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Mention has been made in previous letters of the numerous polemics that have been published of late on the subject of vaccination and postvaccinal encephalitis. In the Netherlands, vaccination is "indirectly" compulsory; children are not admitted to the schools unless they present a certificate of vaccination, although the new regulations recognize certain exceptions. A commission was appointed in the Conseil d'hygiène for the study of questions pertaining to vaccination, and investigations have been made to determine whether vaccination against smallpox during the first year of life should be recommended and be made an official requirement through the public health service. The commission raised the question as to whether or not official pressure should be brought to bear on physicians to induce them to vaccinate children, as a rule, during the first year of life. The majority of the members of the commission—although they regretted the necessity of so
NETHERLANDS. JAMA. 1930;95(4):280-281. doi:10.1001/jama.1930.02720040038020