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The Conversation
The Conversation
Y. Tony Yang, Endowed Professor of Health Policy and Associate Dean, George Washington University

Strict school vaccine mandates work, and parents don’t game the system − new research

Families are increasingly seeking nonmedical exemptions to routine childhood vaccines, making communities more vulnerable to preventable diseases. FatCamera/E+ via Getty Images

When four states between 2015 and 2021 stopped allowing parents to opt their children out of receiving routine vaccines without a medical reason, vaccination rates among kindergartners increased substantially. That’s the key finding from our new study published in the medical journal JAMA Pediatrics.

All states require children entering kindergarten to be vaccinated against infectious diseases like measles and polio. Parents can request medical exemptions if, for example, their child has a severe allergy to a vaccine ingredient. But most states also allow nonmedical exemptions based on religious or philosophical beliefs. To examine whether state policy on vaccine exemptions could counter falling vaccination rates, we probed data from approximately 2.8 million kindergartners across multiple states from 2011 to 2023.

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