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In that case I would vaccinate the kid and not discriminate their care. They're the victim of antivax parents, and not to be affected by them. See more here.
If they're afraid of the government, then I'd support independent, local, decentralised vaccination campaigns. As long as it's transparent.
And for needle phobias, well, ¯\_(ツ)_/¯ there's not really other ways. If there's another I'd be happy to support that, though.
You can't or at least shouldn't vaccinate while ill. So the ethics question from before is still there.
Vaccines are governmentally approved and distributed. You're not getting around that by local campaigns (which already exist).
The point of the needle phobia is just to show that there are some legitimate possibilities for why someone may not be vaccinated rather than just pure ignorance/stupidity.