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States are failing on vaccinations. The federal government must lead.

Dr. Jonathan Fielding, distinguished professor of health policy and management, co-authored an opinion piece for The Washington Post about the steps the U.S. federal government should take, according to the authors: "Federal policymakers have a responsibility to protect those children who have been put at risk whenever a parent claims the 'right' to refuse vaccination."

Thursday, March 7, 2019

By Scott C. RatzanBarry R. BloomLawrence O. Gostin and Jonathan Fielding

In the year 2000, the United States essentially claimed victory against childhood diseases, eliminating measles and making the prevalence of other childhood diseases, such as mumps, extremely rare. Today, we are losing.

Eleven states have reported measles cases, and a checkerboard of communities across the United States lack the necessary vaccine coverage needed to maintain the threshold herd immunity of about 96 percent — when vaccination of a substantial portion of a population protects everyone. The costs in human and financial terms are enormous.

The rise in such cases is not due to more virulent strains or resistant viruses. Rather, society suffers from the success of anti-vaccine advocates who pushed “vaccine hesitancy and refusal” and issued unrelenting demonization, disinformation and demagoguery against immunizations. Social media is infected with viral messaging from bots and trolls that masquerade as legitimate information outlets but instead stoke illegitimate fear of vaccines.


Scott C. Ratzan is a senior fellow at the Harvard Kennedy School’s Mossavar-Rahmani Center for Business and Government. Barry R. Bloom is a professor of public health and former dean at the Harvard School of Public Health. Lawrence O. Gostin is the O’Neill professor of global health law at Georgetown University Law Center, where he directs the World Health Organization Collaborating Center on National and Global Health Law. Jonathan Fielding is a distinguished professor of health policy and management at the UCLA Fielding School of Public Health and a distinguished professor of pediatrics at the UCLA David Geffen School of Medicine.


Read More in The Washington Post

Read more op-ed articles by Dr. Fielding