Conditional admission, religious exemption type, and nonmedical vaccine exemptions in California before and after a state policy change
Conditional admission, religious exemption type, and nonmedical vaccine exemptions in California before and after a state policy change
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DOI：
10.1016/j.vaccine.2018.05.050
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发表时间：
2018-06-18
期刊：
影响因子：
5.5
通讯作者：
Omer, Saad B.
中科院分区：
文献类型：
--
作者：
Buttenheim, Alison M.;Jones, Malia;Omer, Saad B.
最近在美国爆发的麻疹和百日咳疫情使全国的注意力集中在关于免除入学强制性疫苗的州法律上。在加州，经过几年的非医疗豁免增加，州议会于2012年通过了第2109号议会法案，要求父母获得医疗保健提供者的签名，从而使非医疗豁免更加难以获得。我们使用来自加州公共卫生部的数据来描述2012-2013学年到2015-2016学年个人信仰豁免的总体流行率和免疫状态的组成变化。在2013年的2109号法案实施后，全州的免税率从2013年的3.1%下降到2014年的2.5%，然后下降到2015年的2.3%，比2013年的峰值下降了25%。需要继续监测豁免率和拒绝接种疫苗的情况，以监测和保护群体免疫力，预防疫苗可预防的疾病。(C)2018爱思唯尔有限公司版权所有
Recent measles and pertussis outbreaks in the US have focused national attention on state laws governing exemptions from mandatory vaccines for school entry. After several years of increases in nonmedical exemptions in California, the state assembly passed Assembly Bill 2109 in 2012, making nonmedical exemptions more difficult to obtain by requiring parents to obtain a signature from a health care provider. We used data from the California Department of Public Health to describe changes in the overall prevalence of personal belief exemptions and compositional changes in immunization status for the school years 2012-2013 through 2015-2016. Following the implementation of Assembly Bill 2109, the statewide exemption rate declined from 3.1% in 2013 to 2.5% in 2014 and then to 2.3% in 2015, representing a 25% reduction from the 2013 peak. Continued surveillance of exemption rates and vaccine refusal are needed to monitor and protect herd immunity against vaccine-preventable diseases. (C) 2018 Elsevier Ltd. All rights reserved.