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In years when the antigenic match is poor, the vaccine may provide no protection at all.

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The Centers for Disease Control (CDC) recommends getting 29 doses of 9 vaccines (plus a yearly flu shot after six months old) for kids aged 0 to six.

No US federal laws mandate vaccination, but all 50 states require certain vaccinations for children entering public schools.

According to Sanjay Gupta, Chief Medical Correspondent for CNN and practicing neurosurgeon, "you are 100 times more likely to be struck by lightning than to have a serious allergic reaction to the vaccine that protects you against measles." Ellen Clayton, MD, JD, Professor of Pediatrics and Law at Vanderbilt Law School and co-author of the 2011 IOM report "Committee to Review Adverse Effects of Vaccines," summarized the results of the report: "The MMR vaccine does not cause autism… And the killed flu vaccine does not cause Bell’s palsy, and it does not trigger episodes of asthma." Herd immunity (or community immunity) means that when a "critical portion" (the percent of people who need to be vaccinated to provide herd immunity) of a population is vaccinated against a contagious disease it is unlikely that an outbreak of the disease will occur so most members of the community will be protected.

Children and adults who cannot be vaccinated due to age, poor health (who are immune-compromised or undergoing chemotherapy, for example), or other reasons rely on herd immunity to prevent contraction of vaccine-preventable diseases.

Most states offer medical and religious exemptions; and some states allow philosophical exemptions.

Proponents say that vaccination is safe and one of the greatest health developments of the 20th century.However, at this time, OSHA believes there is insufficient scientific evidence for the federal government to promote mandatory influenza vaccination programs that do not have an option for the HCP to decline for medical, religious and/or personal philosophical reasons.While we are supportive of the Healthy People 2020 goal of a 90% vaccination rate, we have seen no evidence that demonstrates that such a high rate is in fact necessary., which equates to roughly 285 children saved every hour.The Centers for Disease Control (CDC) estimated that 732,000 American children were saved from death and 322 million cases of childhood illnesses were prevented between 19 due to vaccination.They point out that illnesses, including rubella, diphtheria, smallpox, polio, and whooping cough, are now prevented by vaccination and millions of children’s lives are saved.

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