2006
DOI: 10.1016/s0140-6736(06)68144-0
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Compulsory vaccination and conscientious or philosophical exemptions: past, present, and future

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Cited by 214 publications
(144 citation statements)
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“…The history of vaccination documents indeed that the path toward increasing degrees of diseases control, for instance in the case of smallpox, has not been "linear" but rather constellated by episodes of coverage upswing arising from the tension between public health targets and individual freedom, i.e. between compulsory vaccination and conscientious or philosophical exemption [11]. In very recent times the dramatic decline in coverage of the Measles-Mumps-Rubella vaccine (MMR) in the UK (CDR 2004) has been explained by the reaction of the public to the adverse publicity about possible links between the vaccine, autism, and Crohn's disease [15], similar to what happened few years before to the HBV coverage due to the "Thimerosal" case [6].…”
Section: Introduction and Main Resultsmentioning
confidence: 99%
“…The history of vaccination documents indeed that the path toward increasing degrees of diseases control, for instance in the case of smallpox, has not been "linear" but rather constellated by episodes of coverage upswing arising from the tension between public health targets and individual freedom, i.e. between compulsory vaccination and conscientious or philosophical exemption [11]. In very recent times the dramatic decline in coverage of the Measles-Mumps-Rubella vaccine (MMR) in the UK (CDR 2004) has been explained by the reaction of the public to the adverse publicity about possible links between the vaccine, autism, and Crohn's disease [15], similar to what happened few years before to the HBV coverage due to the "Thimerosal" case [6].…”
Section: Introduction and Main Resultsmentioning
confidence: 99%
“…Although forms of exemption to vaccination have always existed [23], the "natural history" of vaccination programmes, as part of the historical pathway through which humankind progressively rids itself of infectious diseases, has always been pervaded by a high degree of optimism [5]. However, recently this optimistic view has increasingly been challenged: for example, opposition to the whole-cell pertussis vaccine [12], the thimerosal case [16], and the MMR scare [20] can be considered evidence that in industrialized countries, the success story of vaccination is feeding back on itself.…”
Section: Introductionmentioning
confidence: 99%
“…In our previous work [11,12] we have described vaccination free-riding as "rational exemption", in order to distinguish it from other forms of exemption observed in the history of vaccination, e.g. conscientious, religious, or philosophical [24]. An increasing number of papers is being devoted to the study of the implications of rational exemption for the dynamics and control of vaccine preventable diseases.…”
Section: Introductionmentioning
confidence: 99%