@article {Cardinal:2019:2326-4403:472, title = "Health Policy Considerations in Texas Measles Outbreaks Past and Present", journal = "Health Behavior and Policy Review", parent_itemid = "infobike://psp/hbpr", publishercode ="psp", year = "2019", volume = "6", number = "5", publication date ="2019-09-01T00:00:00", pages = "472-479", itemtype = "ARTICLE", issn = "2326-4403", eissn = "2326-4403", url = "https://www.ingentaconnect.com/content/psp/hbpr/2019/00000006/00000005/art00006", doi = "doi:10.14485/HBPR.6.5.6", keyword = "HEALTH POLICY, MEASLES, GIS, MATURE MINOR DOCTRINE, VACCINATION LAWS, DISEASE OUTBREAK", author = "Cardinal, Christine and Scarbrough, Amanda and Ratnapradipa, Dhitinut", abstract = " Objective: In this study, we analyzed the effects of vaccination policy on measles cases in Texas. Methods: We examined secondary data extracted from the Texas State Department of Health Services and previous literature analyses pertaining to Texas measles outbreaks. Results: There is evidence of increasing vaccine exemption rates and increasing measles cases in the same counties in Texas during the last 3 outbreaks in Texas. Conclusion: Legislation and parental education on vaccines is an effective tool to raise vaccination rates; more research is necessary to identify geographic clusters with higher exemption rates to target and tailor parental educational efforts for vaccination rate improvement.", }