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. 2017 Sep 5;318(9):863-864.
doi: 10.1001/jama.2017.9242.

Change in Medical Exemptions From Immunization in California After Elimination of Personal Belief Exemptions

Affiliations

Change in Medical Exemptions From Immunization in California After Elimination of Personal Belief Exemptions

Paul L Delamater et al. JAMA. .

Abstract

This study evaluates the statewide change in medical exemptions in the first year under California Senate bill 277 and if medical exemptions increased in regions with high personal belief exemption use prior to its enactment.

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Conflict of interest statement

Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.

Figures

Figure.
Figure.. County-Level Change in the Percentage of Incoming Kindergarteners With a Medical Exemption From 2015 to 2016
Two counties were not included in the analysis due to data censoring.

References

    1. California Legislative Information Health and safety code: chapter 1: educational and child care facility immunization requirements [120325-120380]. https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawC.... Accessed April 8, 2017.
    1. SB 277, 2015-2016 Leg, Reg Sess (Ca 2015).
    1. Centers for Disease Control and Prevention Contraindications and precautions. https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/contraindication.... Accessed June 6, 2017.
    1. Mello MM, Studdert DM, Parmet WE. Shifting vaccination politics—the end of personal-belief exemptions in California. N Engl J Med. 2015;373(9):785-787. - PubMed
    1. Committee On Practice And Ambulatory Medicine; Committee On Infectious Diseases; Committee On State Government Affairs; Council On School Health; Section On Administration and Practice Management Medical vs nonmedical immunization exemptions for child care and school attendance. Pediatrics. 2016;138:e20162145. - PubMed