Tag: contraindications

Reactions to SB 276 Passing the Assembly

On the same day that the LA Times wrote what some are calling a false balance about Bob Sears, SB 276 passed the California Assembly and Gavin Newsom called for the addition of amendments that would protect doctors who have been writing an excessive amount of medical exemptions.

Gavin Newsom's proposed amendments could weaken SB276.
Exempting individual medical information on exemptions from the Public Records Act is not a bad idea.

Coincidence?

Reactions to SB 276 Passing the Assembly

As the amendments only serve to weaken SB276, Governor Newsom should consider backing off on his request to change the bill, especially as he had previously said he would support it.

Protecting kids from vaccine preventable diseases is unethical and evil???
Protecting kids from vaccine preventable diseases is unethical and evil???

While the amendments will protect those who have been writing inappropriate medical exemptions, they won’t appease most people who are against SB 276.

Who is talking about forcibly injecting people with vaccines? Remember, mandates don't force anyone to get vaccinated and protected...
Who is talking about forcibly injecting people with vaccines? Remember, mandates don’t force anyone to get vaccinated and protected…

Especially as most of those folks still don’t understand exactly what SB276 does!

SB 276 does not eliminate all medical exemptions.
SB 276 does not eliminate all medical exemptions.

What silent loophole are these folks talking about?

The nephew of California State Assemblymember Lorena Gonzalez is immunocompromised.

“His doctor said no, he can’t have live vaccines, so no, he can’t be immunized against measles or chicken pox. Every time he is not in the hospital, he wants to be in school, but those diseases could kill him. Definitely put him back in the hospital. These are the children, the truly medically fragile children that we are trying to prevent from getting these diseases and why it’s so important.”

California State Assemblymember Lorena Gonzalez Assembly Floor Session, Tuesday, September 3rd, 2019

He has a medical exemption to getting vaccinated.

Unless the medical exemption is to all vaccines and not just live vaccines, he won’t lose his exemption and won’t need a “silent loophole.”

Having a “known severe immunodeficiency” is a well known contraindication to getting live vaccines, including MMR and the chickenpox vaccine.

Not only would his exemption be allowed, it not be one of only 5 exemptions that his doctor is allowed to make!
Not only would his exemption be allowed, it would not be one of only 5 exemptions that his doctor is allowed to make!

SB276 also doesn’t limit the number of medical exemptions that doctors can write. It just states that if a doctor writes 5 or more exemptions in a calendar year, then those exemptions will be reviewed by a medical panel to make sure that they are legitimate.

Why do 5 exemptions trigger a review? Because the average doctor will likely not need to write that many medical exemptions, as there are very few true medical reasons to avoid or skip vaccines. What if a doctor writes 10 or 15 legitimate medical exemptions? If they are reviewed and found to be legitimate, then 10 or 15 of their patients will have medical exemptions!

How will they revolt - because they don't want to vaccinate and protect their kids?
How will they revolt – because they don’t want to vaccinate and protect their kids?

Are Newsom’s amendments going to stop folks who are talking about revolutions?

Wait, which amendment is she talking about???

Is it going to protect kids from those who might continue to get unnecessary, permanent exemptions until the protections of SB 276 finally do take effect?

More on SB276

Will SB276 Revoke Legitimate Medical Exemptions?

Bob Sears has already said that SB276 will eliminate medical exemptions and stop doctors from writing medical exemptions.

ITP after MMR is not a reason to get a medical exemption for all vaccines…

What is he saying now?

Will SB276 Revoke Legitimate Medical Exemptions?

Bob Sears is saying that SB276 will revoke legitimate medical exemptions from children who have had “seizures, nerve injuries, and severe allergic reactions after vaccines.”

He also says that they “will be forced to continue just to stay in school.”

To be clear, neither SB276 nor any other vaccine law in the United States forces anyone to get vaccinated.

Yes Bob Sears, what do you mean forced to stay in school?
Yes Bob Sears, what do you mean forced to stay in school?

Although implying forced vaccination is a common anti-vaccine tactic, even his own followers called him out on it…

What else can you see from reading the comments to Bob’s post?

Some medical exemptions might be revoked under SB276, but it isn’t because they are legitimate.

ITP would not be a reason to get a medical exemption to all vaccines.
ITP would not be a reason to get a medical exemption to ALL VACCINES.

A rash that turned in ‘purple blobs’ after the MMR vaccine sounds like it could be ITP, which is actually a table injury.

Since the ACIP lists that as a precaution to getting another dose of MMR, you would almost certainly get a medical exemption, but not to all vaccines!

While scary for parents, ITP typically goes away on its own without treatment in about two weeks to six months.

Anyway, SB276 doesn’t revoke legitimate medical exemptions.

If you actually read SB276, as amended, what it does do is trigger a review by medical professionals to “identify those medical exemption forms that do not meet applicable CDC, ACIP, or AAP criteria for appropriate medical exemptions” if:

  • a school’s immunization rate drops below 95%
  • a doctor writes five or more medical exemptions in a single year (although that doesn’t sound like a lot, keep in mind that true medical exemptions are not very common, so the average doctor who is only writing medical exemptions for their own patients likely won’t write that many each year)
  • a school doesn’t report it’s immunization rates

And once reviewed, inappropriate medical exemptions can be revoked, although that process can be appealed by a parent who thinks that their child does indeed have a legitimate medical exemption.

Keep in mind that just because a doctor writes more than 5 exemptions in a single year, that doesn’t mean that they will automatically be revoked. That simply triggers a review. Even if the doctor writes 10 or 20, if they are legitimate exemptions, then they will be allowed.

Again, SB276 doesn’t revoke legitimate medical exemptions.

Why does Bob Sears think that it does?

Maybe because many of things that Bob Sears considers to be legitimate medical exemptions actually aren’t, which is why he is already under investigation, even before SB276 is enacted…

More on Legitimate Medical Exemptions

Updated Recommendations to Prevent and Control the Flu from the CDC

Every year, we get updated recommendations on how to best prevent and control the flu from the CDC and the Advisory Committee on Immunization Practices.

Updated Recommendations to Prevent and Control the Flu from the CDC

Sometimes that means big changes, but often it doesn’t.

Updated Recommendations to Prevent and Control the Flu from the CDC

What about this year?

“This report includes no substantial changes from the 2018–19 recommendations.”

Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices — United States, 2019–20 Influenza Season

No substantial changes. That makes it easy to report!

So as usual, everyone who is at least 6 months old without a contraindication should get a flu vaccine this year.

“Balancing considerations regarding the unpredictability of timing of onset of the influenza season and concerns that vaccine-induced immunity might wane over the course of a season, it is recommended that vaccination should be offered by the end of October.”

Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices — United States, 2019–20 Influenza Season

And be sure your kids get vaccinated and protected before flu season starts.

What else is there to know about the upcoming, 2019-20 flu season?

  • flu vaccine is already becoming available in doctor’s offices, pharmacies, and clinics
  • despite some initial delays, up to 169 million doses of flu vaccine will be available for the 2019-20 flu season
  • FluMist will be in short supply this year, but it is available

Anyone have predictions for what kind of flu season we will have?

More on Recommendations to Prevent and Control the Flu

Are There 6 Reasons to Oppose SB276?

Not surprisingly, folks are pushing misinformation in trying to get support in their efforts to oppose SB276, the California bill that will help stop doctors from writing fraudulent medical exemptions.

Are There 6 Reasons to Oppose SB276?

It also shouldn’t be a surprise that none of their “reasons” hold water.

There are no good reasons to oppose SB276.
There are no good reasons to oppose SB276.

Are the guidelines for writing medical exemptions too limited under SB276?

If you consider that true medical exemptions to getting vaccinated are not common, then no, they are not.

Remember, medical exemptions for vaccines should be for kids who can’t be vaccinated, not just because you’re scared or don’t want your child to be vaccinated.

What about the high rates of vaccination and low rates of exemptions in California?

Uh, what about the schools in California where 30 to 50% of students have medical exemptions? These clusters of unvaccinated kids with medical exemptions are the concern, not the overall rates of vaccination and exemptions in the state.

And it is only the doctors writing excessive medical exemptions that will trigger an investigation.

What about the Medical Board of California?

While the system that they have in place has allowed them to investigate some doctors, it has mostly failed. While they do have the authority to investigate physicians, for some reason, they can’t get medical records unless a parent cooperates.

“Ms. Simoes provided background on Senate Bill (SB) 277, which passed in 2015, eliminating the personal belief exemption from the requirement that children receive specific vaccinations for certain infectious diseases prior to being admitted to any school or daycare center. She explained that after the passage of SB 277, the Board has had a difficult time investigating complaints related to medical exemptions since an authorization of medical records needs to be signed and many parents or guardians do not want to sign the authorization since it would identify the doctor that provided the medical exemption. She explained that this causes a barrier to investigation since most medical exemption cases cannot be subpoenaed and medical records are needed to conduct an investigation.”

Discussion and Possible Action on SB 276 (Pan) Immunizations: Medical Exemptions

And the Medical Board of California supports SB276.

Who else supports SB276?

In addition to the Governor of California, supporters include the AAP, California Medical Association, California State PTA, Children’s Defense Fund of California, County of Los Angeles, Infectious Disease Association of California, and the March of Dimes.

What to Know About Reasons to Oppose SB276

It should be clear that there is no reason to oppose SB276, unless you don’t want your kids immunized and you want to find a doctor to write them a fake medical exemption.

More on SB276