Why France is making eight new vaccines mandatory

Ward, Jeremy K.; Colgrove, James; Verger, Pierre

doi:10.1016/j.vaccine.2018.02.095

Cited by 64 publications

(53 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Australia mandates almost all its recommended vaccines but not meningococcal B, which it does not even fund . France is an outlier; it has recently decided to mandate all of its recommended vaccines …”

Section: Scope: Which Vaccines?mentioning

confidence: 99%

Childhood Vaccination Mandates: Scope, Sanctions, Severity, Selectivity, and Salience

Attwell

Navin

2019

Milbank Quarterly

View full text Add to dashboard Cite

We offer the first systematic conceptual framework for analyzing the operation of mandatory vaccination policies. Our multicomponent framework facilitates synthesis judgments on single issues of pressing concern to policymakers, in particular, how mandatory vaccination policies motivate people to vaccinate. We consider the impact of each component of our framework on persons who remain unvaccinated for different reasons, including complacency, social disadvantage, and more or less committed forms of refusal. Context In response to outbreaks of vaccine‐preventable disease and increasing rates of vaccine refusal, some political communities have recently implemented coercive childhood immunization programs, or they have made existing childhood immunization programs more coercive. Many other political communities possess coercive vaccination policies, and others are considering developing them. Scholars and policymakers generally refer to coercive immunization policies as “vaccine mandates.” However, mandatory vaccination is not a unitary concept. Rather, coercive childhood immunization policies are complex, context‐specific instruments. Their legally and morally significant features often differ, and they are imposed by political communities in varying circumstances and upon diverse populations. Methods In this paper, we introduce a taxonomy for classifying real‐world and theoretical mandatory childhood vaccination policies, according to their scope (which vaccines to require), sanctions and severity (which kind of penalty to impose on vaccine refusers, and how much of that penalty to impose), and selectivity (how to enforce or exempt people from vaccine mandates). Findings A full understanding of the operation of a vaccine mandate policy (real or potential) requires attention to the separate components of that policy. However, we can synthesize information about a policy's scope, sanctions, severity, and selectivity to identify a further attribute—salience—which identifies the magnitude of the burdens the state imposes on those who are not vaccinated. Conclusion Our taxonomy provides a framework for forensic examination of current and potential mandatory vaccination policies, by focusing attention on those features of vaccine mandates that are most relevant for comparative judgments.

show abstract

Section: Scope: Which Vaccines?mentioning

confidence: 99%

Childhood Vaccination Mandates: Scope, Sanctions, Severity, Selectivity, and Salience

Attwell

Navin

2019

Milbank Quarterly

View full text Add to dashboard Cite

show abstract

“…More recently, the aggravation of vaccine shortages since 2014, especially for monovalent vaccines and the DTP vaccine, has also fuelled much frustration among parents looking for ‘a la carte’ vaccination and refusing pentavalent or hexavalent vaccines (Ward et al . ).…”

Section: Introductionmentioning

confidence: 97%

‘I Think I Made The Right Decision … I Hope I'm Not Wrong’. Vaccine hesitancy, commitment and trust among parents of young children

Peretti‐Watel

Ward

Vergélys

et al. 2019

Sociology Health & Illness

Self Cite

View full text Add to dashboard Cite

During the last decade, public health research has emphasised the growing public disaffection with vaccination. This contemporary vaccine hesitation (VH) refers to a delay in acceptance or refusal of vaccines, as well as agreement despite doubt and reluctance. We investigated VH among French parents of young children, with an emphasis on two key features of VH: trust towards physicians and commitment to vaccination issues. We targeted two populations with contrasting socioeconomic profiles, using in‐depth interviews (n = 25). Most parents exhibited some kind of VH, with differentiated attitudes across vaccines, including acceptance despite enduring doubts, especially for vaccines already provided to older siblings (‘vaccine inertia’). Despite the rise of the Internet and social media, our participants still strongly relied on face‐to‐face interactions with peers and significant others. Most participants trusted their own physician but this was the result of a selection process: they had engaged resources to find a physician they could trust. Participants with contrasted socioeconomic profiles struggled with the same dilemmas, and they committed themselves to the same quest to find the ‘right’ physician. Nevertheless, parents with a higher socioeconomic status were able to engage more resources and use a wider repertoire of actions, and they also displayed greater health literacy.

show abstract

“…In December 2017, a new law extending vaccination mandates from 3 to 11 vaccines for children born from 1 January 2018 onwards was introduced in France [17]. The main reasons were to reduce the confusion due to the coexistence in the schedule of both mandatory and recommended vaccines, the growing vaccine hesitancy, and the occurrence of measles outbreaks [18].…”

Section: Europe On the Movementioning

confidence: 99%

Mandatory vaccination for infants and children: the Italian experience

Rezza

2019

Pathogens and Global Health

View full text Add to dashboard Cite

Maintaining high vaccination coverage is important in order to protect the individual and the community. Mandatory vaccination is an option in case of declining coverage. Widely used in the USA, it is considered a rather controversial issue in Europe. In Italy, after a decrease of vaccination coverage for the hexavalent and the MPR vaccine under the optimal threshold, a new law, which extended the number of mandatory vaccines from 4 to 10 and reinforced coercive measures, was introduced in July 2017. After 2 years, vaccination coverage increased for all mandatory vaccines and for the other two recommended vaccines (anti-pneumococcal and anti-meningococcal C). Although it is not possible to disentangle the role of other factors contributing to the positive outcome, consistently with the results of studies conducted in the USA, vaccine mandates appeared to be successful in increasing vaccination coverage in Italy. The long-term sustainability of the effect of mandatory vaccination and the potential negative drawbacks of the coercive measures need to be evaluated to generate scientific evidence in public health.

show abstract

Why France is making eight new vaccines mandatory

Cited by 64 publications

References 3 publications

Childhood Vaccination Mandates: Scope, Sanctions, Severity, Selectivity, and Salience

Childhood Vaccination Mandates: Scope, Sanctions, Severity, Selectivity, and Salience

‘I Think I Made The Right Decision … I Hope I'm Not Wrong’. Vaccine hesitancy, commitment and trust among parents of young children

Mandatory vaccination for infants and children: the Italian experience

Contact Info

Product

Resources

About