Vaccination is widely considered one of the greatest medical achievements of modern civilization. Childhood diseases that were commonplace less than a generation ago are now increasingly rare because of vaccines. In order to be effective at eliminating communicable diseases, vaccines must be administered to sufficient levels of persons in the community. Because of this, public health officials have mandated vaccination for certain diseases as a condition to school attendance.“Vaccines are one of the most important measures of preventative medicine to protect the population from diseases and infections. They have contributed to decreasing rates of common childhood diseases and, in some cases, have even wiped out some diseases that were common in years past, such as smallpox, rinderpest, and have nearly eradicated malaria and polio...” The progress we have made in combating disease came after long centuries of struggle, first to understand sickness, then to know how to fight it. Now we embark upon the realization of global efforts to conquer disease world wide: “Globalization’s emerging transnational social organization and epidemiological structure have transformed national public health into an international issue and necessitated the development of global health policy and governance. ” With diseases like Ebola virus and commerce between the United States. and in other Ebola laden countries there are no real borders to control disease. This is why being able to control disease locally and nationally is fundamental to the process of civilization. That is why curtailment of that process spells reversal for civilization.
Vaccines are a chief weapon in controlling disease. “Vaccines are one of the most important measures of preventative medicine to protect the population from diseases and infections. They have contributed to decreasing rates of common childhood diseases and, in some cases, have even wiped out some diseases that were common in years past, such as smallpox, rinderpest, and have nearly eradicated malaria and polio .” Yet now there is an anti-vaccine movement, although such a movement dates back to the early days of vaccinesv now that movement has caught fire for at least two major reasons:
(1) a paper in The Lancet by ex-physician Andrew Wakefield, “which suggested credence to the debunked-claim of a connection between the measles, mumps, and rubella (MMR) vaccine and development of autism in young children.”
(2) While Republicans on the national level still advise Vaccination, on the state and local level Republican interest in anti-vaccine ideology has been picked up by libertarians with notions of medical freedom and is fueling the movement. It is now beginning to gain steam on the national level.  “The smallpox vaccine has eradicated a disease that was responsible for centuries of outbreaks and had a 30% fatality rate.”  Yet, as of May 29,2019, 940 cases of measles (thought irradiated in 02) have been found over 26 states. Alarming not only for the number but also the range of the problem. But this represents an increase of 60 cases in a week.
It is the greatest number of cases reported since 1994. Even More alarming is the tendency assertion on the part of the movement that the government has no right to mandate vaccination, that is to say, has no right to mandate a measure for the good of the community. This represents a new element in the movement  and one that probably comes from the libertarian camp. The denial of the government the right to impose public health measures is a true direct affront to civilization itself. Civilization is an ethical choice about how we organize our living arrangements. If we can't mandate measures for the common good in what sense are we organizing living arrangements?
As Azhar Hussain and Syed Ali, et al. Conclude their report:
The rise of anti-vaccination movements in parts of the Western world poses a dire threat to people’s health and the collective herd immunity. People of all ages have fallen victim to recent outbreaks of measles, one of the most notable “eliminated” diseases that made a comeback as a direct consequence of not reaching the immunization threshold for MMR vaccines. These outbreaks not only put a strain on national healthcare systems but also cause fatal casualties. Therefore, it is of the utmost importance that all stakeholders in the medical world - physicians, researchers, educators, and governments - unite to curb the influence of the anti-vaccination movement targeting parents. Research has shown that even parents favorable to vaccination can be confused by the ongoing debate, leading them to question their choices.
Ben Balding, “Mandatory Vaccination: Why We Still Got To Get Folks To Take Their Shots.” LEDA home page, Harvard Law School (April, 27, 2006) https://dash.harvard.edu/bitstream/handle/1/8852146/Balding06.html?sequence=2&isAllowed=y (acessed May 29,2019) Ben Balding Class 2006
Azhar Hussain and Syed Ali, et al. “The Anti-Vaccination Movement: A Regression in Modern Medicine,” PMC US National Library Medicine, National Institutes of Health, Original Publication: Cureus 2018 Jul; 10(7): e2919. PMC6122668 doi: 10.7759/cureus.2919 , https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122668/ (accessed May29,2019) work cited:
Achievements in Public Health, 1900-1999 Impact of Vaccines Universally Recommended for Children -- United States, 1990-1998. [Jun;2018 ];http://www.cdc.gov/mmwr/preview/mmwrhtml/00056803.htmU.S. National Library of Medicine; April 02. 1999 /:48–12.[Google Scholar]. Rinderpest is an acute infectious disease of ruminant mammals (such as cattle) (Webster)
The National Academies Workshop summary: 4 “Creating a Framework For Prioress,” The Impact of Globalization on Infectious Disease Emergence and Control: Exploring the Consequences and Opportunities: Workshop Summary. NCBI, National Academy of Sciences, 2006. https://www.ncbi.nlm.nih.gov/books/NBK56591/ (acessed May29,2019)
Azhar Hussain and Syed Ali, et al. “The Anti-Vaccination Movement: A Regression in Modern Medicine,...” op cit.
work cited: Ileal-lymphoid-nodular hyperplasia, non-specific colitis, and pervasive developmental disorder in children. Wakefield AJ, Murch SH, Anthony A, et al. Lancet. 1998;351:637–641. Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/9500320 (accessed May 29,2019)
Arthur Allen. “How The Anti-Vaccine Movement Crept into The GOP Mainstream,” Politico, (May 27,2019) https://www.politico.com/story/2019/05/27/anti-vaccine-republican-mainstream-1344955 (accessed May29,2019)
Ben Balding, “Mandatory Vaccination...” LEDA Harvard...op cit.
CDC, “Meales Cases and Outreaks” CDC Measles Home, Center for Disease Control and prevention, (May 24,2019) https://www.cdc.gov/measles/cases-outbreaks.html (accessed May29,2019)
Arthur Allen, Politico, op cit.
Azhar Hussain and Syed Ali, et al. ...op cit.