Vaccination is a direct benefit for the recipient and an indirect benefit for other members of the community. Therefore, appropriate vaccination of children works to benefit the individual and others. As a result, not receiving vaccinations can harm the individual as well as others in the community who cannot get vaccinated for health reasons. Requiring vaccinations can satisfy bioethical principles regarding both beneficence and nonmaleficence (El Amin, Parra, Kim-Farley & Fielding,