Governor Shumlin (reluctantly) signs legislation to remove philosophical or “personal belief” exemptions from vaccination law.
A 2012 version had allowed parents to claim a philosophical or so-called “personal belief” exemption for their children but required the parents to review “educational materials” before claiming it. There was no way to enforce the educational mandate. There is no doubt that strategy did not work: areas of the state remain below 80% immunization rates necessary to protect the vulnerable population, those with compromised immune systems or too young to be vaccinated. Meanwhile the rate of philosophical exemptions filed by parents of kindergartners climbed from 5.1% to 5.9% in 2014, and dense pockets of vaccine non-compliance in some communities provide the ideal environment for an epidemic to take hold.
Vermont was one of the three worst states for cases of whooping cough. The record number of cases in 2012 should have been enough to get the 2012 bill turned around, but it wasn’t until the recent US outbreak of measles that the Vermont legislature took a stand for public health.
It’s important to note that Vermont still retains a “religious” exemption from vaccination, as do 46 other states, and medical exemptions as do all 50 US states. It doesn’t seem possible to predict parental response to vaccination requirements with regards to “personal” versus “religous” exemptions, but the data are certainly clear that allowing only medical exemptions gets vaccination rates up to 99.7%.
It’s nice not having measles in Mississippi. Now, maybe it can be nice not having measles in Vermont, either.
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