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“As long as the great majority of children receive their vaccines, we will be able to maintain our current level of disease control,” Katz explained.“However, should the level of community protection drop to the point where the viruses and bacteria travel unimpeded from person—to-person, from school-to-school, and from community-to-community, we instantly return to a past era when epidemics were an accepted part of life.” America experienced such an outbreak in 1989-91 with the resurgence of measles.An article in the Journal of the American Medical Association found that, on average, those children who were exempted from immunizations ran a 35-fold greater risk of contracting measles compared to those who were nonexemptors.Not only are these children at greater risk of disease, their infections can be the spark that ignites a disease outbreak in a community. Katz, in the late 1960s and early 1970s, despite the availability of a safe and effective measles vaccine, the United States continued to experience regular epidemics of measles.It could be something as simple as a run away script or learning how to better use E-utilities, for more efficient work such that your work does not impact the ability of other researchers to also use our site.To restore access and understand how to better interact with our site to avoid this in the future, please have your system administrator contact [email protected]

That coverage failed to provide adequate community immunity to prevent an outbreak.State laws also establish mechanisms for enforcement of school vaccination requirements and exemptions.Studies have shown that vaccine exemptions tend to cluster geographically, making some communities at greater risk for outbreaks (Wang et al; Lieu et al; other clustering references).There were 55,622 reported cases mainly in children less than 5 years of age, more than 11,000 hospitalizations and 125 deaths.States do allow personal exemptions, so parents can choose not to vaccinate their children, but those exemptions carry risk to the child and the public’s health, emphasizing the importance of community immunity.

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