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Viewpoint |

Leveraging Behavioral Insights to Promote Vaccine Acceptance One Year After Disneyland

Alison M. Buttenheim, PhD, MBA1,2; David A. Asch, MD, MBA3
[+] Author Affiliations
1School of Nursing, University of Pennsylvania, Philadelphia
2LDI Center for Health Incentives and Behavioral Economics, University of Pennsylvania, Philadelphia
3Perelman School of Medicine and the Wharton School, University of Pennsylvania, Philadelphia
JAMA Pediatr. 2016;170(7):635-636. doi:10.1001/jamapediatrics.2016.0192.
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This Viewpoint discusses several approaches to increase vaccination acceptance in the United States 1 year after the measles outbreak that originated in Disneyland and has been attributed to parents who chose not to vaccinate their children.

An outbreak of measles originating in Disneyland in December 2014 that ultimately led to more than 100 cases has been attributed to parents who chose not to vaccinate their children. One year later, the United States remains vulnerable to outbreaks of vaccine-preventable diseases because parents continue to bypass the recommended childhood immunization schedule through exemptions from state-mandated immunizations at school entry. These personal choices affect everyone by weakening the herd immunity conferred by widespread vaccination.

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