Landscape (Pages 345 347 and Box 14.1) Vaccine Mandates for Schoolchildren — examine the relationship between vaccine exemption laws, vaccination rates, and the incidence of vaccine-preventable diseases Here, you identify the key stakeholders and the political, economic, social, practical, legal, and/or quality-of-care factors that create the overall context for the decision. The goal is to present a neutral overview of who cares about this issue and what their concerns are. Your Assignment for this week: Identify at least four key stakeholders and briefly describe their position/interest in this issue. Conduct an analysis of key factors. You must address at least four of the six factors mentioned in Box 14.1. Opioid deaths Example: Identify Key Stakeholders: Rural law enforcement and first responders. Public health officials and substance abuse treatment providers. Hospital associations. Patient advocacy groups and families affected by addiction. Pharmaceutical companies. State legislators (both supporters and opponents). Analyze Key Factors: Political: Is this a controversial issue? Is there bipartisan support for action? How might this play in an upcoming election? Economic: What are the costs associated with different approaches? Are there competing demands for state resources? Social: Is there a stigma associated with addiction that might be a barrier to successful policy? Practical: Are there sufficient healthcare professionals in rural areas to implement a treatment-focused solution?

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