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Point and Counterpoint |

POINT: Should Childhood Vaccination Against Measles Be a Mandatory Requirement for Attending School? YesMandatory Measles Vaccination. Yes

Ross D. Silverman, JD, MPH; Kristin S. Hendrix, PhD
Author and Funding Information

From the Indiana University Fairbanks School of Public Health (Prof Silverman); the McKinney School of Law (Prof Silverman); Children’s Health Services Research (Dr Hendrix), Department of Pediatrics, Indiana University School of Medicine; Indiana University Center for Bioethics (Dr Hendrix); and The Regenstrief Institute, Inc (Dr Hendrix).

CORRESPONDENCE TO: Ross D. Silverman, JD, MPH, Indiana University Fairbanks School of Public Health, and McKinney School of Law, 714 N Senate Ave, EF250, Indianapolis, IN 46202; e-mail: rdsilver@iu.edu


FUNDING/SUPPORT: Dr Hendrix is supported by the National Institutes of Health [Grant K01AI110525].

CONFLICT OF INTEREST: R. D. S. has, in the past 3 years, received funding for his work as a mentor in a Robert Wood Johnson Foundation/Georgia State University program on public health law education and has spoken publicly on the issue of vaccine law, policy, and ethics. K. S. H. has received grant funding from the National Institutes of Health and The Indiana University Clinical and Translational Sciences Institute Pediatric Project Development Team to study vaccine attitudes and decision-making. She has also been quoted by various public news and media outlets on the topic of childhood immunization and parental attitudes.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;148(4):852-854. doi:10.1378/chest.15-1163
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A measles outbreak linked to California’s Disneyland has led to > 300 cases in at least seven states, Mexico, and Canada through March 2015. Most cases occurred in people choosing to forego vaccination.1,2 The costs associated with this outbreak exceed those borne by individuals opting out of vaccination: > 10% of the California cases occurred in children too young to be vaccinated, schools and daycares were forced either to close or to enforce policies excluding unvaccinated and vulnerable children for multiple weeks, and health departments spent scores of personnel hours—and hundreds of thousands of dollars from limited budgets—containing the spread of this vaccine-preventable illness.1,2

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