Medical versus nonmedical immunization exemptions for child care and school attendance

Committee on Practice and Ambulatory Medicine, Committee on Infectious Diseases, Committee on State Government Affairs, Council on School Health, Section on Administration and Practice Management

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Routine childhood immunizations against infectious diseases are an integral part of our public health infrastructure. They provide direct protection to the immunized individual and indirect protection to children and adults unable to be immunized via the effect of community immunity. All 50 states, the District of Columbia, and Puerto Rico have regulations requiring proof of immunization for child care and school attendance as a public health strategy to protect children in these settings and to secondarily serve as a mechanism to promote timely immunization of children by their caregivers. Although all states and the District of Columbia have mechanisms to exempt school attendees from specific immunization requirements for medical reasons, the majority also have a heterogeneous collection of regulations and laws that allow nonmedical exemptions from childhood immunizations otherwise required for child care and school attendance. The American Academy of Pediatrics (AAP) supports regulations and laws requiring certification of immunization to attend child care and school as a sound means of providing a safe environment for attendees and employees of these settings. The AAP also supports medically indicated exemptions to specific immunizations as determined for each individual child. The AAP views nonmedical exemptions to school-required immunizations as inappropriate for individual, public health, and ethical reasons and advocates for their elimination.

Original languageEnglish (US)
Article numbere20162145
JournalPediatrics
Volume138
Issue number3
DOIs
StatePublished - Sep 2016

Fingerprint

Child Care
Immunization
Public Health
Pediatrics
Puerto Rico
Certification
Caregivers
Communicable Diseases
Immunity

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Committee on Practice and Ambulatory Medicine, Committee on Infectious Diseases, Committee on State Government Affairs, Council on School Health, Section on Administration and Practice Management (2016). Medical versus nonmedical immunization exemptions for child care and school attendance. Pediatrics, 138(3), [e20162145]. https://doi.org/10.1542/peds.2016-2145

Medical versus nonmedical immunization exemptions for child care and school attendance. / Committee on Practice and Ambulatory Medicine, Committee on Infectious Diseases, Committee on State Government Affairs, Council on School Health, Section on Administration and Practice Management.

In: Pediatrics, Vol. 138, No. 3, e20162145, 09.2016.

Research output: Contribution to journalArticle

Committee on Practice and Ambulatory Medicine, Committee on Infectious Diseases, Committee on State Government Affairs, Council on School Health, Section on Administration and Practice Management 2016, 'Medical versus nonmedical immunization exemptions for child care and school attendance', Pediatrics, vol. 138, no. 3, e20162145. https://doi.org/10.1542/peds.2016-2145
Committee on Practice and Ambulatory Medicine, Committee on Infectious Diseases, Committee on State Government Affairs, Council on School Health, Section on Administration and Practice Management. Medical versus nonmedical immunization exemptions for child care and school attendance. Pediatrics. 2016 Sep;138(3). e20162145. https://doi.org/10.1542/peds.2016-2145
Committee on Practice and Ambulatory Medicine, Committee on Infectious Diseases, Committee on State Government Affairs, Council on School Health, Section on Administration and Practice Management. / Medical versus nonmedical immunization exemptions for child care and school attendance. In: Pediatrics. 2016 ; Vol. 138, No. 3.
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abstract = "Routine childhood immunizations against infectious diseases are an integral part of our public health infrastructure. They provide direct protection to the immunized individual and indirect protection to children and adults unable to be immunized via the effect of community immunity. All 50 states, the District of Columbia, and Puerto Rico have regulations requiring proof of immunization for child care and school attendance as a public health strategy to protect children in these settings and to secondarily serve as a mechanism to promote timely immunization of children by their caregivers. Although all states and the District of Columbia have mechanisms to exempt school attendees from specific immunization requirements for medical reasons, the majority also have a heterogeneous collection of regulations and laws that allow nonmedical exemptions from childhood immunizations otherwise required for child care and school attendance. The American Academy of Pediatrics (AAP) supports regulations and laws requiring certification of immunization to attend child care and school as a sound means of providing a safe environment for attendees and employees of these settings. The AAP also supports medically indicated exemptions to specific immunizations as determined for each individual child. The AAP views nonmedical exemptions to school-required immunizations as inappropriate for individual, public health, and ethical reasons and advocates for their elimination.",
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