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Religious Exemptions for Immunization and Risk of Pertussis in New York State, 2000-2011.

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Title: Religious Exemptions for Immunization and Risk of Pertussis in New York State, 2000-2011.
Authors: Imdad, Aamer, Tserenpuntsag, Boldtsetseg, Blog, Debra S., Halsey, Neal A., Easton, Delia E., Shaw, Jana
Source: Pediatrics. Jul2013, Vol. 132 Issue 1, p37-43. 7p. 3 Graphs, 1 Map.
Subjects: Educational law & legislation, Whooping cough, Vaccination policies, Whooping cough vaccines, Regression analysis, Religion, Research funding, Disease incidence, Disease prevalence, Retrospective studies, Data analysis software, Disease risk factors
Geographic Terms: New York (State)
Abstract: OBJECTIVE: The objective of this study was to describe rates of religious vaccination exemptions over time and the association with pertussis in New York State (NYS). METHODS: Religious vaccination exemptions reported via school surveys of the NYS Department of Health from 2000 through 2011 were reviewed by county, and the changes were assessed against incidence rates of pertussis among children reported to the NYS Department of Health Communicable Disease Electronic Surveillance System. RESULTS: The overall annual state mean prevalence (± SD) of religious exemptions for ≥1 vaccines in 2000-2011 was 0.4% ± 0.08% and increased significantly from 0.23% in 2000 to 0.45% in 2011 (P = .001). The prevalence of religious exemptions varied greatly among counties and increased by >100% in 34 counties during the study period. Counties with mean exemption prevalence rates of ≥1% reported a higher incidence of pertussis, 33 per 100 000 than counties with lower exemption rates, 20 per 100?000, P < .001. In addition, the risk of pertussis among vaccinated children living in counties with high exemption rate increased with increase of exemption rate among exempted children (P = .008). CONCLUSIONS: The prevalence of religious exemptions varies among NYS counties and increased during the past decade. Counties with higher exemption rates had higher rates of reported pertussis among exempted and vaccinated children when compared with the low-exemption counties. More studies are needed to characterize differences in the process of obtaining exemptions among NYS schools, and education is needed regarding the risks to the community of individuals opting out from recommended vaccinations. [ABSTRACT FROM AUTHOR]
Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Religious Exemptions for Immunization and Risk of Pertussis in New York State, 2000-2011.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Pediatrics%22&quot;&gt;Pediatrics&lt;/searchLink&gt;. Jul2013, Vol. 132 Issue 1, p37-43. 7p. 3 Graphs, 1 Map.
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  Data: OBJECTIVE: The objective of this study was to describe rates of religious vaccination exemptions over time and the association with pertussis in New York State (NYS). METHODS: Religious vaccination exemptions reported via school surveys of the NYS Department of Health from 2000 through 2011 were reviewed by county, and the changes were assessed against incidence rates of pertussis among children reported to the NYS Department of Health Communicable Disease Electronic Surveillance System. RESULTS: The overall annual state mean prevalence (&#177; SD) of religious exemptions for ≥1 vaccines in 2000-2011 was 0.4% &#177; 0.08% and increased significantly from 0.23% in 2000 to 0.45% in 2011 (P = .001). The prevalence of religious exemptions varied greatly among counties and increased by &gt;100% in 34 counties during the study period. Counties with mean exemption prevalence rates of ≥1% reported a higher incidence of pertussis, 33 per 100 000 than counties with lower exemption rates, 20 per 100?000, P &lt; .001. In addition, the risk of pertussis among vaccinated children living in counties with high exemption rate increased with increase of exemption rate among exempted children (P = .008). CONCLUSIONS: The prevalence of religious exemptions varies among NYS counties and increased during the past decade. Counties with higher exemption rates had higher rates of reported pertussis among exempted and vaccinated children when compared with the low-exemption counties. More studies are needed to characterize differences in the process of obtaining exemptions among NYS schools, and education is needed regarding the risks to the community of individuals opting out from recommended vaccinations. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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    Identifiers:
      – Type: doi
        Value: 10.1542/peds.2012-3449
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 7
        StartPage: 37
    Subjects:
      – SubjectFull: Educational law & legislation
        Type: general
      – SubjectFull: Whooping cough
        Type: general
      – SubjectFull: Vaccination policies
        Type: general
      – SubjectFull: Whooping cough vaccines
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      – SubjectFull: Regression analysis
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      – SubjectFull: Religion
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      – SubjectFull: Research funding
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      – SubjectFull: Disease incidence
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      – SubjectFull: Disease prevalence
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      – SubjectFull: Retrospective studies
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      – SubjectFull: Data analysis software
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      – SubjectFull: Disease risk factors
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      – SubjectFull: New York (State)
        Type: general
    Titles:
      – TitleFull: Religious Exemptions for Immunization and Risk of Pertussis in New York State, 2000-2011.
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              Text: Jul2013
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              Y: 2013
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