Abstract
Outcome of Coronavirus Disease 2019 on School Vaccination Policies for 2020-2021
Highlights
In 2019, the US experienced a record number of measles cases, the most since 1992.1 Most cases were seen in individuals who had not received vaccinations.[1]
Most states allow nonmedical exemptions based on religious grounds, and some allow a personal belief or philosophical exemption
Vaccine refusal is associated with a large proportion of measles and pertussis cases in some communities.[4]
Summary
One of the most effective ways to achieve high rates of child vaccination is to require a defined set of immunizations before entry into childcare and school. Twenty-two measles outbreaks occurred in the US in 2019, which almost resulted in the US losing its measles elimination status (which was obtained in 2000).[1] Almost 90% of reported measles cases occurred in individuals who were unvaccinated for the disease.[1] There are various negative actions states may take during a pandemic, including not enforcing school entry requirements or allowing attendance for students with incomplete vaccinations for a limited time. These actions will result in community risk for vaccine-preventable outbreaks
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