‘No Jab, No Pay,’ not here

Australia has a blunt way of getting parents to vaccinate their children called ““No Jab, No Pay.”

image: Forbes Phoenix

As the name suggests, parents don’t receive welfare payments, tax benefits, and child-care rebates if they don’t vaccinate their children. It can amount to $15,000 annually.

Not only do parents lose payments but unvaccinated children can be barred from daycare and schools during disease outbreaks. Daycares that allow unvaccinated children can be fined up to $30,000.

The exceptions to vaccinations are those children who have some medical condition such compromised immune systems or cancer. These children have a genuine reason not to be vaccinated; and these are the children who can benefit most from everyone else being vaccinated.

Australia has one of the highest vaccination rates in the world. But rates only improved slightly since the ‘No Jab, No Pay’ policy was implemented, from 90 per cent to 93 per cent. The improvement was not entirely because of the threat. A key to their success is a national registry. Health reporter Andre Picard says:

“We should not forget either that, in addition to financial penalties, Australia greatly improved its monitoring of vaccination. Having a register that shows what vaccinations children have – or haven’t – received has contributed greatly to bolstering rates (Globe and Mail, July 9, 2018).”

While it seems effective, it’s not appropriate for Canada. We are similar to Australia in that we are both former British colonies but Australia’s culture is different than Canada’s. Perhaps it’s because they were a former penal colony that the big stick approach is more accepted.

Canada has a hodgepodge of provincial systems with no consistent registry. We need to do better. We now have an immunization rate estimated (because we don’t know) to be 85 per cent. Herd immunity requires rates of 90 to 95 per cent.

There are many excuses for not vaccinating children. One is selfishness. If sufficient numbers of other children are vaccinated, herd immunity protects my child.

These parents don’t remember, or never knew, what it was like when vaccinations didn’t protect against diseases like polio. I do. I remember growing up in Edmonton during the “polio season” when epidemics of the crippling disease raged in the summer and fall. Provincial public health departments tried to quarantine the sick, closed schools, and restricted children from travelling or going to movie theatres. My uncle survived polio but walked with difficulty with the use of a cane and died prematurely because of polio complications.

Another reason is the irrational fear that vaccinations cause disease. While these hard-core anti-vaccination parents receive a lot of press, they only number about two per cent. The other 13 per cent fall into the categories of complacency, those who doubt the necessity of vaccinations, and those who just don’t’ find it convenient to get the vaccinations done.

Convenience is a big factor. Parents don’t get around to vaccinating because it takes time and effort. One-on-one attention is sometimes all it takes, such as an email or phone call reminder.

Canadians need to be encouraged, not bullied into improving or vaccination rate. We need a national registry. Improved rates will provide immunity, not only for their own children but for those vulnerable children who are unable to receive them.

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