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Research Letter
November 18, 2019

Association of Vaccine-Preventable Disease Incidence With Proposed State Vaccine Exemption Legislation

Author Affiliations
  • 1Dornsife School of Public Health, Department of Epidemiology and Biostatistics, Drexel University, Philadelphia, Pennsylvania
  • 2Dornsife School of Public Health, Department of Health Management and Policy, Drexel University, Philadelphia, Pennsylvania
  • 3Civil Division, Delaware Department of Justice, Wilmington
JAMA Pediatr. Published online November 18, 2019. doi:https://doi.org/10.1001/jamapediatrics.2019.4365

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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