Ethics and Childhood Vaccination Policy in the United States

被引:50
作者
Hendrix, Kristin S. [1 ]
Sturm, Lynne A. [1 ]
Zimet, Gregory D. [1 ]
Meslin, Eric M. [2 ]
机构
[1] Indiana Univ Sch Med, Dept Pediat, Indianapolis, IN 46202 USA
[2] Indiana Univ Sch Med, Ctr Bioeth, Indianapolis, IN 46202 USA
基金
美国国家卫生研究院;
关键词
SCHOOL IMMUNIZATION REQUIREMENTS; PUBLIC-HEALTH; NONMEDICAL EXEMPTIONS; REFUSES VACCINES; DECISION-MAKING; SOCIAL NETWORKS; HERD-IMMUNITY; PARENTS; MEASLES; PROVIDER;
D O I
10.2105/AJPH.2015.302952
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Childhood immunization involves a balance between parents' autonomy in deciding whether to immunize their children and the benefits to public health from mandating vaccines. Ethical concerns about pediatric vaccination span several public health domains, including those of policymakers, clinicians, and other professionals. In light of ongoing developments and debates, we discuss several key ethical issues concerning childhood immunization in the United States and describe how they affect policy development and clinical practice. We focus on ethical considerations pertaining to herd immunity as a community good, vaccine communication, dismissal of vaccine-refusing families from practice, and vaccine mandates. Clinicians and policymakers need to consider the nature and timing of vaccine-related discussions and invoke deliberative approaches to policymaking.
引用
收藏
页码:273 / 278
页数:6
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