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Ethical Issues Concerning Vaccination Requirements

1 Public Health Reviews, Vol. 34, No 1 Ethical Issues Concerning Vaccination RequirementsAlvin Nelson El Amin, MD, MPH,1 Michelle T. Parra, PhD,1 Robert Kim-Farley, MD, MPH,1 Jonathan E. Fielding, MD, MPH1 ABSTRACTV accinations are one of public health s greatest achievements. However, an Ethical dilemma lies in the balance of personal autonomy and choice versus protection of the entire at risk population. Vaccines have become readily available in most parts of the world, yet debates continue as to the appropriateness of Requirements for vaccinations, including legal mandates of vaccinations during public health emergencies and more routinely for school entry. This paper addresses Ethical Issues Concerning Vaccination Requirements in the context of historical as well as current immunization program activities. Five important programmatic focus areas for immunization programs are identified for minimizing conflicts among the relevant Ethical principles when developing and implementing Vaccination Requirements ; namely: 1) reviewing and evaluating current Vaccination mandates in the relevant health jurisdiction; 2) increasing the use of non-compulsory Vaccination strategies; 3) addressing parent/guardian vaccine safety concerns; 4) enhancing public aw

the utilitarian philosopher John Stuart Mill who held that: “The only purpose for which power can rightfully be exercised over any member of a civilized community, against his will, is to prevent harm to others. His own good, either physical or moral, is not sufficient warrant.”5 This principle,

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