When is it permissible to dismiss a family who refuses vaccines? Legal, ethical and public health perspectives

Beth Halperin, Ryan Melnychuk, Jocelyn Downie, Noni MacDonald

Research output: Contribution to journalReview articlepeer-review

28 Citations (Scopus)

Abstract

Although immunization is one of the most important health interventions of the 20th century, cases of infectious disease continue to occur. There are parents who refuse immunization for their children, creating a dilemma for the primary care physician who must consider the best interest of the individual child as well as that of the community. Some physicians, when faced with parents who refuse immunization on behalf of their children, choose to dismiss these families from their practice. Given the existing shortage of primary care physicians across Canada, this decision to dismiss families based on vaccine refusal has far-reaching implications. The present article explores this issue in the Canadian context from a legal, ethical and public health perspective.

Original languageEnglish
Pages (from-to)843-845
Number of pages3
JournalPaediatrics and Child Health
Volume12
Issue number10
DOIs
Publication statusPublished - Dec 2007

Bibliographical note

Funding Information:
We acknowledge support from SNI (México). The work of G. T. V. is also supported by SEP-PROMEP. J. J. T. acknowledges partial support from VIEP-BUAP. The work of A. C. C. is supported by Conacyt.

ASJC Scopus Subject Areas

  • Pediatrics, Perinatology, and Child Health

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