Some states allow parents to get out of vaccinations. Then this happens

(CNN)Two states experiencing a measles outbreak, Washington and Oregon, allow parents to opt out of vaccines simply because they want to. And while they hate to say "I told you so," pediatricians, well, told them so. "I've been saying now for the last couple of years [that] it's only a matter of time before we see a horrific measles outbreak in the Pacific Northwest," said Dr. Peter Hotez, co-director of the Texas Children's Hospital Center for Vaccine Development.What you need to know about measles as the virus spreads across the country All states require immunizations for children to attend school. Forty-seven states -- all but California, Mississippi and West Virginia -- allow parents to opt out of vaccines if they have religious beliefs against immunizations, according to the National Conference of State Legislatures.Among those 47 states, 18 states also allow parents to opt out of vaccines if they have personal, moral or philosophical beliefs against immunizations.Read MoreOregon and Washington are among these states that allow for personal belief exemptions. The other 16 are Arizona, Arkansas, Colorado, Idaho, Louisiana, Maine, Michigan, Minnesota, North Dakota, Ohio, Oklahoma, Pennsylvania, Texas, Utah, Wisconsin and Vermont. These states have particularly high levels -- or "hot spots" -- of unvaccinated children and are vulnerable to measles outbreaks, according to a study by Hotez and his colleagues that published last year.One of the hot spots is the Pacific Northwest, specifically Seattle, Spokane and Portland.On Friday, Washington Gov. Jay Inslee declared a state of emergency after 35 confirmed cases of measles and 11 suspected cases in his state. Since then, two more cases were confirmed in Washington and one case in Oregon. Hawaii also reported two cases in visitors from Washington who were infected before traveling to the islands.In 2016, the American Academy of Pediatrics took a stance that personal and religious exemptions should end."It's really a no-brainer," said Dr. Yvonne Maldonado, chair of the academy's Committee on Infectious Diseases.The pediatricians' group supports only medical exemptions, such as for children undergoing chemotherapy, since the vaccine could be harmful to them.Superbugs and anti-vaxxers make WHO's list of 10 global health threats"There's no reason why non-medical exemptions should exist," said Maldonado, chief of the division of pediatric infectious diseases at the Stanford University School of Medicine.In 2015, Oregon and Washington legislators considered measures that would make it harder to get exemptions. Both measures failed after lobbying by anti-vaccine groups.Rates of unvaccinated and exempted children on the rise, says CDC"Mandatory forced vaccination will trample on some of the foundations of medical ethics which require fully informed consent to any invasive medical procedure," Robert Snee with Oregonians for Medical Freedom wrote to state senators."If government in America is allowed

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