The FDA examines whether there are any risks (negative effects) associated with the vaccine. They ask: "Do these risks outweigh the benefits of the vaccine or vice versa?

€¢ In addition to considering the risks and benefits of a vaccine, the ACIP, AAP and AAFP also examine the costs associated with immunizing all or just a segment of the population. For instance, with the chickenpox (varicella) vaccine: What is the cost of immunizing children compared with the potential savings in medical and non-medical costs from immunizing them? (An example of non-medical costs would be money lost by parents who miss work taking care of their unvaccinated child.) Requirement Just because a vaccine is recommended for use doesn't mean that it is required for use.

State legislatures and health departments determine whether a vaccine is required. They examine the practicality of requiring it for every child within the state. Factored into this equation is whether a local or state government can afford to pay for the vaccines of children whose parents can't afford it.

However, from the parents' perspective, vaccine requirements shouldn't matter. If a vaccine is ...

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