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No Jab, No Pay and vaccine refusal in Australia: the jury is out

Frank H Beard, Julie Leask and Peter B McIntyre
Med J Aust 2017; 206 (9): 381-383. || doi: 10.5694/mja16.00944

High immunisation rates in Australia mean that the threat of disease transmission posed by vaccine refusal is low — policy responses should be proportionate

The topic of vaccine refusal has received worldwide attention in recent years. Vaccine attitudes span a continuum from complete acceptance to complete rejection. Vaccine refusal (rejection of all vaccines) is at the extreme end, whereas vaccine-hesitant individuals are a more heterogeneous group, with some opting to fully vaccinate despite substantial concerns while others are more selective.1 People may also change their attitudes and positions over time.

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  • Frank H Beard1,2
  • Julie Leask2
  • Peter B McIntyre1

  • 1 National Centre for Immunisation Research and Surveillance, The Children's Hospital at Westmead, Sydney, NSW
  • 2 School of Public Health, University of Sydney, Sydney, NSW


Acknowledgements: 

The National Centre for Immunisation Research and Surveillance is supported by the Australian Government Department of Health, the NSW Ministry of Health and the Children’s Hospital at Westmead. The opinions expressed in this article are those of the authors and do not necessarily represent the views of these agencies.

Competing interests:

We are all employed full- or part-time by the National Centre for Immunisation Research and Surveillance, which receives the majority of its funding from the Australian Government Department of Health.

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