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Public health and the politics of school immunization requirements

Author

Listed:
  • Salmon, D.A.
  • Sapsin, J.W.
  • Teret, S.
  • Jacobs, R.F.
  • Thompson, J.W.
  • Ryan, K.
  • Halsey, N.A.

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 nonmedical exemptions.

Suggested Citation

  • Salmon, D.A. & Sapsin, J.W. & Teret, S. & Jacobs, R.F. & Thompson, J.W. & Ryan, K. & Halsey, N.A., 2005. "Public health and the politics of school immunization requirements," American Journal of Public Health, American Public Health Association, vol. 95(5), pages 778-783.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.046193_9
    DOI: 10.2105/AJPH.2004.046193
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    Cited by:

    1. Kimberly M. Thompson & Grace E. Logan & Florida SHOTS™ Research Team, 2016. "Characterization of Heterogeneity in Childhood Immunization Coverage in Central Florida Using Immunization Registry Data," Risk Analysis, John Wiley & Sons, vol. 36(7), pages 1418-1426, July.
    2. Hair, Nicole L. & Gruber, Anja & Urban, Carly, 2021. "Personal belief exemptions for school-entry vaccinations, vaccination rates, and academic achievement," Journal of Health Economics, Elsevier, vol. 78(C).
    3. G. Vimala & Siti Zobidah Omar, 2016. "Interpersonal Communication skill Barrier Faced by Cardiology Doctors at National Heart Centre Malaysia," International Journal of Academic Research in Business and Social Sciences, Human Resource Management Academic Research Society, International Journal of Academic Research in Business and Social Sciences, vol. 6(6), pages 355-369, June.

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