Public Health and the Politics of School Immunization Requirements

Daniel A. Salmon · Jason W. Sapsin · Stephen P. Teret · Richard F. Jacobs · Joseph W. Thompson · Kevin Ryan +1 more

56 citations0/0 files storedAmerican Journal of Public Health

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Vaccine Coverage and Hesitancy Public Health Policies and Education Ethics and Legal Issues in Pediatric Healthcare

Abstract

Compulsory vaccination has contributed to the enormous success of US immunization programs. Movements to introduce broad "philosophical/personal beliefs" exemptions administered without adequate public health oversight threaten this success. Health professionals and child welfare advocates must address these developments in order to maintain the effectiveness of the nation's mandatory school vaccination programs. We review recent events regarding mandatory immunization in Arkansas and discuss a proposed nonmedical exemption designed to allow constitutionally permissible, reasonable, health-oriented administrative control over exemptions. The proposal may be useful in political environments that preclude the use of only medical exemptions. Our observations may assist states whose current nonmedical exemption provisions are constitutionally suspect as well as states lacking legally appropriate administrative controls on existing, broad non-medical exemptions.

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2000Individual and Community Risks of Measles and Pertussis Associated With Personal Exemptions to Immunization 1999The immunization system in the United States — The role of school immunization laws 1999Health Consequences of Religious and Philosophical Exemptions From Immunization Laws 2001Processes for obtaining nonmedical exemptions to state immunization laws 2001Religious and Philosophical Exemptions from Vaccination Requirements and Lessons Learned from Conscientious Objectors from Conscription 2005Exemptions to School Immunization Requirements: The Role of School-Level Requirements, Policies, and Procedures

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2008Deciding to Opt Out of Childhood Vaccination Mandates 2016A Tale Of Two States: Mississippi, West Virginia, And Exemptions To Compulsory School Vaccination Laws 2013A Longitudinal Analysis of the Effect of Nonmedical Exemption Law and Vaccine Uptake on Vaccine-Targeted Disease Rates 2017Achieving an Optimal Childhood Vaccine Policy 2011Vaccination Policy and Ethical Challenges Posed by Herd Immunity, Suboptimal Uptake and Subgroup Targeting 2013An Ethical Analysis of Mandatory Influenza Vaccination of Health Care Personnel: Implementing Fairly and Balancing Benefits and Burdens

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