Send to

Choose Destination
Paediatr Child Health. 2007 Dec;12(10):843-5.

When is it permissible to dismiss a family who refuses vaccines? Legal, ethical and public health perspectives.

Author information

Department of Pediatrics, Dalhousie University, Halifax, Nova Scotia.


Although immunization is one of the most important health interventions of the 20th century, cases of infectious disease continue to occur. There are parents who refuse immunization for their children, creating a dilemma for the primary care physician who must consider the best interest of the individual child as well as that of the community. Some physicians, when faced with parents who refuse immunization on behalf of their children, choose to dismiss these families from their practice. Given the existing shortage of primary care physicians across Canada, this decision to dismiss families based on vaccine refusal has far-reaching implications. The present article explores this issue in the Canadian context from a legal, ethical and public health perspective.


Ethics; Health law; Patient dismissal; Public health; Vaccination

Supplemental Content

Full text links

Icon for PubMed Central
Loading ...
Support Center