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义务入学疫苗接种法及豁免:安大略省有哪些人选择不接种疫苗,这为何重要?

Compulsory school-entry vaccination laws and exemptions: who is opting out in ontario and why does it matter?

作者信息

Mah Catherine L, Guttmann Astrid, McGeer Allison, Krahn Murray, Deber Raisa B

机构信息

Postdoctoral Fellow, School of Public Policy and Governance, University of Toronto Toronto, ON.

出版信息

Healthc Policy. 2010 May;5(4):37-46.

Abstract

School-entry vaccination regulations are a policy instrument that has been widely used in some jurisdictions as a mechanism to ensure high immunization coverage rates. Exemptions to school-entry vaccination, which can be allowed on medical or non-medical grounds, present a number of ethical and policy challenges. In this paper, we consider the situation in Canada, where school-entry vaccination laws are rare. We present newly available aggregate-level registry data from Ontario comparing the use of medical and non-medical immunization exemptions to school-entry vaccination and the implications for population health.

摘要

入学疫苗接种规定是一种政策工具,在一些司法管辖区被广泛用作确保高免疫覆盖率的一种机制。因医学或非医学原因可获准的入学疫苗接种豁免带来了一些伦理和政策挑战。在本文中,我们考察加拿大的情况,该国入学疫苗接种法律很少见。我们展示了安大略省最新可得的汇总登记数据,比较了医学和非医学免疫豁免在入学疫苗接种中的使用情况及其对人群健康的影响。

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