A UK appeals court has ruled that children in state care may receive “routine vaccinations” even when parents are opposed, adding that no court order is needed for the shots because they are in the child’s “best interests.”

Children in foster care may be vaccinated without a court order, against parental wishes, because vaccination is not considered a “serious medical treatment” that would justify High Court intervention, a three-judge appeals court panel ruled on Friday. Absent any “significant” or “unusual” reason a shot might not be in the child’s “best interests,” the London Borough of Tower Hamlets had full authority to arrange for a nine-month-old child in foster care to be vaccinated, the judges said in their decision.

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