I
believe,
it's
just
the
pfizer
vaccination
that
we'll
be
administering
by
the
health
department
from
9
to
12
at
montford
north
star
academy.
Tomorrow,.
A
Thank
you.
That's
really
important
and
another
thing
of
interest
to
parents,
maybe
april
you
can
answer
this
question,
but
what
happens
to
kids
that
are
unvaccinated
in
a
school
when
there's
an
outbreak
of
a
vaccine
preventable
illness.
So
if
they're
unvaccinated,
for
whatever
reason
can
you
can
you
tell
us
kind
of
what
the
procedure
is
there
yeah.
A
Okay,
thanks
and
so
another
question
I
have
is:
what
are
some
of
the
checkpoints?
I
think
ms
baggett
answered
this
somewhat,
but
what
are
some
of
the
checkpoints
when
we
expect
kids
to
have
vaccines
when
are
those
required
throughout
a
student's
educational
career,
and
maybe
what
are
some
of
the
reasons
for
why
those
are
required
at
those
points
and
april?
I
don't
know.
If
that's
would
you
like
to
take
that
question?
Is
that
one
you
can.
F
Sure
so,
as
shannon
mentioned,
kindergarten
seventh
grade
and
twelfth
grade
are
all
kind
of
built
in
checkpoints
where
we
do
look
for
specific
vaccines
or
boosters
also
outside
of
school.
There
are
vaccines
that
are
required
for
daycare
for
children
that
are
a
little
bit
different.
So
I'd
say
if
you've
got
a
student
going
into
any
of
those
grades,
definitely
make
sure
you
know
what's
required,
and
hopefully
you
do
because
we
try
to
get
that
information
out
to
parents
and
families.
F
But
I
think
that
the
the
science
behind
when
vaccines
are
given
is
really
specific
to
the
risks
related
to
that
disease
at
that
age
and
then
how
immunity
can
sometimes
wane
over
time
and
that's
when
the
boosters
are
needed,
for
example,
with
students
who
are
entering
seventh
grade,
they
have
to
have
a
first
dose
of
a
meningitis
vaccine,
and
then
they
need
a
booster
before
they
go
into
12th
grade
and
same
thing
with
tdap
in
seventh
grade.
C
If
it's
okay,
I'd
like
to
just
piggyback
on
that
a
little
bit
these,
the
vaccines
that
have
been
in
place
that
are
required
have
been
so
studied
for
many
many
years
to
know
what
the
antibody
levels,
the
chemicals
that
give
the
protection
against
the
germs.
C
Sets
of
information.
As
far
as
the
regular
school
immunizations
are
concerned,.
A
Great
thanks,
so
this
question
is
kind
of
for
everybody,
but
portia,
I'm
going
to
start
with
you.
That's
okay!
School
starts
back
in
just
five
days.
So
what
is
the
general
feeling
from
staff
administrators
students
as
the
in-person
school
year?
Approaches.
E
All
right
yeah,
I
can
say
a
big
feeling
that
I
bet
everyone
has
staff
students,
everyone
included
is
we're
excited.
We're
excited
to
go
back
to
school,
be
able
to
interact
with
people,
have
that
social
interaction
be
able
to
get
back
into
class
and
taking
that
knowledge
that
way,
I
think
it's
super
exciting,
along
with
sports
and
just
other
stuff
that
you
get
at
school,
that
you
wouldn't
get
at
home.
E
In
virtual
learning,
I
can
say
that
there
are
also
some
anxious
feelings,
not
for
everybody,
but
for
some
people
like
me,
I
live
in
a
household
where
someone
is
high
risk
and
so
for
covid.
It's
very
anxious.
I'm
a
little
bit
nervous
myself
to
go
back,
but
it's
all
with
with
excitement
as
well.
So
I
think
everyone's
super
excited
to
go
back
but
a
little
bit
anxious,
but
that's
all
just
comes
with
it.
This
has
been
a
long
time
since
we've
been
back
in
school
myself.
E
C
I
can
tell
you
all
through
in
my
practice
with
the
children
and
the
teenagers
I've
seen
throughout
this
pandemic.
They
definitely
prefer
to
be
in
school
and
we
need
to
do
everything
we
can
do
to
make
that
happen.
For
them
they
definitely
learn
better
in
school.
C
I've
never
seen
the
amount
of
depressed
teenagers
I've
seen
in
the
last
18
months
or
so,
and
it's
it's
heavy.
These
kids
need
to
be
in
school.
E
Yeah
going
off
of
that,
it
was
a
dramatic
shift
from
going
in
in
person
straight
to
virtual
learning.
It
was
no
kind
of
easing
into
it.
It
was
just
this
dramatic
shift
from
not
seeing
from
seeing
your
friends
and
and
everybody,
and
just
that
social
interaction
on
a
daily
basis,
considered
to
being
locked
in
your
room
staring
at
your
four
walls
every
single
day.
E
So,
like
you
said
the
amount
of
depressed
teenagers
and
stuff,
I
can
definitely
say
that
that
is
true,
and
I
know
many
people
who
definitely
did
struggle
throughout
virtual
learning
and,
as
you
said,
being
in
person,
is
completely
different
than
virtual.
You
grasp
knowledge
differently.
You're
able
to
interact.
Have
that
that
teacher
support
right
then,
and
there
compared
to
learning
online,
so
yeah.
D
And
you
know
being
a
mom
myself,
I
I
get
it
too.
You
know
with
my
child
and
you
know
losing
that
social
interaction
that
was
extremely
difficult
and
just
yesterday
with
my
faculty,
we
had
a
big
retreat
and
in
talking,
I
think,
porsha
said
it
best.
You
know,
even
as
a
student,
the
teachers
are
feeling
the
same
way.
They
are
very,
very
anxious,
but
they're
also
extremely
excited.
You
know
we
miss
our
kids
and
we
miss
that
you
know
normal
school
environment.
D
You
know
whatever
that
looks
like
again,
but
we're
ready.
We
know
it's
going
to
be
a
challenge,
but
we're
definitely
ready.
The
phrase
cautiously
optimistic
keeps
coming.
You
know
to
mine,
so
we
have
great
intentions.
We're
really
excited
we're
ready,
but
also
being
very
cautious.
At
the
same
time,.
A
So,
in
light
of
that
question
and
kind
of
cautious
optimism,
maybe
you
can
speak
a
little
in
in
perhaps
april
you
can
as
well
to
what
schools
are
doing
to
make
sure
students
can
stay
safe
and
in
class
this
year.
What
are
some
of
the
the
measures
you've
taken
or
will
be
taking.
D
I'll
go
ahead
and
start
I
I
really
have
to
say
through
asheville
city
schools,
which
I
can
only
speak
of,
we
are
in
constant
contact
with
our
health
department
and
april
bower.
I
feel
like
april
bauer
is
a
part
of
our
staff
of
the
past
year
and
a
half
we've
worked
very
closely
to
make
sure
that
we're
following
guidelines,
you
know
from
the
state
from
the
local
health
department,
and
you
know
now
going
back
into
school.
You
know
a
lot
of
the
things
that
we
were
doing
back
in
the
spring.
D
We're
still
doing
just
to
you
know,
maintain
safety,
national
city,
schools
we're
doing
some
universal
masking.
We
still
have
a
lot
of
our
saying
cleaning
protocols
of
our
custodians
cleaning,
those
high
contact
surface
areas
throughout
the
day
and
all
of
our
classrooms
have
cleaning
supplies.
We've
been
looking
at
ventilation
systems
in
all
of
our
schools.
D
Now
that
there
is
not
a
requirement
to
do
screening
when
kids
come
back,
we're
definitely
requiring
families
to
self-monitor
and
make
sure
that
they
have
those
coveted
symptoms
in
front
of
them
at
all
times
and
making
sure
that,
if
students
and
staff,
if
any
of
us
are
sick,
it's
very
important
that
we
do
not.
You
know
attend
school,
but
we
do.
We
are
keeping
a
lot
of
those
safety
measures
that
we
had
back
in
the
spring.
D
Of
course,
some
of
them,
you
know,
according
to
our
north
carolina,
strong
schools
toolkit,
which
is
what
we're
following
some
of
those
measures,
have
been
laxed,
but
we're
always
erring
on
the
side
of
caution.
F
And
I'll
just
add,
you
know
I
think.
Last
year
we
learned
a
lot.
We
learned
a
lot
about
how
to
keep
kids
in
school
safely
and
we're
doing
those
same
things
like
shannon
was
saying
you
know
universal,
masking,
distancing,
getting
kids
outside
as
much
as
possible,
because
we
know
that
that
reduces
the
risk
hand
washing.
F
You
know
I
think,
at
the
beginning
of
the
pandemic.
I
was
really
concerned
by
the
number
of
people
that
didn't
know
about
hand
washing,
but
now
we
all
know
and
we're
doing
it
all
the
time
which
is
great,
and
I
also
just
think
two
really
encouraging
vaccination
for
anyone
who's
eligible
our
students
who
are
12
and
older.
Our
staff
masks
are
super
effective
and
important
in
keeping
transmission
in
schools
low.
But
vaccines
are
our
number
one
most
effective
prevention
measure
that
we
have.
So
I
think
that
it's
you
know,
kind
of
a
combination
of
strategies.
F
We
talk
a
lot
about
layered
safety
measures
and
I
think
that
we
have
those
things
in
place,
along
with
some
rapid
antigen
testing
available
in
schools
to
quickly
identify
those
positive
cases
and
yeah.
We're
really
lucky
to
have
an
excellent
relationship
with
our
local
health
department.
Dr
mullendore
is
on
speed,
dial
for
sure
and,
and
we've
had
a
really,
I
think,
great
channel
communication
between
all
of
our
schools,
our
school
health
program
and
the
health
department.
So
I
feel
really
good
about
what
we're
doing.
C
Most
of
the
cases
that
I
see
have
not
been
through
school
or
day
camps
or
any
of
that
over
the
summer
it's
been
through
play,
dates
or
having
company
or
cookouts
or
hanging
out
with
friends,
and-
and
we
all
want
to
continue
to
do
that,
and
I
think
we
can
do
that
safely
if
we
can
also
mask
up
in
the
community
as
well
try
to
maintain
distance
try
to
if
you
go
to
eat
out,
maybe
eat
outside.
C
C
A
Thank
you
for
all
those
those
points
I'm
going
to.
Let
our
spanish
and
sign
language
interpreters
switch,
so
I'll
pause
for
just
a
second
to
let
that
happen.
A
If
you
all
would
just
give
me
a
thumbs
up
when
you're
ready
and
we'll
go
back,
okay,
I'm
just
waiting
for
something
from
the
spanish
folks
when
you
get
a
chance,
you're,
good,
okay,
all
right!
So
we
have
a
couple
of
questions
that
have
come
in
that
I'm
gonna
try
to
to
get
answered
for
y'all.
So
the
first
question
I
have
is
a
question
about
the
religious
exemption
and
whether
the
guidelines
on
the
exceptions
are
being
revisited
in
light
of
the
current
pandemic.
So
I
think
that
might
be
a
dr
mullendore
question.
A
B
So
in
the
state
of
north
carolina,
because
these
are
exemptions
are
regulated
by
state
law.
So
in
the
state
of
north
carolina
we
have
two
allowable
exemptions
from
required.
Immunizations
one
is
a
medical
exemption
and
that
has
to
be
certified
by
a
physician
licensed
to
practice
medicine
in
north
carolina
and
there's
a
form
state
form
that
has
to
be
filled
out
and
signed
and
submitted.
B
And
you
know
it's
very
rare
that
somebody
would
have
a
medical
exemption
to
a
vaccine,
their
their.
You
know,
vaccines
overall,
very
safe,
and
so
it's
very
rare
that
somebody
would
need
that.
The
only
other
type
of
exemption
allowed
in
north
carolina
is
called
a
religious
exemption.
B
And
it's
it
reads.
As
you
know,
the
adult
or
the
parent
guardian
has
a
bona
fide
religious
belief
that
is
contrary
to
immunization
requirements
and
there's
no
form
from
the
state.
For
these
religious
exemptions,
a
parent
or
guardian
has
to
write
a
written
statement
of
their
religious
objection
to
an
immunization
and
then
provide
that
to
the
school
or
child
care
program,
and
some
states
have
philosophical
or
what's
called
a
personal
belief
exemption.
B
But
that
does
not
exist
in
the
state
of
north
carolina,
and
so
I
have
not
heard
of
any
anything
in
this
state
or
or
really
even
across
the
country
related
to
the
covid19
changing
exemptions.
The
measles
outbreaks
that
we
had
in
2019.
There
were
changes
in
several
states
that
actually
removed
the
religious
exemption
as
an
option
and
left
only
medical
exemptions
in
place,
but
again
that
that
that
has
not
anything
that
I've
heard
more
recently
related
to
covet
19..
A
Thanks,
dr
mullendore
all
right
next
question:
there's
a
question
about
fda
approval:
what
does
it
mean?
Is
it
safe
without
it?
So,
in
other
words,
is
this
emergency?
What
does
the
eua
stand
for
the
eua,
the
approval
that
we
currently
have?
B
Do
you
want
me
to
take
that
one
too?
Okay,
yeah,
so
eua
means
emergency
youth,
use
authorization
so
typically
for
vaccines
to
be
available
to
the
public.
It
takes
years
right
years
of
research
and
data,
submission
and
review,
but
in
the
midst
of
a
global
pandemic
we
don't
have
years
to
wait
right.
We
we
just
you
know
we,
people
are
dying,
people
are
ending
up
in
the
hospital,
and
so
you
know
this.
B
These
types
of
vaccines
that
are
being
used
for
coven
19
are
based
on
and
built
on
technologies
and
other
vaccines
that
have
been
around
for
decades,
and
so
there
were
clinical
trials
very
robust
clinical
trials
with
tens
of
thousands
of
individuals.
That
data
was
reviewed
by
you
know:
science,
science,
advisors
and
scientific
experts,
and
you
know
we
always
have
to
compare
the
risk
of
vaccination
to
the
risk
of
the
illness.
It
is
preventing
right,
and
so
we
know
how
devastating
covet
19
is
right.
B
We
know
the
the
just
devastation
it's
causing
in
terms
of
cases
and
and
illness
and
hospitalization's
death
across
the
world.
I
mean
it's,
it's
very
apparent,
and
so
the
clinical
trials
were.
You
know
the
vaccines
were
proven
to
be
safe
and
effective,
and
so
that's
the
fda
was
able
to
grant
this
emergency
use
authorization
and
the
the
data
is
still
being
reviewed
right.
So
we
have.
B
We
have
administered
hundreds
of
millions
of
doses
of
vaccines
now,
and
so
we
have
very
robust
safety
systems
and
they
in
this
country,
and
so
those
are
constantly
being
monitored
and
we've
seen
evidence
where
they've
worked
right.
So
when,
when
there
were
reports
of
very
rare
but
significant
blood
plots
related
to
the
johnson
and
johnson
vaccine,
there
was
you
know,
review
of
that.
There
was
actually
a
pause
on
the
use
of
that
vaccine
review
of
the
data
and
then
recommendations
were
made.
B
We
saw
the
same
thing
with
the
reports
of
myocarditis
and
pericarditis
with
the
additional
vaccines,
the
mrda
vaccine.
So
you
know
it's
it's
responding
to
the
crisis
at
hand,
but
continuing
to
base
everything
on
science
and
and
data
and
evidence,
and
so
you
know
I
I
did
not
hesitate
to
get
vaccinated.
When
I
was
offered
vaccine,
I
did
not.
I
did
not
ask
anyone
else
to
hesitate.
You
know
my
parents,
my
grandmother,
my
husband,
my
brother
and
sister,
and
hopefully,
one
day
very
soon.
B
My
six-year-old
will
will
be
vaccinated
because
we
are
seeing
benefit
from
those.
So
I
I
feel
that
you
know
the
safety
of
those
vaccines
far
exceeds
the
the
risk
of
cover
19.
C
And
the
the
transmissibility
or
how
easily
you
get
this
delta
variant
of
covet
is
so
high.
I
mean
you
can
catch
it
so
easily.
C
I
feel
like
if
you're
out
in
the
community
you're
getting
exposed
most
likely,
so
the
best
thing
you
can
do
is
to
give
yourself
the
protection
and
to
keep
it
from
entering
your
home
until
the
younger
kids
are
able
to
get
the
vaccine
that
data
should
be
coming
out
next
month
in
september.
C
They
will
not
rush
that
process.
When
you
hear
this
headline
recently
about
the
american
academy
of
pediatrics
asking
the
fda
to
to
rush
the
approval
for
kids,
it's
not
rushing
any
of
the
data
or
the
science
behind
it.
It's
looking
at
the
data
that
they're
asking
them
to
prioritize
that,
so
I've
been
getting
a
lot
of
parents
that
are
asking
me
like.
Oh
they're,
rushing
this
through
and
it's
the
american
academy
of
pediatrics
is
a
very
good
resource
and
they
would
not
do
anything
that
would
endanger
children
or
their
well-being.
C
A
F
A
F
Okay,
if
that's
okay,
yeah
I'll
just
say
first,
you
know
I've
been
super
impressed
from
the
beginning.
I
think
there
was
a
lot
of
concern
that
kids
won't
wear
their
masks
properly
at
school.
They're
gonna
touch
their
face
all
day,
they're
gonna
trade
masks,
we
heard
all
kinds
of
concerns
and
it
turns
out.
Kids
are
actually
really
good
at
wearing
masks
because
they
want
to
be
in
school
and
they
understand
why
it's
important.
So
I
would
say
just
you
know,
kind
of
reiterating
with
your
children,
reminding
them
about
the
masks
about.
F
You
know
how
to
wear
them,
how
to
take
them
off,
making
sure
that
the
masks
are
being
cleaned
appropriately
at
home,
reminding
kids
again
about
washing
their
hands
and
monitoring
them
for
illness.
I
think
somebody
mentioned
earlier:
don't
go
to
school
if
you're
sick,
don't
send
your
kids
to
school.
If
they're
sick,
you
know
you
can
get
them
tested
pretty
easily.
F
I
think
now,
right
now
in
our
community
for
covid,
we
have
a
lot
of
options
available,
definitely
check
in
with
a
medical
provider,
and
then
you
know
just
doing
those
things
that
we
talked
about
too
in
the
community
and
at
home
to
stay
safe
and
keep
your
kids
healthy
when
you're
socializing
with
other
families.
You
know
really
thinking
about
where
you're
doing
that,
trying
to
do
it
outside
trying
to
limit
your
bubble-
and
you
know
again
enforcing
the
mask
the
distancing
and
those
things
that
we
know
are
effective.
A
I'm
not
seeing
other
questions
necessarily
so
why
don't
we
go
ahead
and
start
with
our
closing
remarks
from
each
of
you
and
then,
if
we
have
some
other
questions
that
come
up,
we
can
go
ahead
and
and
answer
those
as
they
come
in
so
porsha
I'll.
Let
you
go
ahead
and
give
your
closing
remarks.
Maybe,
since
you're
a
student
yourself,
you
could
address
your
like.
If
you
had
a
chance
to
address
your
fellow
students,
maybe
what
would
you?
What
would
you
say
to
them.
E
Yeah,
something,
I
would
definitely
say
is
myself
as
well
as
my
fellow
students.
We
want
to
be
back
in
school
and
a
way
we
can
do
that
is
by
having
majority
of
the
school
be
vaccinated.
So
I
do
encourage
my
fellow
classmates
to
get
vaccinated.
E
If
you
can,
if
there's
not
anything
limiting
you,
I
do
know
that
a
lot
of
my
classmates
as
well
have
some
of
their
parents
who
not
necessarily
want
them
to
get
vaccinated
and
that's
totally
valid,
so
maybe
having
conversations
with
your
parents
and
letting
them
know
that
that
might
be
something
that
you
want
to
do.
If
that
is,
I
do
totally
encourage
it.
I'm
double
vaccinated
have
been
for
a
couple
months.
E
A
Thanks,
I
had
one
other
question
that
quickly
came
through
so
dr
mallindorf,
if
you
wouldn't
mind
answering
this
one,
we
had
someone
ask
whether
there
were
specific
recommendations
around
masks
for
kids
for
different
age,
kids.
B
I
don't
know
that
I've
seen
anything
specific
about
kids,
but
in
general
you
know
the
mask
that
you,
the
best
masks
are
gonna,
be
ones
that
are
at
least
two
layers
thick
fabric.
So
I
have
my
mask
here
right.
So
I
have
you
know
two
different
types
of
fabric.
Clearly
it
has
to
completely
cover
your
mouth
and
nose,
so
something
that's
well
fitting.
B
So
early
on
I'll,
say
early
on
in
the
pandemic,
I
had
a
mask
and
it
kept
falling
down
because
it
was
just
too
it
just
wasn't
as
form-fitting,
and
then
I
found
a
local
person
who
made
these
masks
and
I've
loved
them
ever
since.
So
it
has
a
good
like
metal,
nose
piece
that
I
can.
I
can
push
in
to
make
it
fit
tighter
there
because
you
want
it
to
fit
snugly,
and
so
you
don't
want
to
have
gaps,
and
so
I
you
know
they
have
the
mask
that
fit
behind
your
ears.
B
I
don't
like
that
that
irritates
me
and
so,
and
I
think
it
didn't
my
kid
didn't
like
it
either.
So
I
got
a
mask
that
where
I
have
an
elastic
strap
that
goes
around
the
top
of
my
head
and
the
back
of
my
head
and
so
finding
something
that
works
for
your
kid.
That
they're
not
going
to
be
messing
with
it's
going
to
stay
in
place
when
they're
moving
around,
I
think,
is
really
important,
and
sometimes
it's
just
trial
and
error
to
see
what
works
and
what's
comfortable.
B
But
there
is
guidance
on
the
cdc
website
about
how
to
choose
a
mask
and-
and
it's
a
way
too
like,
if
you
know,
people
who
are
handy
seamstresses
or
tailors
great,
sometimes
like
again
there's
local
businesses
and
and
crafts
people
who
are
making
these
these
types
of
masks.
A
So
you
can
support
your
local
businesses
too,
and
I
I
mean
I
will
say
as
a
parent
I
I
notice
my
kids
are
actually
a
lot
more
disciplined
with
their
mouths
than
I
even
am.
I
think
that
you
know
once
they've
done
it
for
a
while
they
get
used
to
it.
A
My
my
little
guy
he's
in
preschool
and
sometimes
he'll
ride
at
home
in
the
ride
in
the
car
with
you
know
his
mask
on
the
way
home
and
we
have
to
remind
him
to
take
it
off
because
he's
just
sort
of
used
to
it
by
now.
So
it's
you
know,
they're
surprisingly
compliant.
I
think,
especially
at
the
younger
ages,
all
right
so
to
kind
of
continue
with
our
closing
comments,
dr
fogelman,
would
you
like
to.
C
Sure
I'll
I'd
just
like
to
say
that
I
I
absolutely
value
kids,
I
value
kids
learning
in
school.
C
I
feel
like
we
need
to
do
everything
we
can
to
keep
kids
in
school
and
not
just
with
regard
to
covet,
but
with
the
other
vaccine,
preventable
illnesses,
also
meningitis
boosters
for
the
12th
graders,
the
meningitis
and
the
tdap
for
the
seventh
graders.
I
feel
like
we
need
to
do
all
of
these
things
so
that
we
can
all
continue
to
be
the
best
learners
that
we
can
be
and
the
children
can
learn
the
best
that
they
can
learn
in
person.
C
As
far
as
masking
goes,
I
see
a
lot
of
kids
who
do
not
have
their
masks
on
they
don't
fit,
they
don't
fit.
So
my
answer
to
that
question
is
the
mask.
That
fits
is
probably
the
best
one
and
that's
different
for
every
person
I
feel
like
masks
are
have
been
shown
to
be
effective
and
safe.
I
don't
have
any
concerns
about
you,
know
people's
oxygen
levels
or
any
of
those
things
that
were
originally
brought
up
about
children
wearing
masks,
and
they
can
do
it.
We've
seen
preschoolers
elementary
school
age.
A
Thank
you
all
right,
mrs
baggett,
would
you
like
to
go
next.
D
Yes,
I
mean
just
reiterating
and
porsha
while
she
said
it
best
as
a
student,
I
think,
as
faculty
and
staff
we're
kind
of
feeling
the
same
way
we're
in
this
together.
We
want
kids
to
be
in
our
buildings
and
with
us
and
get
back
to
some
normalcy,
just
like
we
were
before.
So
we
do
highly
encourage
our
families
to
get
vaccinated.
D
We
have
a
wonderful
wonderful
school
nurse
collaborative
and
our
school
nurses
work
really
hard
to
communicate
with
families
if
they
do
need
boosters
or
how
they
can
get
those
boosters
and
where
to
go.
So
I
feel,
like
our
school
nurses,
work
really
hard
to
collaborate
with
our
families
and
get
get
them
the
vaccinations
that
they
need
and
beyond
the
vaccination.
D
Yes,
if
we
talk
to
each
other
educate
our
children
on
wearing
the
masks
properly
and
social
distancing
the
hand
washing,
we
want
them
to
be
back
in
school
and
also
participate
in
sports.
I
think
you
know
in
some
cases
I've
seen
you
know.
Some
sport
programs
have
been
what
you
know
have
saved
some
kids
during
this
rough
time
and
we
want
to
be
able
to
do
it,
but
we
want
to
be
able
to
do
it
safely
as
well.
A
Thank
you
april.
F
I
always
hate
being
one
of
the
later
people
to
go
because
everybody
else
says
all
the
things,
but
just
yeah.
You
know
echoing
sort
of
the
importance
of
getting
those
routine
immunizations
and
also
coveted
vaccines
for
anyone
who's
eligible
if
you
need
help
getting
immunizations,
getting
an
appointment
or
finding
out
where
to
go.
Like
mrs
baggett
said,
please
reach
out
to
your
school
nurse,
they're,
awesome
and
happy
to
help
and
yeah.
F
Just
you
know,
also
remembering
I
think
it's
really
become
clear
throughout
the
pandemic,
that
we
are
all
in
this
together
that
the
things
that
we
do
to
keep
ourselves
safe,
like
getting
vaccinated,
also
help
keep
our
community
safe.
So
it's
really
important
for
everybody
to
do
that,
especially
when
it
comes
to
covid,
because
our
kids
under
12
can't
get
the
vaccine.
Yet
it's
important
for
everybody
who
can
get
it
to
do
so
to
keep
everybody
safe.
B
Thank
you
yeah,
it's
hard
when
everybody's
saying
such
good
things,
so
you
know
again
ditto
all
that,
and
I
would
just
also
re
remind
people
that
you
know
before
we
had
vaccines.
These
illnesses
caused.
You
know
significant
tragedy
and
illness,
disability
and
death
that
generations
ago.
You
know
if
we
can
talk
to
our
grandparents,
great
grandparents,
they
knew
they
knew
folks
who,
who
were
you
know,
who
suffered
the
consequences
of
illnesses
like
measles
and
polio,
diphtheria.
B
You
know
things
that
we,
thankfully
don't
see
as
much
anymore,
and
you
know
I
know,
especially
in
nashville.
I
often
hear
questions
about
what
about
natural
immunity
and
you
know
strengthening
your
immune
system
in
that
way,
and
and
what
I
would
say
is
you
know
so
vaccines
work
by
giving
your
your
body
a
head
start
right.
It
enables
your
body
to
get
a
sneak
peek
at
a
you,
know
a
germ
and
then
mount
an
immune
response
right.
So
it's
ready
to
go
the
next
time.
It
sees
that
same
germ
and
yeah.
B
You
know
if,
if
you
weren't
vaccinated,
your
body
would
generate
that
immune
response,
but
it
wouldn't
have
the
leg
up
and
you
you
would
face
the
consequences:
the
serious
consequences
of
that
illness
that
that
the
vaccine
is
going
to
prevent
right.
So
the
benefit
of
vaccines
is
that
those
who
are
vaccinated
gain
the
protection
without
ever
having
to
risk
those
serious
consequences
of
getting
sick.
B
B
I
can't
speak
highly
more
highly
about
vaccines
and
the
importance
of
vaccines,
and
you
know
I
want
all
our
children
to
be
safe
and
have
very
healthy
and
thrive
and
really
achieve
their
potential
and
grow
up
into
amazing
adults,
and
so
I
just
implore
everybody
to
to
you
know,
make
sure
their
kids
are
up
to
date
and,
if
they're
not
get
them
into
their
their
provider,
bring
them
to
the
health
department
and
we'll
help
them
stay
safe
and
healthy.
Thank
you.
A
Thank
you
all.
That
brings
us
to
the
end
of
our
time
together
tonight,
so
I
just
want
to
thank
everyone,
our
panelists,
especially
for
taking
the
time
out
to
speak
with
all
of
us.
Thank
you
to
all
of
our
listeners
and
watchers.
A
We
are
so
appreciative
of
just
the
expertise
that
that
was
willing
to
come
to
the
table,
to
do
this
presentation,
and
especially
given
all
the
other
things
you
have
going
on
right
now,
with
the
start
of
school
right
around
the
corner,
that
a
lot
of
you're
involved
with
and
just
the
coveted
cases
that
are
surging
right
now.
A
It
was
really
really
kind
of
you
all
to
take
time
out
of
your
days
to
do
this
and
it's
been
such
a
challenging
year
year
and
a
half
for
all
of
us
right,
but
especially
for
the
healthcare
workers
and
educators.
So
I
want
to
personally
just
thank
all
of
you
for
just
everything
that
you've
done
and
are
continuing
to
do
to
to
kind
of
pull
us
through
this
pandemic
and
hopefully
keep
our
community
safe,
you're.
A
True
public
servants-
all
of
you,
so
I
just
wanted
to
also
let
you
know
that
this
is
recorded.
This
session
was
recorded
and
you
should
be
able
to
locate
that
on
the
buncombe
county,
health
and
human
services
website,
as
well
as
the
buncombe
county
government
website.
I
believe
they'll
also
be
on
facebook
there'll
be
links,
so
please
feel
free
to
share
that
with
your
school
communities,
your
friends,
family
members,
anyone
else
who
might
benefit
from
this
information-
and
I
want
to
wish
you
all
a
good
night.
Thank
you
very
much
for
being
here.