Published online January 3, 2008
PEDIATRICS Vol. 121 Supplement January 2008, pp. S79-S84 (doi:10.1542/peds.2007-1115I)
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SUPPLEMENT ARTICLE


Delivering New Vaccines to Adolescents: The Role of School-Entry Laws

Gail Horlick, MSW, JDa, Frederic E. Shaw, MD, JDb,, Margaret Gorji, JDb,, Daniel B. Fishbein, MDa, for the Working Group on Legislation, Vaccination and Adolescent Health

a National Center for Immunization and Respiratory Diseases
a Public Health Law Program, Centers for Disease Control and Prevention, Atlanta, Georgia

In the United States, state-based school-entry vaccination laws have been used effectively to rapidly increase vaccination rates among adolescents, in particular, for hepatitis B vaccine. New vaccines for adolescents raise the question of whether and under what circumstances school-entry laws may be used to increase coverage rates with these vaccines. The new vaccines differ somewhat from their predecessors and raise policy and legal issues. For example, some of the new vaccines prevent diseases for which the primary mode of transmission is sexual contact. Mandating these vaccines before school entry has been met with concern by those who believe that mandates for this type of vaccine not only intrude on parental decision-making rights but might also lead to sexual promiscuity among youth. In this article we explore (1) the possible utility of school-entry requirements to increase the delivery of the new vaccines for adolescents, including the legal basis for US school-entry laws, (2) arguments in favor and concerns about the adoption of laws for adolescent vaccination, and (3) the importance of including diverse stakeholders in the deliberative process and formulating and implementing laws in a way that maximizes their acceptance and effectiveness.

Key Words: school-entry vaccination laws

Abbreviations: Td—tetanus-diphtheria • MMR—measles-mumps-rubella • HPV—human papillomavirus vaccine

Accepted Aug 22, 2007.




This article has been cited by other articles:


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V.-P. Sneller, D. B. Fishbein, C. M. Weinbaum, A. Lombard, P. Murray, J. A. McLaurin, L. Friedman, and for the Working Group on Vaccination of High-Risk
Vaccinating Adolescents in High-Risk Settings: Lessons Learned From Experiences With Hepatitis B Vaccine
Pediatrics, January 1, 2008; 121(Supplement_1): S55 - S62.
[Abstract] [Full Text] [PDF]