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Many Parents Skipping Kids' Shots, Putting Other Kids at Risk
Date:10/31/2011

ver time. [So] even if a child was vaccinated, it's still possible to get pertussis," Rodewald explained. "With a lot of exempters, you can attract an outbreak. We're seeing a lot of pertussis right now."

Buttenheim agreed. "Making sure your children are up to date on the recommended immunization schedule is an easy, safe and effective way to protect your child's health," she said. "However, no vaccine is 100 percent effective. Your vaccinated child still has a very small -- but not zero -- probability of contracting a vaccine-preventable disease if exposed."

So why the rise in parents opting not to vaccinate their children?

"Parents choose not to vaccinate for many reasons," Buttenheim said. "To generalize across this diverse group, they perceive the risks associated with vaccines to be greater than the risks associated with vaccine-preventable diseases. While there is a very strong scientific consensus that this calculation is not correct, we cannot simply ignore or dismiss parental vaccine hesitancy."

One big contributor has been the (now discredited) notion that the measles-mumps-rubella shot might raise autism risk. In 1998, a small but widely publicized study appeared to link childhood MMR vaccination to nine cases of autism. The study appeared in the medical journal The Lancet, which retracted the study in 2010. In January of this year, an investigation by another leading British journal, BMJ, denounced the findings as deliberately fraudulent. But the damage was done.

That, and worries about thimerosal, a mercury-containing preservative once widely used in vaccines, has contributed to parents' fears.

Not all kids with personal belief exemptions are left fully unvaccinated, Buttenheim noted. "We are only able to say whether they have exemptions from one or more vaccines. Children we observe as having personal belief exemptions may have not done, for example [diphtheria, tetanus and pertussis] vaccination, b
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