Articlegreen2001

Processes for obtaining nonmedical exemptions to state immunization laws

Jennifer S. Rota · Daniel A. Salmon · Lance Everett Rodewald · R T Chen · Beth F. Hibbs · Eugene J. Gangarosa

141 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

OBJECTIVES: This study sought to determine the specific processes required for obtaining religious and philosophical exemptions to school immunization laws. METHODS: State health department immunization program managers in the 48 states that offer nonmedical exemptions were surveyed. Categories were assigned to reflect the complexity of the procedure within a state for obtaining an exemption. RESULTS: Sixteen of the states delegated sole authority for processing exemptions to school officials. Nine states had written policies informing parents who seek an exemption of the risks of not immunizing. The complexity of the exemption process, in terms of paperwork or effort required, was inversely associated with the proportion of exemptions field. CONCLUSIONS: In many states, the process of claiming a nonmedical exemption requires less effort than fulfilling immunization requirements.

Citations in this library

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References

1998Impact of anti-vaccine movements on pertussis control: the untold story 1999The immunization system in the United States — The role of school immunization laws 1999Health Consequences of Religious and Philosophical Exemptions From Immunization Laws 1986INDIVIDUAL VERSUS PUBLIC PRIORITIES IN THE DETERMINATION OF OPTIMAL VACCINATION POLICIES

Cited by

2004Knowledge, Attitudes, and Beliefs of School Nurses and Personnel and Associations With Nonmedical Immunization Exemptions 2013Exempting Schoolchildren From Immunizations: States With Few Barriers Had Highest Rates Of Nonmedical Exemptions 2007Vaccination Mandates: The Public Health Imperative and Individual Rights 2017Improving Nonmedical Vaccine Exemption Policies: Three Case Studies 2015Some State Vaccination Laws Contribute To Greater Exemption Rates And Disease Outbreaks In The United States 2001Religious and Philosophical Exemptions from Vaccination Requirements and Lessons Learned from Conscientious Objectors from Conscription 2018Experiences With Medical Exemptions After a Change in Vaccine Exemption Policy in California 2005Exemptions to School Immunization Requirements: The Role of School-Level Requirements, Policies, and Procedures

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