In Philadelphia, PA, nurses used to have the right to keep an unvaccinated child out of school — until now.

Lincoln High School nurse Peg Devine explained to the Philadelphia Inquirer that, in her experience, exclusion — preventing a child from attending school until they are up to date on required vaccinations — “proved powerful.” In her 26 years on the job she kept only 15 students out of school and none of them ended up missing more than two days before proving immunization.

However, now her right to intervene has been taken away by the school district, which she finds especially concerning due to the local outbreak of mumps (so far, over 100 Temple University students have contracted the disease) and the measles outbreak in New York — less than two hours from Philadelphia.

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