Vaccination refusal. Autonomy and permitted coercion

Pathog Glob Health. 2017 Jun;111(4):200-205. doi: 10.1080/20477724.2017.1322261. Epub 2017 May 9.

Abstract

The article presents vaccination obligation in relation to the existing or newly enacted legislation. Mass vaccinations and a wave of criticism they cause, forces us to reflect on the limits of medical intervention in the human body and the boundaries granted to individual's freedom and autonomy. This problem is universal and exists mainly in countries without mandatory vaccinations. Analyzing recent years, it must be underlined that a process in some legislatures has been introduced to enforce various forms of vaccination coercion. Although, refusing vaccinations has been treated liberally, the last wave of epidemics in the United States and Europe forced the creation of a different approach. Gradually in the USA, a duty (not a 'coercion') of vaccination is being enforced. Occurring epidemics, (e.g. measles) and dangers resulting from them, force authorities to violate the principle of autonomy and restrict individuals' freedoms regarding their own body. The article presents legal solutions relating to vaccinations in the United States and Europe i.e. administrative decisions imposing vaccinations, solutions conditioning social existence and financial penalties for not complying with this obligation and proposes a solution based on financial liability that will balance out patients' autonomy and public security.

Keywords: Vaccinations; autonomy; consent; legislature; rights.

Publication types

  • Review

MeSH terms

  • Coercion
  • Disease Transmission, Infectious / prevention & control*
  • Europe
  • Humans
  • United States
  • Vaccination / legislation & jurisprudence*
  • Vaccination Refusal*