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The St. Clair County Health Department (Note: Michigan, not Illinois) no longer requires appointments for parents to get vaccine waivers for their children:
St. Clair County makes it easier for parents to opt out of vaccines
By Robin Erb and Eli Newman - February 2, 2026
- St. Clair County’s health department is making it easier for parents to get a vaccine waiver for their children
- County officials are also reminding parents of their ability to opt out of the state’s immunization registry
- The county medical director endorses the CDC’s new vaccine recommendations — a reduced list of shots that remains endorsed by leading medical groups
A Michigan county health department Monday made it easier for parents to opt out of having their children vaccinated.
In St. Clair County parents now will be able to obtain vaccine waivers any time during regular business hours, rather than having to make appointments. Those parents will receive a “certified state waiver form” after they receive a single-page educational handout, according to the Monday announcement by the St. Clair County Health Department.
The health department is working toward a “fully online process,” that the St. Clair Advisory Board of Health recommended as part of an effort to “streamline” nonmedical vaccine exemptions.
According to a spokesperson for the health department, the educational handout satisfies a state requirement that parents attend a vaccine education session before receiving a nonmedical waiver for their children.
“Unfortunately, MDHHS continues to impose administrative requirements that hinder parents’ ability to exercise these statutory exemption rights,” countymedical director Dr. Remington Nevin wrote in a memorandum Jan. 14 to the county’s health advisory board. “These administrative requirements, while presented as educational, often create significant inconvenience and thus discourage parents from availing themselves of the exemptions provided under Michigan law.”
It appears St. Clair is an outlier.
“I’m not seeing any other health department take this approach,” said Norm Hess, executive director of the Michigan Association for Public Health, which represents the state’s local health departments.
The decision follows a contentious Jan. 21 meeting where members of the county’s health board unanimously endorsed Nevin’s memorandum to emphasize “the primacy of a patient’s or parent’s relationship with a trusted physician or health care provider in their choice of vaccines.”
The approach, Nevin wrote, is an effort to regain trust in public health after COVID-19 “missteps.”
The department has also approved “updated messaging” to remind parents of their ability to keep their children’s vaccine records from being included in the state’s immunization database, the Michigan Care Improvement Registry, or MCIR, according to the Monday announcement.
“Paper vaccination records remain an appropriate option for families who choose to opt-out of state vaccine data tracking,” the health department’s announcement read.
The system — pronounced “micker” — enables doctors to track their pediatric patients’ vaccines. It also allows the Michigan Department of Health and Human Services to track vaccine rates by county and by school district.
Since 1978, Michigan has required a set of vaccines for kindergarteners that protect against diseases such as mumps, measles and rubella, (the MMR shot), and other vaccines for diphtheria, tetanus and rubella (the DTaP shot). Under Michigan’s administrative rules, parents and guardians must attend a “vaccine education session” before they receive a nonmedical waiver for their children.
But in recent years, some residents and government leaders have pushed back against recommendations. Fueled by hesitation over the COVID vaccine, rates of other immunizations have fallen too.
In St. Clair County, vaccination rates have declined over the last decade and rates are below Michigan’s average, according to state data. Among school-aged children in the county, about 88.1% have completed the immunization schedule with 8.6% receiving an exemption waiver as of February 2025. 80.9% of children at child care centers have completed the vaccine schedule, with 9.5% seeking an exemption waiver.
Nevin declined Bridge’s request for comment. Health Officer-Director Liz King was unavailable, according to department spokesperson Lauren Kriewell.
This week’s development also followed the county health board’s endorsement last month of recent decisions by the US Centers for Disease Control and Prevention to reduce the number of recommended routine vaccines — a policy opposed by the state health department, the American Medical Association, the American Academy of Pediatrics among other leading medical groups.
State health officials did not immediately comment about the St. Clair announcement. However, department spokesperson Lynn Sutfin noted that “the underlying scientific evidence remains unchanged” that vaccines protect against disease.
In his memorandum, Nevin said MCIR will continue to advise parents that their child is overdue for certain shots that no longer are recommended by the CDC. He called for “alternatives” to participation in the MCIR.
“Nothing is going to change for folks that want to get vaccines and want their children to get vaccines,” Nevin said during the meeting. “But what will change is that parents who felt coerced … they are going to experience a new era of vaccine choice in St. Clair County.”
Michigan for Vaccine Choice commended the board’s decision as a response to the “erosion of public trust in health agencies” that promotes the preference for “voluntary, informed decisions over universal recommendations or administrative pressure.”
Hess, at the public health association, said he isn’t worried that St. Clair’s announcement may dilute public health messaging that stresses the importance of vaccines over the availability of exemptions.
“Disagreement about public health policy is normal and expected. In Michigan, with its long public health tradition, there continues to be broad professional consensus around evidence-based approaches to protecting children, including vaccination,” he said in an email to Bridge.
The east coast of the Lower Peninsula, excluding Wayne County, has become the most conservative region of our state.
Well done, St. Clair County!
@10x25mm St. Clair County changed the process so parents no longer need appointments to request vaccine waivers. They can walk in during business hours, receive a short educational handout, and get the state exemption form. The county is also exploring a fully online option and reminding families they may opt out of the state immunization registry. Local officials say the goal is to reduce administrative barriers and rebuild trust after the COVID period.
Vaccination rates in the county have already declined and remain below the state average, with roughly 88 percent of school aged children fully vaccinated and a growing number using exemptions. State and national medical groups continue to support routine vaccines and say the scientific evidence has not changed. The situation highlights an ongoing tension between public health policy and local efforts to emphasize parental choice.
You have to be careful about "news" stories about vaccination and measles in particular. A lot of fakery and outright lies out there intended to sway the public.
Most recent example is a story in Laurene Powell Jobs' The Atlantic:
The Atlantic’s Elizabeth Bruenig on her “hypothetical,” heavily reported measles essay
“We were attracted to the idea of providing a play-by-play of the progression of measles in granular detail.”
A completely fabricated story from Ms. Jobs' propaganda mouthpiece intended to pillory anti-vaxxers.
Eli Newman of Bridge Magazine delves into the politics of the public health changes occurring in St. Clair County:
St. Clair County public health gets ‘MAGA’ makeover, from fluoride to vaccines
By Eli Newman - March 10, 2026
- St. Clair County’s medical director has moved to restrict fluoride, ease vaccine waivers and shutter school-based health clinics
- Health professionals say their objections are dismissed
- Supporters of the changes believe the health department is aligning with community values that are skeptical of government mandates
PORT HURON – St. Clair County, nestled between Lake St. Clair and Lake Huron and famous as the boyhood home of Thomas Edison, is amid a contentious scientific debate over accepted notions of government and public health.
The prime mover of the discussion is county medical director Dr. Remington Nevin, whom detractors and admirers liken to Robert F. Kennedy Jr. and who has said the state health department is “full of degenerates” with an “evil” agenda.
In the past several months, Nevin sought to prohibit fluoride in the drinking water, made it easier to opt out of children’s vaccines, removed health care services from school clinics and pushed a county ordinance that declared solar farms a possible “threat to public health.”
Local officials have largely agreed with his recommendations. That sparked objections from doctors, dentists and other health professionals, but Nevin says they reflect the values of the 160,000-resident county whose politics have shifted right after voting for Barack Obama in 2008.
“Medical directors are to appropriately advise and direct on all matters of public health policy, ideally in a manner that reflects the values and priorities of the communities that they serve,” Nevin told Bridge Michigan in an email.
To Kevin Watkins, president of the Port Huron branch of the NAACP, Nevin represents a move away from science-backed research and his actions are tantamount to enacting a local “MAGA agenda.”
He and others worry that the policies are a threat to the county’s wellbeing.
“They’re anti-vaccine,” said Watkins, a former member of the county’s public health advisory board and a trained nurse. “They’re anti-public health.”
To others, Nevin is a breath of fresh air for questioning the status quo and bucking the advice of most doctors and epidemiologists.
In January, resident Andrew Eberly told county commissioners his trust in health departments “eroded” after his child was removed from a neighboring school district because the family refused to participate in the state-manded education session required to obtain a vaccine waiver.
Eberly called the session “invasive” and thanked Nevin for providing a letter exempting his child from immunizations.
In the past few months, Nevin’s recommendations and the support he’s received from county officials have turned normally staid public hearings into impassioned debates.
Caught in the middle are some of the county’s public health workers. For years, they had operated “behind the scenes,” nurse Rebecca Campau said.
“Nobody knew that we even existed,” the 13-year county employee told the Board of Commissioners last week.
Now, with county officials considering the consolidation of the health department’s leadership in a move that may give Nevin more power, Campau and others are worried about what may happen next.
Fluoride fight
Fluoridation has been one of the biggest points of contention.
Nevin first suggested the prohibition in June 2025, and this month renewed the calls for municipal water systems in St. Clair County to voluntarily discontinue adding the mineral.
The practice began in 1945, when Grand Rapids became the first city to add fluoride to its water to prevent cavities.
Since then, three-quarters of the nation is served by systems that add the mineral — and the Center for Disease Control and Prevention has called it one of the greatest medical achievements of the 20th century.
But a 2019 study concluded that excessive amounts could possibly lead to neurodevelopment problems, prompting a federal review of fluoride standards.
The St. Clair County health advisory board in October endorsed Nevin’s stance to adopt local regulations on fluoride.
Public debate about the measure, which has extended for more than eight months, left retired Port Huron dentist Dr. Randa Jundi-Samman dispirited.
“It doesn’t matter what we say, or the volume of people that are educated that are bringing resources are saying,” Jundi-Samman told Bridge Michigan. “There’s always misinformation in the world, no matter where you go and what community you live in.”
The proposal prompted the president of the American Academy of Pediatrics to remind St. Clair County Health Department leaders in an August letter about the prevalence of childhood tooth decay and the effectiveness and safety of community water fluoridation.
Several dentists from metro Detroit drove up to object as well, and noted the controls in place to keep fluoridation within an acceptable range to prevent lasting harm.
Scrutinizing shots
Nevin’s move in February to streamline parents’ ability to skip their children’s routine vaccines drew a crowd to the county board in the days following the decision.
In step with concerns of parents such as Eberly, the medical director has promoted the individualized decision making for immunization championed by Kennedy, the US secretary of health.
In an email to Bridge, Nevin called him a “brilliant attorney and fitting heir to the Kennedy legacy” and said he’s flattered by the comparison.
Some health officials worry that making it easier to opt out of vaccines could worsen sliding childhood vaccination rates.
In 2013, 75% of St. Clair County’s 19-35 month olds had received their recommended shots. By 2025, that rate was 63.7%. A state immunization report card shows the county trailing Michigan averages on nearly every measured vaccine.
While the state’s public health executives continue to recommend a childhood vaccine schedule lauded by the nation’s leading physician groups in the face of recent federal changes, residents like David Allison see RFK Jr. and Nevin as needed voices who have “stood up against the establishment” by scrutinizing the increased number of lifesaving shots today’s youth are receiving to fend off deadly infectious diseases.
Allison echoes critics who contend there is a revolving door between the pharmaceutical industry and the public health sector, with personnel cycling between the two.
The retired engineer said that relationship became more apparent during the COVID-19 emergency, giving him added reason to question the doctor-directed vaccination protocol.
“We have this blind faith that the medical establishment – they have our best interest in mind,” Allison told Bridge. “But unfortunately at my age, I realize that money has an impact on people’s decisions.”
Critics say the county’s weakening stance on immunization has made it harder to get vaccinated.
Fred Fuller, a former mayor of Yale and county drain commissioner, noted he recently had difficulty getting his son immunized against COVID-19 at the county health department after officials there requested a doctor’s prescription for the shot.
“That’s what I call discouraging vaccinations,” he said.
Undoing a 40-year history
The county shakeup has reached into its school-based youth clinics.
After one county commissioner raised concerns that her 12-year-old daughter was exposed to concepts of transgender identity, homosexuality and emergency contraception at Port Huron High School’s teen health center, the board moved to sever ties with the clinic at the recommendation of Nevin.
“The purpose was to get a sports physical because I couldn’t get into my primary care physician,” Commissioner Kerry Ange told Bridge of her child’s visit.
Ange found some of the brochures available at the teen center to be “pornographic,” pushing her vote to end the county’s relationship with the site.
Maintaining the school-based clinic, she said, “seems like a waste of money” since the newly renovated county health department is a couple miles away from campus.
The winding down of the Teen Health Clinic at Port Huron High School, which had more than 1,200 visits in the last school year, is occurring as it marks four decades as one of the state’s longest serving school-based clinics.
It’s among the last of its kind in St. Clair County – school-based clinics in Capac, Algonac and Yale were shuttered by the county last year as they transition to new management. Impacted staff were reassigned elsewhere in the county and one nurse was laid off.
State-led educational sessions on diversity, equity and inclusion efforts were listed among Nevin’s reasons why the county should reject funding for the health centers.
In addition, a slide deck titled “developing tools for discussing firearms” presented by the state health department last year, which included questions for patients about secure storage and family access, was cited as a “back door” gun registration effort. Firearms are the leading cause of death for children and teens in America.
School officials have noted a “significant gap” in health care services left by the removal of the clinics. Brenda L. Tenniswood, the superintendent of the St. Clair County regional educational service agency, called the sites a lifeline that drives down absenteeism.
“In communities where transportation barriers, work schedules, and economic constraints prevent families from accessing traditional medical care, the school-based clinics provide immediate, comprehensive healthcare where our children spend most of their day,” Tenniswood wrote ahead of the September closures.
“The current proposal to dismantle the school-based health clinics moves us backward from this collaborative model toward centralization that serves bureaucracy rather than communities.”
For Kate Grantom of Avoca, school-based health centers are a “valuable resource” for her small rural community. She sends her teenage daughter to Yale Public Schools, which only recently introduced a student clinic before closing. Other medical centers, she said, are hard to find nearby.
“These health clinics are not supposed to be in place of your primary care.” Grantom said. “But when we lack so much access to primary care, we need those resources.”
Graduating from Marine City High School, Emrick LaTulip wishes school-based health care support was more available when they were a student. Speaking before the county board on Thursday, the 30-year-old explained how, as a child, they were sexually abused by a family member.
“I personally tried to tell people about my abuse, and my family told me it was normal,” LaTulip told Bridge. “Had we had more intensive education in my younger years, I maybe would have known … this thing that had happened to me was not okay.”
LaTulip said they would prefer not discuss their trauma in a public setting, but felt inclined to speak up to advocate for the children losing access to needed services.
“These people are vulnerable,” LaTulip said. “I’m speaking with my feelings, and that’s all I can do.”
For his part, Nevin believes his actions are in line with what St. Clair County wants, relaying a stance that local public health decisions should be vetted through democratic processes.
“Just as individuals should be able to choose their own trusted doctors, the principle of subsidiarity on which Michigan’s decentralized local public health system is based ideally requires candidates for these positions who are directly accountable to those they serve.”
No modern journalist would ever miss an opportunity to deploy Saul Alinsky's 13th Rule for Radicals:
Pick the target, freeze it, personalize it, and polarize it.
https://bridgemi.com/michigan-health-watch/michigans-rfk-jr-who-is-dr-remington-nevin/
Michigan’s ‘RFK Jr.’: Who is Dr. Remington Nevin?
By Eli Newman - March 10, 2026
- Dr. Remington Nevin, St. Clair County’s medical director, said public health should reflect the ‘values and priorities of the communities that they serve.’
- Dr. Remington Nevin, a Johns Hopkins-trained physician considers comparisons to RFK Jr. to be a ‘great compliment and honor’
- He dedicated much of his career to advocate for his research that antimalarial medications administered to the military have had harmful side effects
- St. Clair County Commissioners are considering a change that may give Nevin more authority to enact his vision for the community
PORT HURON — With a clear mission to challenge conventional wisdom in public health, St. Clair County’s medical director, Dr. Remington Nevin, has drawn parallels to US Health Secretary Robert F. Kennedy Jr.
Nevin welcomes the comparison.
“To the extent that some residents may be comparing us, I would consider that a great compliment and honor. One underestimates him and the strength of his convictions at their peril.”
Since joining St. Clair County’s public health department in 2023 in a part-time capacity, Nevin has made it easier for parents to opt out of children’s vaccines, sought to prohibit fluoride in drinking water, removed health care services from school clinics and pushed a county ordinance that declared solar farms a possible “threat to public health.”
So, who is Remington Nevin?
Nevin, 51, is a Johns Hopkins-trained physician who’s board-certified in public health, general preventive medicine and occupational medicine.
He was born and raised in Toronto.
Fluoride wars spark raucous debate over water treatment in Michigan county
He took an unconventional route to Port Huron. After spending time as a doctor for the US Army, Nevin led research exploring the side effects of mefloquine and similar antimalarialmedications administered to members of the military. He has testified about his findings before the US Senate and Canadian Parliament.
Outside of his part-time public duties, Nevin maintains a nonprofit to advocate for his position that veterans are experiencing life-threatening neuropsychiatric conditions caused by the anti-malarial drugs.
Nevin’s yearslong crusade to expose what he believes are the military’s suppressed harms, and the dismissal of his findings by a government-led investigation into the drugs, offer a window into how he came to view public health as a fallible field in need of direct accountability.
On public health
Nevin believes there are typically “no ideal solutions in public health, only tradeoffs,” and says championing the priorities and values of the community are paramount in his position as St. Clair County’s medical director.
Concerning his recommendations to the county — many of which counter the mainstream positions of his physician peers — Nevin believes the state public health code does not require him to provide a precise scientific rationale, citing measures taken by others during the COVID-19 emergency as proof.
“To this day no Michigan health official has provided — or been required to provide — a precise scientific or medical rationale for mandating that restaurant patrons wear a mask from the moment they enter until they are seated, only to remove it for the duration of the meal,” Nevin said.
A post-pandemic appointment
Nevin took the St. Clair County job in 2023 during a period of significant change at the local health department, which had drawn fire for mask mandates during the pandemic.
County commissioners decided to split the health department’s leadership between a medical director role, which Nevin would eventually assume, and a health officer position to oversee the organization.
Liz King, a registered nurse, was appointed as St. Clair County’s health officer in 2022 after working for the department for two decades.
“In my view, there is value in having two individuals serve in these positions,” King told Bridge in an email. “It allows the department to benefit from distinct areas of expertise—one focused on administrative leadership and operations, and the other providing medical and clinical guidance.”
Despite that, St. Clair County commissioners are considering recombining the health department positions once again, but haven’t specified how.
Some residents say Nevin should be given more authority to enact his vision for the county. Others say they’re concerned about Nevin’s moves to curtail standard public health guidelines.
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