ArticlePediatrics2018
Experiences With Medical Exemptions After a Change in Vaccine Exemption Policy in California.
Article in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed.
- Understanding the influence of religious and safety concerns on childhood measles and pertussis vaccination: a study conducted in Aceh, Indonesia, 2022.BMC infectious diseases · 2025Article
- Article
- A call for community-shared decisions.BMJ evidence-based medicine · 2025Article
- Medical exemptions to mandatory vaccinations: The state of play in Australia and a pressure point to watch.Epidemiology and infection · 2024Review
- Overdiagnosis of vaccine allergy: Skin testing and challenge at a public specialized unit (CRIE) in Rio de Janeiro, Brazil.The journal of allergy and clinical immunology. Global · 2023Article
- Exploring the impact of the New York State repeal of nonmedical vaccination exemptions on student enrollment, absenteeism, and school workload: Perspectives from a survey of school administrators.Human vaccines & immunotherapeutics · 2023Article
- Convergence on Coercion: Functional and Political Pressures as Drivers of Global Childhood Vaccine Mandates.International journal of health policy and management · 2022Article
- Moving vaccination beyond partisan politics.Vaccine · 2022Article
- Towards Eliminating Nonmedical Vaccination Exemptions Among School-Age Children.Delaware journal of public health · 2022Article
- Article
- School-level perceptions and enforcement of the elimination of nonmedical exemptions to vaccination in California.Human vaccines & immunotherapeutics · 2021Article
- America's deadly flirtation with antiscience and the medical freedom movement.The Journal of clinical investigation · 2021Article
- Psychological characteristics associated with COVID-19 vaccine hesitancy and resistance in Ireland and the United Kingdom.Nature communications · 2021Article
- The landscape of childhood vaccine exemptions in the United States.Scientific data · 2020Article
- Eliminating Religious and Philosophical Exemptions: The Next Step in Ontario's Campaign against Vaccine Hesitancy.Healthcare policy = Politiques de sante · 2020Article
- Measles outbreaks and public attitudes towards vaccine exemptions: some cautions and strategies for addressing vaccine hesitancy.Human vaccines & immunotherapeutics · 2020Article
- Association Between Vaccine Exemption Policy Change in California and Adverse Event Reporting.The Pediatric infectious disease journal · 2020Article
- Getting Personal: How Childhood Vaccination Policies Shape the Landscape of Vaccine Exemptions.Open forum infectious diseases · 2020Article
- Homeschooling parents in California: Attitudes, beliefs and behaviors associated with child's vaccination status.Vaccine · 2020Article
- The 2016 California policy to eliminate nonmedical vaccine exemptions and changes in vaccine coverage: An empirical policy analysis.PLoS medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
: media-1vid110.1542/5804909532001PEDS-VA_2018-1051
methodsWe conducted semistructured telephone interviews between August 2017 and September 2017 with health officers and immunization staff from local health jurisdictions in California. Interviews were recorded, transcribed, and analyzed for key themes.
resultsWe conducted 34 interviews with 40 health officers and immunization staff representing 35 of the 61 local health jurisdictions in California. Four main themes emerged related to experiences with medical exemptions: (1) the role of stakeholders, (2) reviewing medical exemptions received by schools, (3) medical exemptions that were perceived as problematic, and (4) frustration and concern over medical exemptions. Generally, local health jurisdictions described a narrow role in providing support and technical assistance to schools. Only 5 jurisdictions actively tracked medical exemptions received by schools, with 1 jurisdiction facing a lawsuit as a result. Examples were provided of medical exemptions that listed family history of allergies and autoimmune diseases as contraindications for immunization and of physicians charging steep fees for medical exemptions. Participants also reported concerns about the increase in medical exemptions after the implementation of SB277.
conclusionsParticipants reported many challenges and concerns with medical exemptions under SB277. Without additional legal changes, including a standardized review of medical exemptions, some physicians may continue to write medical exemptions for vaccine-hesitant parents, potentially limiting the long-term impact of SB277.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.