Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor
In Reply: We agree with Dr Fried that many
parents who do not vaccinate their children believe this decision is in their
child's best interest. Our article documents how, contrary to parents' intent,
such a decision results in a 35-fold increased risk of measles to exemptors
compared with nonexemptors, as well as increased risk to the community. In
contrast with the speculative and as yet unvalidated hypotheses about measles
disease and atopy, both the risks of measles and the benefits of measles vaccination
are well documented.1 Why fight phantom
risks when real ones already exist?
Salmon DA, Gangarosa EJ, Chen RT. Health Consequences of Exemptions From Immunization Laws—Reply. JAMA. 2000;283(9):1140–1142. doi:10.1001/jama.283.9.1137
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