The frequency of vaccine-preventable disease (VPD) outbreaks is increasing in the United States. A principal factor in disease transmission has been susceptible, nonimmune children whose parents have opted to exempt them from school-entry vaccination requirements.1 Prior research has shown a concerning increase in the volume of state legislation introduced to expand exemptions.2
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Goldstein ND, Purtle J, Suder JS. Association of Vaccine-Preventable Disease Incidence With Proposed State Vaccine Exemption Legislation. JAMA Pediatr. Published online November 18, 2019. doi:https://doi.org/10.1001/jamapediatrics.2019.4365
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