Protecting the community through child vaccination

Evan J. Anderson*, Michael A. Daugherty, Larry K. Pickering, Walter A. Orenstein, Ram Yogev

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

38 Scopus citations


The direct impact of vaccines on children is well described, but the major public health impact of indirect protection provided to the community by vaccines is underappreciated. Community protection occurs when vaccinated persons block the chain of transmission, protecting undervaccinated or unvaccinated susceptible community members by preventing exposure and limiting the spread of the pathogen through the community. Substantial declines in disease incidence have occurred shortly after implementing new childhood vaccines, including declines among vaccine-ineligible children, adolescents, and adults. Protection of susceptible community members depends on maintaining high vaccination rates. Improved recognition of community protection will strengthen childhood vaccination strategies that will protect our communities into the future.

Original languageEnglish (US)
Pages (from-to)464-471
Number of pages8
JournalClinical Infectious Diseases
Issue number3
StatePublished - Jul 18 2018


  • effect
  • herd
  • immunity
  • indirect
  • indirect effect

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases


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