Chapotraphouse

probably some really strong state-wide public health program to promote and provide the vaccine easily.

shit like this is a lay up if a public health administrator is allowed to run it and gets the backing of other state agencies and communications. mass vaccination programs are pretty straightforward to execute. they manage to pull them off in totally screwed underdeveloped countries, and Mississippi for all its problems has reliable roads and electricity.

so really, if whatever political project is running the state is fairly secure and doesn't need some 3% bump from the pro-nurgle crank faction to claim more power, they can just go ahead and roll out a program and not worry about blowback, because most people literally just need a quick, convenient, and no-cost avenue to get their immunizations updated. they need to know where to go, what to say, and when to be there.

hesitancy is a real phenomenon, of course, but i think the general decline has been about the shyness of state public health admins to run a big promotional campaign and potentially lose their career because the political environment they are in is full of uncertainty and opportunistic assholes who will come after them.

No religious exemptions, and very strict medical exemptions for children going into any school receiving state funding. It's atypically strict by US standards, and so has some of the highest vaccination rates. Not sure why it ended up that way, must be a historical fluke from a time when vaccines were not a controversial political issue.