Not exact matches
«When you look at statewide or countywide data, the increases
in nonmedical exemptions don't look that significant,» Atwell says, «but when you look at community - wide coverage, it is much lower than the threshold needed to maintain herd immunity
in some areas.»
Residents living
in a census tract within a
nonmedical exemption cluster were 20 percent more likely to catch pertussis than those outside a cluster, the analysis revealed.
California's rates of
nonmedical exemptions tripled from 0.77 percent
in 2000 to 2.33 percent
in 2010, and some schools had 2010
nonmedical exemption rates as high as 84 percent.
While all 50 states allow
exemptions for children who have a valid medical reason, and almost all states allow
nonmedical exemptions for parents with either religious or philosophical objections, the political climate has recently shifted
in favor of making
exemptions more difficult to obtain.
In 2015, California, long known as a state with lenient provisions and high rates of opting out, followed the example of Mississippi and West Virginia and eliminated
nonmedical exemptions.
From 2001 through 2004, states that permitted personal belief
exemptions had higher
nonmedical exemption rates than states that offered only religious
exemptions, and states that easily granted
exemptions had higher
nonmedical exemption rates
in 2002 through 2003 compared with states with medium and difficult
exemption processes.
Saad B. Omer, M.B.B.S., M.P.H., of the Johns Hopkins Bloomberg School of Public Health, Baltimore, and colleagues conducted a study to determine if the rates of
nonmedical exemptions differ and have been increasing
in states that offer only religious vs. personal belief
exemptions, and if the incidence of pertussis is associated with policies of granting personal belief
exemptions and ease of obtaining
exemptions.