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Healthc Policy. 2010 May;5(4):37-46.

Compulsory school-entry vaccination laws and exemptions: who is opting out in ontario and why does it matter?

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  • 1Postdoctoral Fellow, School of Public Policy and Governance, University of Toronto Toronto, ON.


School-entry vaccination regulations are a policy instrument that has been widely used in some jurisdictions as a mechanism to ensure high immunization coverage rates. Exemptions to school-entry vaccination, which can be allowed on medical or non-medical grounds, present a number of ethical and policy challenges. In this paper, we consider the situation in Canada, where school-entry vaccination laws are rare. We present newly available aggregate-level registry data from Ontario comparing the use of medical and non-medical immunization exemptions to school-entry vaccination and the implications for population health.

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