Non-Medical Exemptions: Case Study

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.

This poses the question that if vaccinations can protect a child from a major illness why are parents choosing not to vaccinate their children?

Vaccinations play a very large part in the prevention of diseases spreading. When enough people, 95% according to the CDC, have been vaccinated, the other 5% not vaccinated are protected through herd immunity (Kluger). This term is often used in discussion with

“Vaccines save lives; fear endangers them. It's an unpretentious message parents need to keep hearing.” –Jeffery Kluger. The change in seasons can be intense for some people. It triggers them to become ill and get sick if they do not take care of themselves. Children, among these people, are more prone to becoming ill because their immune systems are not yet fully developed. A great number of parents do not know that getting their children vaccinated when recommended by doctors is a simple solution to childhood illnesses. Therefore, there should be stricter legal regulations that encourage parents to ensure that their children receive vaccinations. This will raise the awareness of vaccinations which will help more people receive them so

“Another area that has been linked to vaccination status is provider’s lack of knowledge about the indications for and contraindications to immunization” (MDH, 2008 p. 18). Providers must have knowledge about vaccines before educating patients about it. Patients or parents of the child may delay vaccination due to lack of education about vaccines. A massive amount of parents have concerns about “vaccines may actually be the cause of conditions such as autism, hyperactivity, diabetes, multiple sclerosis (MS), and sudden infant death syndrome (SIDS)” ( MDH, 2008 p. 18). Parents still believe this even though scientist have showned that side effects are not related to these

Hendrix, Kristin S., et al. "Ethics and Childhood Vaccination Policy in the United States." American Journal of Public Health, vol. 106, no. 2, Feb. 2016, pp. 273-278. EBSCOhost, doi:10.2105/AJPH.2015.302952.

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

Often debated, with strong convictions on each side, timely immunizations for children do more good then harm. Over the last few years, a phenomenon has come to our door steps. It used to be that all parents would immunize their children, without fail, because doctors told them to. In the past, the only non-immunized children were the children with health deficiencies. These children depended on the “herd” mentality. However, times are changing and parents are choosing to not immunize their children mainly based on these reasons: the possibility of them getting autism, parental lack of education about immunizations and lastly they believe that the illnesses that children are being immunized against are gone and immunizations are no longer needed.

Vaccinations are considered to be the greatest health development of the 20th century. 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.

Likewise, some people should not receive vaccinations. These individuals should not receive vaccinations due to their age, health conditions, among other factors. These other conditions are independent depending on the type of vaccination received. “They can range from an individual who cannot swallow, to a pregnant woman, to a person with a life-threatening allergy, to a component in the vaccination” (Hales 543). A small percentage of individuals do not respond to a particular vaccine. ”All states provide medical exemptions, and some state laws also offer exemptions for religious and philosophical reasons” (State Vaccination Requirements). “Some religions even prevent certain parents from vaccinating their children because of their belief that the disease is a naturally occurring thing and humans have no right interfering with it” (Hales 544). However, most state laws establish vaccination requirements for school children. These laws apply to public schools, private schools, and day care centers. “State laws also establish mechanisms for enforcement of school vaccination requirements” (State Vaccination Requirement). “Vaccines save

Certainly, supporting the use of immunization at a young age for children is a practical strategy to maintain their health and wellness. Thanks to parents who choose to immunize their children on a voluntary basis, the public health is protected, and there is a reduction in the spread of infectious diseases across the Untied States. Jane Lemons reports, “Although the vast majority of Americans continue to vaccinate their children, studies have found that as many as 1 in 10 parents are delaying or forgoing some or all recommended vaccines for their children” (169).

When children who have been vaccinated do contract a disease, despite being vaccinated against it, they usually have milder symptoms with less serious complications than an un-vaccinated child that gets the same disease. It is true that some children who receive vaccinations may still become ill when exposed to other disease-ridden children. Research shows that 70-90% of the entire population must be vaccinated to attain “herd immunity”, “the resistance of a group to attack by a disease to which a large proportion of the members are immune.” (Farlex, 2012) When herd immunity is accomplished the spread of the disease can be averted throughout. If all parents were to take proper responsibilities and keep their children’s immunizations up-to-date, herd immunity would be achieved against all 16 of the major life threatening diseases.

Should children’s health be at risk for the greater good of community health? The news today is full of tragic stories about complications of vaccine use and there have been injuries from the beginning of vaccine use due to incomplete data on the side effects. The injuries have also brought about changes in the way vaccines are manufactured. The Georgia State Government requires citizens to receive vaccines in order to attend day care, go to school, and work at certain jobs and each state has its own mandates as well. The only way to get around the vaccine is to claim religious or medical exception. For either of these exceptions, one has to have a notarized affidavit for religious exception or a

To fully understand the argument for mandated vaccinations, it is important to understand how different States define the word, “mandate,” and the Supreme Court’s reasoning behind upholding vaccination laws. Many would associate the word “mandate” with an order or command, or something that signifies requirement or inexcusableness, but States’

Now, many once-forgotten diseases are reappearing. TIME Magazine reported that “In 2014, the U.S. experienced a major outbreak of measles that totaled 383 cases and was primarily spreading among an unvaccinated Amish community in Ohio.” (Measles Outbreak) The number of cases of these diseases is going up when it can be easily prevented. Worldwide, “Measles is one of the leading causes of death among young children even though a safe and cost-effective vaccine is available.” (World Health