Vaccines are considered one of public health’s greatest success stories. But is all promotion of vaccines necessarily a good thing, or does it depend on the details? Peter Doshi investigates the semi-transparent world of vaccine advocacy organizations Vaccination programs have long been a centerpiece of public health activity. But policies of compulsion have always been controversial. Against a backdrop of recent measles outbreaks, France and Italy moved this year to mandate certain vaccines for school entry.12 There’s even a renewed push for mandates in the UK,3 where public health leaders have long resisted compulsory vaccination on the grounds that it undermines the trust between the public and healthcare professionals and is ultimately counterproductive.4 The debate is also alive in the US. Although all states require vaccination as a condition for entry to school, most also allow exemptions for families with non-medical philosophical or religious objections. Overall, childhood vaccination levels remain at or near historically high levels, with under 1% of toddlers receiving no vaccines.56 But beneath the broad national trends there is geographic variation in coverage,6 and survey data have documented that parental concerns over vaccination safety and timing are common, even among those whose children receive all recommended vaccines.7 In 2015, a US federal advisory committee warned that public confidence in vaccines cannot be taken for granted,5 and some prominent vaccine advocacy organizations are pushing for greater compulsion. But are these groups—which present themselves as reliable sources of information—providing the public with independent information? Two years ago, California state legislators passed a law removing the personal belief exemption that had previously allowed families to defer or decline mandated childhood vaccinations.8 In doing so, California became the third state to remove non-medical exemptions, following Mississippi and West Virginia. The debate …

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非官方的疫苗教育者：CDC资助的非营利组织是否足够独立？

疫苗被认为是公共卫生领域最大的成功案例之一。但是，所有推广疫苗是否一定是一件好事，还是取决于细节？彼得·多希（Peter Doshi）调查了疫苗倡导组织的半透明世界疫苗接种计划长期以来一直是公共卫生活动的核心。但是强迫政策一直是有争议的。在最近爆发麻疹的背景下，法国和意大利今年采取行动，要求某些疫苗入学。12英国甚至再度要求加强疫苗接种，3在该国，公共卫生领导人长期以来一直反对强制接种疫苗，理由是这种疫苗破坏了疫苗接种公众与医疗保健专业人员之间的信任最终会适得其反。4在美国，这场辩论还很活跃。尽管所有州都要求接种疫苗作为入学的条件，但大多数州还允许具有非医学哲学或宗教异议的家庭获得豁免。总体而言，儿童疫苗接种水平保持在历史水平或接近历史最高水平，不到1％的幼儿未接种疫苗。56但在全国大趋势之下，覆盖范围存在地理差异6，调查数据表明父母对疫苗接种安全性和安全性的担忧。即使在孩子接受所有推荐疫苗接种的孩子中，接种疫苗的时机也很普遍。72015年，美国联邦咨询委员会警告说，公众对疫苗的信任不能被视为理所当然5，并且一些著名的疫苗倡导组织正在推动更大的强迫性。但是，这些群体（将自己呈现为可靠的信息来源）是否向公众提供了独立的信息？两年前，加利福尼亚州立法者通过了一项法律，取消了个人信仰豁免，该豁免先前允许家庭推迟或拒绝强制性的儿童疫苗接种。8这样做之后，加利福尼亚成为继密西西比州和西弗吉尼亚州之后取消非医学豁免的第三个州。 。辩论 …