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PHO Grand Rounds: Compulsion or Co-operation? The history of Ontario’s Immunization of School Pupils Act, 1977-2017
Tuesday, February 14, 2017 12:00 pm to 01:00 pm
Venue: Public Health Ontario, 661 University Avenue, 17th Floor
Infectious Diseases
City: Toronto
Type: PHO Grand Rounds
Format: In Person; Webinar
The purpose of this historical study of the development and application of the Immunization of School Pupils Act (ISPA) in 1982 is to demonstrate the expected and unexpected consequences of policy choices. Rising concern about declining immunization rates and apparently successful school-based requirements in the United States led Ontario to pass the ISPA. The legislation triggered anti-vaccination activism which has continued to the present day. It also greatly increased the workload for public health unit staff and exposed the lack of a central registry for a mobile population. Understanding the context in which policymaking occurs is essential for effective implementation.

Presenter: Heather MacDougall

Heather MacDougall is an Associate Professor and Acting Chair of the University of Waterloo History Department whose current CIHR-funded research project examines the complex history of MMR vaccination in Ontario and Quebec since 1963. She is the author of Activists & Advocates: Toronto’s Health Department, 1883-1983 (1990) and articles on pandemic influenza, cholera, SARS and the origins of medicare. 
DISCLAIMER: The opinions expressed by speakers and moderators do not necessarily reflect the official policies or views of Public Health Ontario, nor does the mention of trade names, commercial practices, or organizations imply endorsement by Public Health Ontario.
Please note that you will receive details on how to join the webinar after registering for this event.
Public Health Ontario Rounds are approved for continuing medical education from the Royal College of Physicians and Surgeons. PHO Grand Rounds are also approved by Council of Professional Experience for professional development hours (PDHs) for members of the Canadian Institute of Public Health Inspectors (CIPHI). For more information, contact
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Public Health Ontario is committed to complying with the Accessibility for Ontarians with Disabilities Act (AODA). If you require accommodations to participate in this event, please contact 647-260-7100  or

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