Intended for healthcare professionals


Boosting vaccination rates . . . and other others

BMJ 2019; 365 doi: (Published 20 June 2019) Cite this as: BMJ 2019;365:l2427

Legislation to improve vaccination rates

In 2016 California tightened its immunisation requirements for schoolchildren. Parental requests for exemption because of personal or religious beliefs were no longer granted. This had an immediate impact and the proportion of children starting school without up-to-date vaccination decreased from 7% to 4% (Paediatrics doi:10.1542/peds.2018-3301). A year later however, the number of unvaccinated schoolchildren given an exemption on medical grounds increased. The likely explanation is that parents who don’t want their children to be vaccinated find new ways to avoid it.

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