Public Health Achievements Of The 20th Century

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.

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.

As Ezekiel Emanuel, an American oncologist said, “Childhood vaccines are one of the great triumphs of modern medicine. Indeed, parents whose children are vaccinated no longer have to worry about their child’s death or disability from whooping cough, polio, diphtheria, hepatitis, or a host of other infections.” For millions of years diseases have plagued entire populations, and in the late 1700s, Edward Jenner invented the smallpox vaccination which brought about a new era of disease prevention. Vaccinations should be enforced because they save lives, rarely cause reactions, and have eliminated diseases.

Despite significant progress in the fight against preventable disease, millions still die needlessly each year. According to UNICEF, originally known as the United Nations International Children’s Emergency Fund, a vaccine preventable disease is responsible for 2 million fatal infections worldwide each year. About 75% of these deaths occur in children under five years of age. (N) In more vivid terms, UNICEF notes that vaccine-preventable diseases kill a child every 20 seconds. (D) Due to high rates of childhood vaccination, the United States has experienced a dramatic reduction in such deaths. A comparison of the years 1950 and 2010 clearly illustrates the benefits of vaccinations. During this 60-year period, deaths from diphtheria reduced from 410 to 0, tetanus from 336 to 3, pertussis from 1,118 to 26, and polio from 1,904 to 0. Measles deaths dropped from 468 in 1950 to 0 in 2008, the last year a United States death rate was recorded. It’s not surprising that vaccinations have been touted as one of the top ten health achievements of the 20th century by the Centers for Disease Control and Prevention (CDC).

Childhood vaccinations have not been a topic of controversy until recent times. Due to the recent outbreaks of diseases that were thought to be eliminated, people are now investigating vaccinations. State representatives and Congressional people have even gotten on the bandwagon to emphasize the importance of vaccinations. Many states already require children to be vaccinated before entering school, but states allow religious, medical, or personal exemptions. Getting rid of these exemptions would be beneficial to not only parents and children, but also to members of society. Having children vaccinated at a young age when the immune system can respond correctly to vaccines will benefit the future health of children. Children are more at danger at a younger age to catch infectious diseases. Vaccines are a safe way to prevent the child from getting sick. “Proponents say that vaccination is safe and one of the greatest health developments of the 20th century”

Throughout history people have seen many public health innovations. Numerous advancements were made between 2001 and 2010. These advancements include “tobacco control, motor vehicle safety, public health preparedness and response, and occupational safety.” (Ten Great Public Health Achievements --- United States, 2001—2010) One of the most important innovations was vaccine preventable diseases. Many people believe that it is right for the government to necessitate children to be vaccinated. Others think it is wrong and that the parents should decide what is best for their children’s health. It is beneficial for the United States government to require young children in the United States to get vaccinations including hepatitis A and B,

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 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.

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.

Millions of lives have been saved thanks to a global effort to vaccinate for deadly diseases. Peter Yeo reports “Immunizations have saved more children than any other medical intervention in the last 50 years” (Reforming the U.N. 118). Yet, a new trend for parents is opting out of vaccinating their children for personal beliefs or religious exemptions. Although, the majority of Americans believe vaccines protect children, and conclusive evidence has proven vaccines can prevent the spread of deadly diseases. Still, a few parents believe vaccinating children is not essential for their health, additionally, they believe an increase in mandatory vaccines has insufficient scientific research to prevent serious medical side effects.

Jenner. His experiments were extremely primal, however, and from that point on the vaccine production rate and quality rose exponentially. In 1809 the first United States law requiring vaccinations for smallpox was written after frequent outbreaks created great health and economic consequences.(Omer, 2011, 169-182). Before vaccines for children were created children died by the thousands from disease like in the 1920’s when diphtheria used to take on average 10,000 lives of children every year. The first vaccine as we have come to know them today emerged in 1914 with the first pertussis or whooping cough vaccine. This was followed by several Supreme Court decisions cementing a states right to create vaccination and school immunization laws regarding unvaccinated children and their ability to attend public and private schools. These decisions included the Jacobson v. Massachusetts decision of 1905 and a 1922 decision on a San Antonio, Texas case about a girl excluded from both public and private schools due to her lack of vaccination. Social call for change in the 1970’s called for the exclusion of unvaccinated children from schools to create quick improvement and controlled outbreak of a measles virus running rampant in the country. Thus after much legislative and social change on the subject of unvaccinated children’s exposure to

“Prevention is better than cure.” This common statement could not relate any better than it does with the controversy surrounding the morality, effectiveness, and safety of childhood immunizations. The major argument is whether or not laws should be established to declare vaccination mandatory for all children. “The US food and Drug administration (FDA) regulates all vaccines to ensure safety and effectiveness,” (ProCon.org, 2012) therefor there should not be any reason to risk the health of any child. Vaccinating our children not only ensures their safety but also that of their future to come.

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