In Nigeria, avoiding a shot could mean going to jail
As Bill Gates unveiled his plan this week to rid the world of polio, health officials in the northern Nigerian state of Kano announced their own assault on the disease. "The government will henceforth arrest and prosecute any parent that refuses to allow health workers to vaccinate his child against child-killer diseases, particularly polio," said a health ministry official.
This news, which was announced at the outset of the government's four-day vaccination campaign targeting six million children, marks a shift in government policy toward immunization programs in the north of the country. Nigeria's polio vaccination program stalled for more than a year after Muslim leaders raised doubts over the inoculations' safety in the summer of 2003 -- resulting in bans issued by some northern state governments....
I'm not familiar with every vaccination law in the world, but this seems like a first to me. If not a first, at least an exception to the norm. I don't like this more coercive approach. If you have enough resistance to a policy that you feel you need to threaten jail time, then actually making that threat -- and following through on it -- seems likely to breed more resistance.
I think governments can and should both incentivize vaccination and make it difficult to avoid without a really good reason. Any government policy should make it easier to get vaccinated against childhood diseases than avoid vaccination, because having a fully-vaccinated population is a classic public good. I like the fact that most states in the US have opt-out provisions for religious objections to vaccination, but I also think that states should not design a policy such that getting that exemption is simpler -- in terms of time and money -- than getting a child vaccinated, as is the case in many states.
But threatening to throw parents in jail? Way too heavy-handed to me, and too likely to backfire.