Achieving an optimal childhood vaccine policy

Douglas J. Opel, Jason L. Schwartz, Saad B. Omer, Ross Silverman, Jeff Duchin, Eric Kodish, Douglas S. Diekema, Edgar K. Marcuse, Walt Orenstein

Research output: Contribution to journalReview articlepeer-review

15 Scopus citations

Abstract

Policies to remove parents' ability to opt-out from school immunization requirements on the basis of religious or personal beliefs (ie, nonmedical exemptions) may be a useful strategy to increase immunization rates and prevent outbreaks of vaccine-preventable disease. However, there is uncertainty about the effectiveness of this strategy and the range of possible outcomes.We advocate for a more deliberative process through which a broad range of outcomes is scrutinized and the balance of values underlying the policy decision to eliminate nonmedical exemptions is clearly articulated.We identify 3 outcomes that require particular consideration before policies to eliminate nonmedical exemptions are implemented widely and outline a process for making the values underlying such policies more explicit.

Original languageEnglish (US)
Pages (from-to)893-896
Number of pages4
JournalJAMA Pediatrics
Volume171
Issue number9
DOIs
StatePublished - Sep 2017

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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