The latest numbers from the North Carolina Department of Health and Human Services show for the 2017-18 school year, Buncombe County once again had the highest number of unimmunized students, who opted for a religious exemption. On a busy Thursday morning at Asheville Children's Medical Center, Dr. Sam Kohn made the rounds. It was toward the end of summer break, so there were lots of back-to-school check-ups and vaccines on the schedule that day. Many visits were easy, following the simple routine of parents bringing their tots in for their shots. However, an increasing number of visits don't follow that routine, and more and more parents have started to ask questions. Some don't come to the doctor at all. "I'd say the trend is almost steady, where there's a larger proportion of people than I guess I would think for lots of different reasons are either skeptical of vaccines or not interested in vaccines," said Dr. Kohn. Under North Carolina law, no student may attend any classes