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Ethics Grand Rounds - A Crisis of Trust: The University, Regulatory Science, and the Ethical Challenges of Our Time Presenter: James Colgrove, PhD, MPH School vaccination laws, a cornerstone of the U.S. public health system, are under attack in courtrooms and statehouses around the country. These attacks come in the wake of a backlash against laws requiring adult COVID vaccination, amid a rise in vaccine disinformation and hesitancy. This talk will examine ethical and political debates over the permissibility of mandatory school vaccination. Questions at the heart of these debates include: What are the ethical justifications for requiring children to be vaccinated as a condition to attend school? What provisions, if any, should exist to allow parents to exempt their children from these requirements? Resource List: Attwell, K., Navin, M. Childhood Vaccination Mandates: Scope, Sanctions, Severity, Selectivity, and Salience. Milbank Q. 2019 Dec;97(4):978-1014. doi: 10.1111/1468-0009.12417. Epub 2019 Sep 16. PMID: 31529546; PMCID: PMC6904257. Dare, T. Mass immunisation programmes: some philosophical issues. Bioethics. 1998 Apr;12(2):125-49. doi: 10.1111/1467-8519.00100. PMID: 11655329. Gostin, L., Reiss, D., Mello, M. Vaccination Mandates-An Old Public Health Tool Faces New Challenges. JAMA. 2023 Aug 15;330(7):589-590. doi: 10.1001/jama.2023.11059. PMID: 37486681. Omer, S., Betsch, C, Leask J. Mandate vaccination with care. Nature. 2019 Jul;571(7766):469-472. doi: 10.1038/d41586-019-02232-0. PMID: 31332351. Opel, D., Schwartz, J., Omer, S., Silverman, R., Duchin, J., Kodish, E., Diekema, D., Marcuse, E., Orenstein, W. Achieving an Optimal Childhood Vaccine Policy. JAMA Pediatr. 2017 Sep 1;171(9):893-896. Doi: 10.1001/jamapediatrics. 2017.1868. PMID: 28672396.