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Vaccine Preventable Diseases in the U.S
Vaccinations are the largest topic of controversy in today’s daily discussions especially
during the global pandemic which had people frightened. Since vaccinations have been one of
the top conversations regarding whether they are safe and effective for children. The article
reviewed for this assignment. “Is There a Resurgence of Vaccine Preventable Disease in the
U.S?” In the article, Laura Kubin discusses rationalizes regarding vaccines and outbreaks that
still happen and the amount of vaccine preventable disease that still occur, Kubin encourages
nurses to educate their communities and better equip themselves to slow the spread. The main
points of this article are vaccine compliance and completion, parental refusal to vaccinate or
under vaccination and implication for nursing practice.
Summary and Definitions
One of the main cores of the article is, vaccine compliance and completion. Compliance is
defined as "the percentage of a distinct, eligible population with documented. protection against
specific vaccine-preventable diseases" (North Caroline Immunization Program, 2013). Kubin
defines it as, "the proportion of children who receive each does during the recommended age-
appropriate window" (Kurosky, Davis, & Krishnarajah, 2016). Vaccine completion is "the
accumulation of the required number of ACIP recommended doses by a specific age regardless
of the time of vaccine administration" (Kurosky, Davis, & Krishnarajah, 2016). A study of
11,000 children were done and 70% met compliance but, 75% did not. Accept the advised
vaccines at the appropriate times. This information shows that as children become older, they
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are not completing their vaccinations at the applicable times. The article debates parental refusal
based on beliefs that vaccines are unnecessary as well as religious reasons, personal or
philosophical exceptions, safety concerns, and the need for extra education.
Resurgence of Measles, Mumps, and Pertussis
Parental refusal to vaccinate and under-vaccinate has caused a resurgence of measles,
mumps, and pertussis in the U.S. This is caused by reduced heard immunity and waning.
immunity. Parental refusal of vaccination for children has led to a rise of vaccine-
avoidable illness nationally. In the case of vaccination against measles, national trends of
vaccine refusal has increased the number of measles cases. "According to the Centers for
Disease Control and Prevention's (CDC) Morbidity and Mortality Weekly Report (MMWR),
between January 1st and May 20th, 2011, 24 states reported 118 cases of measles [1]. This is the
highest number of measles cases reported since 1996. Of these cases, 89 percent were
unvaccinated (Insel 2014). Measle cases have been growing due to the unvaccinated
while measles, mumps and pertussis outbreaks are due to warning immunity.
Research
All 50 states have legislation requiring specified vaccines for students, although.
exemption vary from state to state, all school immunization laws grant exemptions to children.
for medical reasons" (NCSL 2020). Most states follow the guidelines of the CDC. Only 15
states allow exemptions based on philosophical reasons such as personal, moral, or other
beliefs.
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Reference
Erik Skinner, A. G. (2020). States With Religious and Philosophical Exemptions From School
Immunization Requirements. States with religious and philosophical exemptions from
school immunization requirements. Retrieved February 8, 2022, from
https://www.ncsl.org/research/health/school-immunization-exemption-state-laws.aspx
Kubin, L. (2019). Is There a Resurgence of Vaccine Preventable Diseases in the U.S.?
Science Direct. Retrieved February 8, 2022, from https://www-sciencedirect-.
com.ezproxy.liberty.edu/science/article/pii/S0882596318303646?
_ga=2.266856846.1004035708.1644261889-1261844136.1641758465
Insel, K. (2012, January 1). Treating children whose parents refuse to have them vaccinated.
Journal of Ethics | American Medical Association. Retrieved February 8, 2022, from
https://journalofethics.ama-assn.org/article/treating-children-whose-parents-refuse-have-
them-vaccinated/2012-01.
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