Table 2.

Information on mass vaccination and common sanctions for non-compliance.

	USA	Europe (UE)
Vaccination obligation	Until 2015, lack of universal vaccination requirement	Individual EU countries differently regulate the obligation of vaccination
	Currently only in three US states (West Virginia, Mississippi, California) it is possible to refuse vaccination only on medical grounds	No widespread coercion of vaccination for the countries of the EU (e.g. In Belgium there is only 1 compulsory vaccination; against polio)
		In Poland there is an established legal way to fulfill this obligation
Introduced sanctions	The inability to admit a child to primary and secondary schools, public and private childcare facilities (adult day care homes, development centers) - without vaccination according to a list of specific diseases from the list below:	Individual European countries either have no penalties or predict the following sanctions:
	(1)Diphtheria (2)Haemophilus influenzae type b (3)Measles (4)Mumps (5)Pertussis (6)Poliomyelitis (7)Rubella (8)Tetanus (9)Hepatitis type B (10)Varicella	(1)Financial penalties (fines), non-compliance is sanctioned as an offense (Poland) (2)Administrative decisions determining vaccination obligation, lack of compliance results in financial penalties (3)Solutions basing access to public education on being vaccinated (Berlin)
	Any other disease deemed appropriate by the (State Department of Public Health), taking into consideration the recommendations of the Advisory Committee on Immunization Practices of the United States Department of Health and Human Services, the American Academy of Pediatrics, and the American Academy of Family Physicians