Mandatory Vaccinations for Children: A Health Policy Debate
Holly Milligan
University of New Hampshire
Mandatory Vaccinations for Children: A Health Policy Debate
Vaccines change over time as science makes advancements and diseases processes evolve and emerge. Around 400 BC, Hippocrates recognized the now preventable diseases, such as diphtheria and mumps (Immunization Act Coalition, 2015). The first effort to immunize dates back to the 1100’s when children were inoculated with scabs from individuals who recently had small pox, with a technique coined as variolation. Then in 1796, Edward Jenner successfully created the first small pox vaccine (Immunization Act Coalition, 2015).
According to the Center’s of Disease Control and Prevention (2012), there are no federal requirements for childhood immunizations. While the CDC (2012) provides recommendations, each state sets their own rules and exemptions for schools and childcare attendance. On June 30, 2015, Governor Jerry Brown of California made history by eliminating the exemption from immunizations due to personal beliefs for children in public or private schools; however, medical exemptions initiated by a DO or MD will still be allowed (Royce, 2015; California Department of Public Health, 2015a). In 2013-2014, there were nearly 17000 personal belief vaccination exemptions in California (Almasy, 2015). Throughout the history of vaccinations very strong opinions for or against immunizations have existed,
Mandatory vaccination is an extremely controversial topic because it violates constitutionally protected right to practice religion and personal beliefs in the absence of the true health emergency (First Amendment of the Constitution). The new law destroys the individual rights of parents to make voluntary decisions in the best interest of their children in the health care decisions and diminishes the role of parents in upbringing and educating their children (Skov).
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.
Vaccination was first introduced globally for small pox and later on extended to other communicable diseases which are now known as vaccine preventable disease. Vaccination is beneficial both for individuals and community. This bring us to the ethical dilemma - Vaccination of a healthy child with the intention of protecting both the individual child and the community at the same time exposing the child to the theoretical risk of exposure to disease products whether live, attenuated or killed. There was a time when people never questioned the government or their physicians. Now because of more public awareness and accessibility to medical information, they are questioning the safety aspects of vaccines.
We must not forget how catastrophic disease was in the 17th century. Many people, especially children died early deaths because their bodies just could not fight those diseases. We live in a time and age where vaccines are available to help us fight off diseases that once killed so many. I truly believe that vaccines are essential in maintaining health in human populations. “The number of young children who are not fully vaccinated for preventable diseases has been steadily increasing over the last decade” (Daniel A. Salmon)”. With so many more parents claiming nonmedical exemptions, from what was once routine vaccinations, they are not only leaving their children vulnerable to diseases, but everyone that the unvaccinated child comes in contact with; From the classmates and teachers of these children, as well as other people and children in their community. Vaccines are necessary, and the risks of not being vaccinated far outweigh the small risks associated with vaccination. Preventable diseases can cause permanent disability and death. There has been no correlation between vaccines and developmental disorders such as autism. According to the American Academy of Pediatrics, “most childhood vaccines are 90-99% effective in preventing disease” (Vaccines ProCon.org)”. Vaccines are beneficial for everyone’s protection. Child Vaccinations should be mandatory.
Polio, mumps, and diphtheria are a few of the diseases that have killed numerous amounts of people in the past. Yet, in today’s time, they are diseases people rarely hear about others dying from unless they are discussing the past. The reason for this is modern day vaccinations. Vaccinations are shots that help prevent against certain diseases. Vaccinations not only prevent diseases, but can also cause them to become nearly extinct in treated areas. One example of this would be the small pox vaccine, people were dying from this disease every day, and now you rarely, if ever, hear people talk about it. Although these vaccines are lifesaving, parents are becoming reluctant to provide these treatments for their children. For this reason, all children should be required to get particular vaccinations, unless they have certain medical conditions.
Throughout the years, there have been many serious diseases that plagued the world, a number of which have been eradicated through the widespread administration of vaccinations. In the 1950s, the number of polio cases in the United States was at 58,000, and in 1988, this disease had affected 350,000 people (11 Facts About Polio). Because polio mainly affects children under the age of five, it became very important to parents that something was done to cure and protect their children. When the polio vaccine was created, doctors were able to administer it to people across America, eventually erasing the virus from the country. While the majority of parents in the United States agree that vaccinations should be mandatory for children (excluding certain children with medical conditions preventing vaccination), there are a growing number of parents choosing to take a stand against these rules. Vaccinations are important because when they are administered, the child becomes protected against the diseases, resulting in fewer cases of contraction. In order to protect the children and adults of the United States from many potentially life-threatening illnesses, vaccinations should be mandatory for every able-bodied child.
Recently, many diseases that had been eradicated because of childhood vaccinations have been making an appearance. Health officials are concerned that diseases will spread and lives will be lost. Officials all agree that vaccinations will benefit the population. Some parents feel it is an infringement on the right to keep the children healthy and safe. Vaccinations should be mandatory for all children because it will prevent diseases from spreading, protect future generations, and save children and parents time and money.
Recently, Governor Jerry Brown signed the California Vaccination Bill SB 277. This bill no longer has exceptions based on religious or personal-beliefs, and it requires every single child to have the proper vaccinations in order to be allowed into a public or private school. So if parents truly do not want their child to be vaccinated they would have to homeschool them instead. This bill was influenced by the recent outbreak of measles that started at Disneyland and spread very quickly and caused the infection of one hundred and fifty people. California, Mississippi, and West Virginia are the three states that no longer allow non-medical exemptions. This new law goes into effect on July 1, 2016.
Diseases and illnesses are studied constantly by doctors and scientists trying to find a cure for them. Plague and disease once ravaged our world killing thousands, with no hope or cure to prevent them from occurring. Today, however, is different. Technology is more advanced than ever, and people are living longer than ever before. Life expectancy in the United States has gone up by more than 30 years in the last decades. It isn’t by luck that many diseases now cease to exist, but through extensive studies, and research. The medical field is at the height of its studies with more people being cured of diseases than ever before. Most of this is to the credit of doctors and scientists developing vaccinations that help the body create antibodies, which help fight away diseases, and give the body immunity. I believe that forced vaccinations in children should be mandatory as they have the potential to prevent life threatening diseases, and save countless lives. Though many are against forced vaccinations and say they can cause mental illnesses or brain damage, this has not been proven. The rewards far out way the slight risk, if risk at all of the vaccination having side effects. The individuals who are not vaccinated are left vulnerable to illness, and can potentially infect those around them as well. Leaving scare of an epidemic, and wide spread of a virus. Forced vaccinations in the United States have been beneficial by preventing young children from contracting certain
In the United States, the law states that vaccinations are required for children entering school unless they have a valid reason that prevents them from receiving the vaccinations. Starting when children are born, they begin the regimen of vaccinations that continue throughout their adolescent years and adulthood. Each year children receive a variation of shots to protect them from the illnesses they will encounter in the world, especially once they attend school. The most common reasons parents forego getting their children vaccinated are religious beliefs, medical exemptions, and personal beliefs. Due to the rising number of parents declining to get their children vaccinated, the number of outbreaks of preventable diseases has increased. The question is now should parents/guardians be forced to vaccinate their children?
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
For many years, there has been a controversy about whether or not vaccinations should be mandated for everyone. In the United States, many diseases such as polio, diphtheria, measles, and whooping cough used to be extremely common, until vaccinations came around and started preventing these diseases. The main point for vaccines is to prepare a person’s immune system for any possible attack of a disease that comes in the future; a person’s body will be prepared to fight off the disease with the vaccine (“Basics”). Vaccines have the ability to prevent many cases of these diseases in advanced, but there are people who think vaccines are unnatural and should not be required for their children. It is said that immunity in child vaccines are about 90%-100%, which is an increase over the past few years (“Childhood”). Although many Americans believe that vaccines are unsafe and cause autism in children, vaccinations for children should be mandatory because they can save a child’s life, create herd immunity in a community, and they have been proven safe/cost-effective.
Because of advancements in medicine, vaccinations are becoming a widespread medium in the prevention of disease. They have provided the eradication and immunity to many deadly diseases such as smallpox, polio and rubella. Although there is no law that mandates the vaccination of children, they are necessary to prevent the infliction of disease and harm. By making the decision to vaccinate their children, a parent has the potential to save their lives.
Over the years, there has been much controversy surrounding the subject of childhood vaccinations. With differing opinions, many are in favor about childhood vaccinations being required for children. Children vaccinations have been proven to be an effective means of preventing serious effects, including fatalities, from childhood illnesses yet there is still controversy over whether the risk of side effects from the vaccines outweighs the risk of contracting diseases. The belief behind mandatory vaccinations has been linked to people wanting vaccinations to be required for children because it will prevent the spread of childhood diseases, but there are still questions and concerns around why childhood vaccinations should be required. Questions surrounding this topic are: why should vaccines be required, are there any serious risks involved in vaccinating your child, and should children be turned away from school if they do not have vaccinations? There is also the question of should these vaccinations be mandatory or should this solely be a choice that the parents of the child should make? In order for us to be able to take our stance on the subject, we need to examine the answers to the question.
Immunization via vaccines has been a hot topic of debate in recent years. As with many issues advocates for and against vaccines can be found. The problem that has been identified is that Nevada is one of many states in the country that is considered to be more lenient on vaccination requirements for school aged children. The Nevada school system will take medical and religious exemptions when it comes to vaccinations. All fifty states and the District of Columbia grant medical exemptions to immunization requirements (Blank, Caplan, & Constable, 2013). While medical exemptions are a rational reason as to why children cannot receive certain vaccines the question that is being asked is: whether or not religious exemptions are a good enough reason to not have a child vaccinated? These exemptions can cause an increase in acquiring and