Choosing to vaccinate or not vaccinate children has become a large topic of contention between parents and medical personnel. Rates of non-medical vaccine exemptions for children entering public school continue to increase across the country. This increase has coincided with a resurgence in outbreaks of vaccine-preventable diseases, or VPDs (Lynfield, 2014, p.1). There are a variety of reasons why a family might apply for a non-medical exemption and the validity of these exemptions varies from state to state. Regardless of the justifiability of an exemption, growing numbers of non-vaccinated children entering school will increase the prevalence and mortality from VPDs (Lynfield, 2014, p.2). The recommended vaccinations for children entering kindergarten are 4 doses of diphtheria, tetanus toxoid, and acellular pertussis (DTaP), 2 doses of the measles, mumps, and rubella (MMR) vaccine, and 2 doses of the varicella vaccine. The national Healthy People 2020 goal for kindergarten vaccination rates is 95%. Although the majority of states report vaccination rates at or near the goal, clusters of non-vaccinated groups can develop in some communities (Seither, 2014, p.1). Anthropological studies showed that the higher rates of non-vaccination correlated with outbreaks of diseases for which children typically receive vaccines. In reaction to numerous outbreaks related to higher rates of non-vaccinated children, California and other states introduced legislation to make it more
Between 1924 and 2013, vaccinations prevented 103 million cases of polio, measles, rubella, mumps, hepatitis A, diphtheria, and pertussis (Bailey). Vaccinating is “the process by which pathogenic cells are injected into a healthy person in an attempt to cause the body to develop antibodies to a particular virus or bacterium—successful creation of antibodies is referred to as immunity to the disease caused by the particular pathogen” (Introduction to Should Vaccinations be Mandatory). Popular conflicts regarding vaccination include the worry that this form of immunization isn’t natural, the idea that vaccination schedule for children in the U.S. takes away parents’ rights to make decisions for their children, and the concern that vaccinations aren’t safe for all children. Most doctors and scientists advocate for vaccinations in the name of herd immunity, protection against foreign diseases and prevention against pockets of disease outbreaks. Vaccinations should be mandatory for all children in the United States for who they are deemed safe and effective.
While supporting the voluntary immunization for children and defending the right to have information regarding the risk involved with vaccines, the National Vaccine Information Center (NVIC) oppose the elimination of or possible barriers of entry to obtain Non-Medical Exemptions. In an effort to reduce vaccine related injuries and/or death and support those who do not want to receive vaccines due to personal, spiritual, or religious beliefs, the NVIC supports the right to Non-Medical Exemptions. The primary purpose of this paper is to analyze the safety, efficacy, and economic burden of vaccines, as well as the right to choice in regards to Non-Medical Exemptions.
Over the past decade, the concern among parents regarding the safety and effectiveness of childhood vaccinations has become a concern in the United States and other countries around the world. A survey of physicians showed that 89% of the physicians who were surveyed reported at least one refusal of childhood vaccinations by parents each month (Gowda & Dempsey, 2013). Other researchers have noted that as many as 77% of parents have concerned about one or more of the childhood vaccinations that are recommended for children (McKee & Bohannon, 2016). However, organizations such as the World Health Organization (2017) note that not only are childhood vaccinations safe, the reduction in children receiving childhood vaccinations has brought back diseases such as measles that had been completely wiped out in the United States. It is clear that there are opposing viewpoints about childhood vaccinations that need to be understood and examined to determine which side has a better argument.
Parents are bombarded with information when it comes to their children and their children’s health and it happens the moment they are born. One main question they face off the bat is whether to immunize or not. For children ages 0-18, the CDC recommends vaccinations against 16 diseases, many of which could result in devastating illnesses and even death. Several injections coupled with several possibilities of severe reactions, pain, irritation, itching, ect. But through extensive, heavily monitored research and effectiveness, and evidence-based science illustrating the improvements and protection of the community it is clear that their benefits outweigh their risks. This paper will outline why the decision to immunize is one less
Vaccinations are safe and they work. There are many parents who choose for their own reasons to ignore Centers for Disease Control and Prevention (CDC) recommendations to vaccinate and exercise their right to not do so. They run the risk of having their child suffer or even possibly die when they opt-out to having their child vaccinated. Today in the United States, outbreaks of vaccine-preventable disease are often traced to susceptible children whose parents have claimed an exemption from school or child care immunization regulations (CDC, 2014).
In the 1850s the first school vaccination requirement were enacted to prevent smallpox. Federal and state efforts to eradicate measles in the 1960s and 1970s motivated many to mandate policies. By the 1990s, all 50 states requirement for children to be enrolled in school must receive certain immunizations and if these requirements were not met than children were not allowed to be enrolled in school (Center for Disease Control Prevention, 2010). For example, in the state of California, private public school or daycare cannot admit children unless vaccinations were received for all ten of the diseases. If the California Department of Public Health implements a requirement for vaccination parent can be allowed to obtain personal belief exemptions that would allow parents to opt out of vaccination for their children if form is filled out by healthcare professional that states vaccinations were countered to personal beliefs. This law has not been implemented as of yet but should be in 2016. The healthcare of policy decision in laws can have an influence on individuals based on the decision that are made. Health care policy and issues can affect providers and patients in many different ways. Stakeholders’ in the policymakers for vaccination main concern is the safety and health of children so the implement exemptions of laws from concern about vaccine
To prepare for their five- (and soon to be five) year-olds for the first day of school, parents may lay out clothes the night before, pack backpacks and steel themselves for teary goodbyes. They’re also supposed to have made sure their kids are up to date on all state-required vaccinations. But about six percent of the state’s half million kindergarteners won’t have all their shots when they file into class. These undervaccinated students, who in some schools make up to more than half of the entering class, are different from children whose parents who excuse them entirely from vaccinations due to medical issues or personal beliefs. These undervaccinated children can attend school on a “conditional” basis — with the promise to get fully vaccinated soon.
For years, the topic of mandated vaccinations for children has been a highly debated topic among health professionals, educators, parents, and government officials. Currently, the Center for Disease Control recommends that children between the ages of zero and six years should receive twenty-eight doses of ten different vaccines (ProCon.org, 2014). Although there is no federal law that requires that children get vaccinated, all fifty states require certain vaccinations for children before entering public schools (ProCon.org, 2014). These requirements often vary from state to state. All states in the United States allow for medical exemptions to the mandated vaccinations, while forty-eight allow religious exemptions and nineteen allow philosophical exemptions (ProCon.org, 2014). Mandated vaccination has remained a highly controversial topic as it questions whether a person should be able to make choices about his or her own body or if rules can be imposed that mandate vaccinations for the potential greater good of the public’s overall health.
Despite the wide-spread imposition of school vaccination requirements, many states provide exemptions for medical, religious, and, to
Overwhelming amounts of data prove that the 2.6 percent of children not getting their vaccinations not only puts themselves in harm’s way, but also those who surrounds them. A study done by the Los Angeles Times recently showcased the destructive impact of not vaccinating children can be. Their findings being that though the percentage may only be 2 percent of California’s kindergartners do not receive vaccinations. Are clustered, disproportionately and increases the possibility of an outbreak of diseases we once thought eradicated. The clustering of children leads to increase of almost 10 percent of elementary schools statewide that are at risk.
Studies have shown that childhood immunizations nonmedical exemptions have been increasing in many states. This issue creates a public treat. With the utmost concern, when a public treat continues to be a challenge for the public health, further actions on the policy level need to be initiated and actively maintained to ensure public safety. Growing concern shows that higher incidents of nonmedical exemptions calls for new and improved health policies that can lower theses occurrences. New and innovative approaches need to be implemented in order to ensure diseases that are preventable by vaccinations do not impose health threat to the public.
Throughout history, it has been shown that vaccines make a significant impact on the health of our communities and “administration of these vaccines led to dramatic reduction in the number of cases of, as well as deaths from smallpox, polio, diphtheria, pertussis, measles, mumps and preventable diseases” (Jacobson, 2012, p.36). Generally, those involved in campaigns for and research in these preventable diseases attribute vaccines for children as the main contributing factor to the overall decline in diseases such as measles, mumps, smallpox and pertussis (Jacobson, 2012). In the public health setting, there are many issues that threaten the health and safety of the public, not just in the local community but the nation and world-wide. One such issue, surfacing in public health, is the issue of vaccinations; those who choose to vaccinate, those who choose not to vaccinate and those who do not
By the time a child reaches age four or five and is ready to start kindergarten they should be up to date on their immunizations that include Diphtheria, Tetanus, and Pertussis or DTap, Polio, Hepatitis B, Measles, Mumps, and Rubella or MMR and the Varicella or chickenpox vaccine (Shots, n.d.). There are some parents in the United States that have taken a completely different approach when it comes to the health of their child. These same parents are the ones that are outraged that the state of California has now mandated all kindergarten aged children to be up to date on their
Despite vaccinations being credited for the control and elimination of several childhood diseases, there are still many critics who raise concerns about the necessity of vaccination. In a national study of parents performed in 2000, 19% indicated they had “concerns about vaccines” whereas in a subsequent survey performed in 2009 this number had risen to 50%. There has also been a rise in non-medical vaccine exemptions that has occurred over the last several years. In a 2010 national survey of physicians, 89% of respondents reported at least one vaccine refusal by a parent each month (Dempsey & Gowda, 2013). Opposers argue that making school vaccination mandatory is against their right to make personal medical decisions. They feel that the government has no place to force parents to vaccinate their children if the parents decide it is not in their child’s best interest. Many parents are disagreeable about the multiple vaccinations received at one time, which results in possible pain and discomfort for the child. Another argument against vaccination is the safety and efficacy of vaccines. Critics are concerned about the unknown risks vaccines pose to children. Some parents noted their child acquiring a “high fever” or beginning to “act different” after the administration of a vaccine. There is a belief that there is a connection between the measles vaccination and autism. Another theory is that the influenza
Vaccination is a vital primitive measure in order to protect oneself as well as others. Vaccines help prevent illness, and have caused a wipe down of illness like polio. Many people avoid getting vaccinated due to the risks, however, the risks do not even compare to the risk of not getting vaccinated. Getting vaccinated is encouraged so individuals don’t pick up anything while traveling and bring it back to the US. They can spread illness to more vulnerable individuals like infants and cancer patients. Many also believe that that ‘natural’ immunity works better, however the results of not getting vaccinated could be of greater concern. The government doesn’t necessarily have a say in whether a child gets vaccinated however, schools do require immunization records in order to preserve the student body from a chance of getting an disease. There are however ways to get out of taking vaccinations for school needs, however this probably won’t be the best idea. Getting immunizations offer more of an insurance of safety for the student body, as well at the community.