U.S. colleges divided over requiring student vaccinations

U.S. colleges hoping for a return to normalcy next fall are weighing how far they should go in urging students to get the COVID-19 vaccine, including whether they should – or legally can – require it.

Universities, including Rutgers, Brown, Cornell and Northeastern, recently told students they must get vaccinated before returning to campus next fall. They hope to achieve herd immunity on campus, which they say would allow them to loosen spacing restrictions in classrooms and dorms.

But some colleges are leaving the decision to students, and others believe they can't legally require vaccinations. At Virginia Tech, officials determined that they can't because the U.S. Food and Drug Administration has only allowed the emergency use of the vaccines and hasn't given them its full approval.

On the online Virginia Tech Football Board, questions like "Isn't it like 99.7% of COVID-19 patients recover?" and the answer given is "And that's the ones we know about. Due to asymptomatic patients that haven't been tested, the recovery rate is probably higher."

The Pentagon reported this week that nearly 40% of military personnel have chosen not to vaccinate against COVID. A group of lawmakers is calling on President Joe Biden to make the COVID-19 vaccines mandatory for all military members.

U.S. Rep. Jimmy Panetta, D-Calif., sent a letter to the White House Wednesday urging Biden to issue a "waiver of informed consent" that would force troops, if ordered, to get the vaccines as soon as they were eligible.

Some Republicans and some states are standing in opposition to forced vaccinations as a matter of civil liberties. Florida Gov. Ron DeSantis announced recently that he will prevent businesses from requiring proof of vaccination, "It's completely unacceptable for either the government or the private sector to impose upon you the requirement that you show proof of vaccine to just simply be able to participate in normal society," he said at a news conference Monday, April 12.

About 48% of front-line health care workers have not yet gotten one or more vaccine doses, according to a survey conducted by The Washington Post and the Kaiser Family Foundation, Feb. 11 to March 7.

As the country reaches herd immunity, following the typical response for viruses making their way through the population, many university students are in an age group where they fully recover at over 99.7% according to the Centers for Disease Control and Prevention, so many students don't see the need.

Many schools have launched vaccination blitzes to get students immunized before they leave for the summer. At some schools, the added requirement is meant to encourage holdouts and to build confidence that students and faculty will be safe on campus.

"It takes away any ambiguity about whether individuals should be vaccinated," Kenneth Henderson, the chancellor of Northeastern University in Boston, said. "It also provides a level of confidence for the entire community that we are taking all appropriate measures."

Northeastern and other colleges requiring shots believe they're on solid legal ground. It's not unusual for colleges to require students to be vaccinated for other types of diseases, and a California court last year upheld a flu shot requirement at the University of California system.

But legal scholars said the COVID-19 vaccines' emergency use status moves the issue to a legal gray area that's likely to be challenged in court, and some colleges may take a more cautious approach to avoid litigation.

Harvard Law professor Glenn Cohen, who teaches health law and bioethics, said there's no legal reason colleges wouldn't be allowed to require COVID-19 vaccinations. It makes no difference that the shots haven't been given full approval, he said, noting that many colleges already require students to take coronavirus tests that are approved under the same FDA emergency authorization. But there's also no federal guidance explicitly permitting vaccination mandates.

The biggest clashes could come in states taking a stance against vaccination requirements, he said.

In Florida, where DeSantis this month banned all businesses from requiring customers to show proof of vaccination. The order raises questions about Nova Southeastern University's plan to require students and staff to get vaccinated. The college's president said he's still confident in the plan, but he also promised to "respect the laws of our state and all federal directives."

The governor of Texas, the country's second-largest state, issued a similar order.

There's a parallel debate about whether to require vaccination for faculty and staff, an issue that employers across the nation are grappling with. At the University of Notre Dame, one of the latest schools to require student vaccinations, shots are still optional for workers. Northeastern is considering whether to extend its mandate to employees.

Even at schools making shots mandatory, there are exemptions. Federal law requires colleges to provide accommodations to students who refuse a vaccine for medical reasons, and most schools are also offering exemptions for religious reasons.

At Brown, students who forgo shots and have no valid exemption must file a petition to study remotely or take a leave of absence next fall, the school's president, Christina Paxson, told students in a letter recently.

But enforcing vaccine mandates will bring its own challenges. Cornell and Northeastern said students will be asked to show proof of vaccination, but there is no widely accepted vaccine credential. Cornell told students they can provide the card given out at their vaccination site, but card formats vary and generally seem like they would be easy to forge.

At Northeastern, officials are still deciding whether students will have to provide a medical record proving they were vaccinated or whether they will be allowed to attest to having been immunized – essentially taking their word for it.

"We would expect students to be honest and forthright about any attestation they make to the university," Henderson said.

Schools expect some pushback, and Republican student groups on some campuses have opposed mandates, saying it should be a choice.

Colleges are also grappling with what to expect of international students, who may not have access to vaccines in their home countries or who may get shots that are not used in the United States. Some colleges said they're planning to develop arrangements to make shots available for international students when they arrive.

Other colleges are using a lighter touch to promote shots, including at Dickinson State University in North Dakota, which is exempting students from a campus mask mandate two weeks after they are fully vaccinated.

Many others are hoping a word of encouragement will be enough. Campus officials at Bowdoin College in Maine said it's their "hope and expectation" that all students will get vaccinated. Harvard University officials "strongly recommend" that students get vaccinated but have stopped short of a mandate.

Some, including Dartmouth College, are waiting for shots to become more widely available before making a decision. Diana Lawrence, a representative for Dartmouth, said officials "cannot make a determination regarding required vaccination until vaccines are accessible for all students."

Collin Binkley, AP education writer. Lisa Rathke in Montpelier, Vermont, and P. Solomon Banda in Jersey City, New Jersey, contributed to this report.