Vaccination Ethical Dilemma

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Vaccines are one of the most effective medical technologies ever developed. The routine use of vaccinations has eliminated or greatly reduced the prevalence of diseases that were major causes of morbidity and mortality throughout human history. Despite the well-established benefits of vaccination, many parents continue to not immunize or delay immunizations for their children. Although misinformed, parents that refuse of delay routine vaccinations are doing so in the best interests of their children’s health. For this reason, I do not believe it is necessary to dismiss these families from a practice. The lack of primary care providers in this country and lack of adequate access to care further complicates the issue of family dismissal. However, this creates an ethical dilemma for health care providers who …show more content…

Ethically speaking, patients have a right to autonomy. The patient or parent has the right to make his or her own medical decisions even when the provider is in disagreement. However, this should not necessarily preclude the patient from receiving necessary medical care. What further complicates the issue is the need for the provider to protect the health of the health of the public. Protecting the population from infectious diseases requires a high level of immunization in a population. Under-immunized populations can lead to the destruction of herd immunity, which, in turn, can lead to non-immunized individuals becoming infected. It is for this reason that decreased immunization rates creates an ethical issue with serious public health repercussions. Vaccine preventable diseases are dependent on herd immunity to increase population-wide protection to those individuals that cannot be immunized due to issues such as age, immunosuppression, underlying disease, or allergies (Halperin, Melnychuk, Downie, & MacDonald,

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