Legislative Challenges to School Immunization Mandates, 2009-2012 [U.S.]

February 12, 2014, Vol 311, No. 6

Legislative Challenges to School Immunization Mandates, 2009-2012
Saad B. Omer, PhD1; Diane Peterson, BS2; Eileen A. Curran, MPH1; Alan Hinman, MD3; Walter A. Orenstein, MD4
Author Affiliations
JAMA. 2014;311(6):620-621. doi:10.1001/jama.2013.282869.

School immunization mandates, implemented through state-level legislation, have played an important role in maintaining high immunization coverage in the United States. Immunization mandates permit exemptions that vary from state to state in terms of type of exemption (eg, religious, personal belief, medical), and administrative ease of obtaining these exemptions. Certain types of exemptions (especially personal belief exemptions) and the ease of obtaining them are predictive of high rates of vaccine exemptions and increased disease risk among exemptors themselves and in the communities in which they reside.1,2