[Correspondence] Mandatory reporting and vaccination in North America

19:36 EDT 13 Aug 2019 | The Lancet

The Editorial1 about Canada's mandatory vaccination reporting plans regrettably misses the mark. The Editors confuse mandatory reporting of vaccination in school-aged children with mandatory vaccination, which is different. The policy in North America typically requires mandatory reporting, with three Canadian provinces and all 50 US states and the District of Columbia in the USA requiring either a report of certain vaccines having been administered or a signed exemption for school entry.2,3 The US states of California, West Virginia, and Mississippi are the most stringent regarding exemptions, only granting vaccine exemption on medical grounds.

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