Tag: daycare

Will a NY Law Make the HPV Vaccine Mandatory for Daycare?

Why do some folks think that a proposed bill in New York will make the HPV vaccine mandatory for kids in daycare?

A NY law will not make the HPV vaccine mandatory for kids in daycare.
Kids in daycare will not need to get the HPV vaccine if S298 passes in New York.

Unfortunately, this time the misinformation isn’t just coming from the usual sources. Local news stations are getting in on the action too.

Will a NY Law Make the HPV Vaccine Mandatory for Daycare?

While Senate Bill S298A does “Provides for the immunization of all children born after January 1, 2008 against the human papillomavirus (HPV),” it doesn’t say anything about a mandate for kids in daycare.

“Section one amends the section heading and subdivisions 2; 3, 5, 6, 7, and 8 of section 2164 of the public health law, as amended by chapter 401 of the laws of 2015, by adding human papillomavirus (HPV) to the list of required immunizing agents, such as those against poliomyelitis, mumps and measles, to be administered to children in this state. Section one also adds the HPV vaccine to the list of vaccines for which a booster is required;”

Senate Bill S298A 2019-2020 Legislative Session

When would they get it?

“Every person in parental relation to a child in this state shall have administered to such child an adequate dose or doses of an immunizing agent against poliomyelitis, mumps, measles, diphtheria, rubella,varicella, HUMAN PAPILLOMAVIRUS (HPV), Haemophilus influenzae type b (Hib), pertussis, tetanus, pneumococcal disease, and hepatitis B, which meets the standards approved by the United States public health service for such biological products, and which is approved by the department under such conditions as may be specified by the public health council.”

Senate Bill S298A 2019-2020 Legislative Session

Like the other vaccines, they would almost certainly get it at the standard age, when they are 11 or 12 years old.

“Every person in parental relation to a child in this state born on or after January first, nineteen hundred ninety-four and entering sixth grade or a comparable age level special education program with an unassigned grade on or after September first, two thousand seven, shall have administered to such child a booster immunization containing diphtheria and tetanus toxoids, [and] an acellular pertussis vaccine, AND A HUMAN PAPILLOMAVIRUS (HPV) VACCINE, which meets the standards approved by the United States public health service for such biological products, and which is approved by the department under such conditions as may be specified by the public health council.”

Senate Bill S298A 2019-2020 Legislative Session

And they would get their second booster dose in the sixth grade.

So why do some folks think the bill includes a mandate for daycare?

“The term “school” means and includes any public, private or parochial child caring center, day nursery, day care agency, nursery school, kindergarten, elementary, intermediate or secondary school.”

Senate Bill S298A 2019-2020 Legislative Session

The term day care is used in the definitions list at the beginning of the bill…

“The term “child” shall mean and include any person between the ages of two months and eighteen years.”

Senate Bill S298A 2019-2020 Legislative Session

While that might be a little confusing, it really isn’t if you read the whole bill.

“This bill will leave to the department of health to determine the age at which children will be required to be vaccinated in light of ACIP recommendations.”

Senate Bill S298A 2019-2020 Legislative Session

After all, what are the ACIP recommendations?

“Routine vaccination at age 11 or 12 years has been recommended by the Advisory Committee on Immunization Practices (ACIP) since 2006 for females and since 2011 for males.”

Use of a 2-Dose Schedule for Human Papillomavirus Vaccination — Updated Recommendations of the Advisory Committee on Immunization Practices

Since there is nothing in the ACIP recommendations about kids in day care getting a dose of HPV vaccine, it should be very clear that S298A is not a mandate for day care, preschool, or kindergarten, etc.

It is a mandate for kids to get vaccinated and protected in middle school.

And New York, if this bill is enacted, would join Hawaii, Rhode Island, Virginia, and District of Columbia, which already have HPV vaccine school entry mandates.

More on HPV Vaccine School Entry Mandates

How Are Australia’s New Vaccine Laws Working?

Have you heard about the No Jab, No Play / Pay laws in Australia?

Did Australia's new vaccine laws prompt anti-vaccine folks to put up these billboards that eventually got vandalized?
Did Australia’s new vaccine laws prompt anti-vaccine folks to put up these billboards that eventually got vandalized?

Unlike the No Pass, No Play rules that we have in Texas, in which kids can’t participate in extracurricular activities unless they pass all of their classes, No Jab, No Play / Pay has to do with getting kids vaccinated.

They were enacted in 2016 due to an increase in outbreaks of vaccine preventable disease, a rise in the spread of anti-vaccine misinformation, and more parents choosing to delay or skip their child’s vaccines. As in the United States, the real problem has been clusters of unvaccinated children in certain regions of the country, as the great majority of people in Australia vaccinate their kids.

How Are Australia’s New Vaccine Laws Working?

As expected, Australia’s new vaccine laws have been a success.

On the national level, No Jab, No Pay has meant that children need to be fully immunized “as a requirement for parents to be eligible to receive the Family Tax Benefit Part A end of year supplement, Child Care Benefit and Child Care Rebate.”

Five-year-olds in Victoria are now better protected against diseases prevented by vaccination than in any other state in Australia, new data shows.

Victoria Leads The Nation When It Comes To Vaccination Rates

But it is only in New South Wales, Queensland, and Victoria that children need to be immunized to attend childcare – No Jab, No Play. Additionally, children need to be immunized to attend kindergarten in Queensland and Victoria.

An increase in vaccination rates, by 2 to 5%, has been seen nationwide though.

What about the idea that No Jab, No Play has lead to a drop in preschool enrollments?

KATHARINA GORKA, NON-VACCINATING PARENT: I don’t think it is fair, to be honest. It makes me feel like we are a bit excluded from society, yeah.
PETER MCCUTCHEON: Did you ever think, “I’ll get my son vaccinated so I get around this pre-school problem”?
KATHARINA GORKA: No, I never thought about that.
PETER MCCUTCHEON: Why not?
KATHARINA GORKA: Because I have a set opinion on vaccinations and that is not going to change.

Some pre-schools experience drop in enrolments over ‘no jab, no play’ policy

The law about attending daycare and kindergarten just came into effect in New South Wales, in 2018, but has been in effect since 2016 in Victoria.

We will have to wait a few more months for the 2018 numbers, but preschool enrollment in Victoria was way up after they instituted their strict vaccine requirements!

In Australia during 2017, 339,243 children aged 4 or 5 were enrolled in a preschool program, representing an increase of 2.6% on the previous year’s figure. The largest growth rates were in the Australian Capital Territory (6%) and Victoria (5%).

Australian Bureau of Statistics on Preschool Education, Australia, 2017

Maybe folks just don’t want to go to care centers that had been pandering to anti-vaccine parents

Still, some vaccine advocates don’t think that No Jab, No Play / Pay laws are a good idea for Australia. Many also don’t think that it is a good idea that some Australian doctors are starting to refuse to see unvaccinated children, a practice that seems to have been exported from the United States.

Others don’t see alternatives, as they feel that they have been trying for a long time to educate parents that vaccines are safe and necessary, and this is one of the few ways that can reliably improve vaccination rates.

More on Australia’s New Vaccine Laws

Do Vaccine Mandates Force Parents to Vaccinate Their Kids?

Listening to some parents talk about new vaccine laws, you would think that pediatricians are going to start kidnapping babies or simply hold them down to force them to get vaccinated and follow the latest immunization schedule.

Is there any truth to that?

Of course not.

The History of Vaccine Mandates

There have been vaccine mandates in the United States since 1827, when Boston became the first city to require all children attending public schools to be vaccinated against smallpox.

Surprisingly though, it took a long time to get vaccine mandates protecting more children. It wasn’t until the 1980-81 school year that there were laws in all 50 states mandating that children required vaccinations before starting school.

This followed continued measles outbreaks in the mid-1970s and studies showing that states with vaccine mandates had much lower rates of measles than states that didn’t. And it likely explains why there were 10 measles deaths in the United States as late as 1980, even though the first measles vaccine was introduced in 1963.

It took even longer for the vaccine mandates to cover kids in all grades and not just those entering school, to cover kids in daycare, and to cover kids in college. And tragically, it didn’t take long for politicians to chip away at those vaccine mandates. Over just a few years, from 1998 to 2000, 15 states added personal belief vaccine exemptions.

Still, even before the addition of personal belief vaccine exemptions and without the abuse of religious exemptions and medical exemptions, vaccine mandates have never equaled forced vaccination.

Even the Vaccination Act of 1853 in the UK, which required everyone to get a small pox vaccine, didn’t actually force them to get vaccinated. It originally levied fines on people until they got the vaccine, but they soon allowed a conscientious exemption to vaccination, which many people took advantage of. Over the years, so many people were claiming conscientious vaccine exemptions in the UK, that in 1946, they repealed their vaccine requirements altogether.

What Is a Vaccine Mandate?

Since a mandate is typically defined as an official order to do something, a vaccine mandate would be an order to get a vaccine. But it is hardly an order to hold down and force a vaccine on someone.

Likewise, state laws that mandate vaccines aren’t forcing kids to get vaccinated. They are typically mandates to get vaccinated before attending daycare, public and private schools, and/or college.

Is your child going to camp this year? They might mandate certain vaccines if kids want to attend.

Do Vaccine Mandates Force Parents to Vaccinate Their Kids?

Do vaccine mandates take away a person’s choice about getting vaccinated?

Anti-vaccine folks go to great lengths to scare you into thinking that someone is going to force you to vaccinate your kids. They aren't...
Anti-vaccine folks go to great lengths to scare you into thinking that someone is going to force you to vaccinate your kids. They aren’t…

Of course not.

Again. We are not talking about forced vaccination.

For example, if you work in a hospital that requires a yearly flu vaccine, you can decide to work somewhere else. Sure, you no longer simply have the choice between getting vaccinated or leaving yourself unprotected and continuing to work at the same job, but you can still decide to skip the vaccine and look for another job.

These are mandates with a choice.

The same is true with vaccine mandates for kids to attend school or daycare. If you choose to skip one or more vaccines for a non-medical reason, then even if you are in a state that doesn’t allow religious or philosophical vaccine exemptions, you won’t be forced to get vaccinated. While it may not be an option you are happy with, homeschooling is an option for those who don’t want to vaccinate their kids.

That is your vaccine choice.

Public education is a benefit of those who comply with mandates or compulsory vaccination laws.

These state immunization laws and vaccine mandates have nothing to do with forced vaccination. They also don’t take away your informed consent, are not against the Nuremberg Code, and are not unconstitutional.

Have kids ever been forced to get vaccinations?

Not routinely, but there have been cases of health officials getting court orders to get kids vaccinated and protected, usually during outbreaks of a vaccine-preventable disease.

In 1991, for example, a judge ruled that parents of unvaccinated children who were members of the Faith Tabernacle Congregation in Pennsylvania had to get a measles vaccine. As a measles outbreak spread through Faith Tabernacle, an associated church, and the rest of the city, there were at least 486 cases of measles in the church, mostly among children, and 6 deaths.

“Parents are free to become martyrs themselves. But it does not follow that they are free, in identical circumstances, to make martyrs of their children before they have reached the age of full and legal discretion when they can make that choice for themselves.”

Prince v. Massachusetts

In addition to being unvaccinated, these children didn’t get any medical care, as their families instead relied on prayer. Finally, after the order was appealed all the way to the state Supreme Court, only nine children got vaccinated.

When parents disagree about vaccines, a judge might also step in decide that a child be vaccinated over one parent’s objections. A child might also get vaccinated against their parents wishes if they have lost custody for reasons that have nothing to do with the child’s medical issues and so a legal guardian, which might be the state, is making those decisions now.

Still, these are not the usual circumstances we are talking about with state vaccine laws. They are simply laws to get kids vaccinated and protected before they are allowed to attend daycare or school.

What to Know About Vaccine Mandates and Forced Vaccinations

Vaccine mandates do not force parents to vaccinate their kids.

More on Vaccine Mandates and Forced Vaccinations

 

Can MMR Shedding Start a Measles Outbreak?

Have you ever noticed that any time that there is a new outbreak of measles, folks tend to ask the same basic questions.

How did the outbreak start?

Why weren’t they vaccinated?

Was it from shedding?

Wait, what?

Shedding??? Really?

Can MMR Shedding Start a Measles Outbreak?

It seems that the idea that the MMR vaccine sheds and can lead to measles outbreaks is one of those anti-vaccine myths that just won’t go away.

It comes back with each new measles outbreak.

The myth that MMR shedding leads to measles outbreaks is commonly spread on Facebook, like this discussion on a recent outbreak at a Kansas City daycare center.
The myth that MMR shedding leads to measles outbreaks is commonly spread on Facebook, like this discussion on a recent outbreak at a Kansas City daycare center.

While the oral polio vaccine is indeed associated with shedding and vaccine associated disease, that doesn’t happen with MMR. Experts don’t even recommend any restrictions for use of the MMR vaccine for household contacts of people who are immunosuppressed. And yes, your kids can even visit a cancer patient if they just had their MMR, as long as they don’t have RSV, the flu, or some other contagious disease.

What about the fact that a study once found measles virus RNA in the urine of of kids who had recently been vaccinated? Doesn’t that mean that they were shedding the vaccine virus?

No. It doesn’t.

To be considered shedding, those measles virus RNA particles in their urine would have to be contagious. Now, measles is spread by respiratory secretions. So how are measles virus RNA particles in urine going to become airborne and get someone else sick?

They don’t.

Another Facebook post about MMR and shedding.
Most measles outbreaks in daycare centers have been started by an unvaccinated child or worker who traveled out of the country.

But what about that case in Canada? Anti-vaccine folks like to bring this up when they talk about shedding. In 2013, there was a case of vaccine-associated measles. That proves that the vaccine sheds, right?

Absolutely not!

“Of note, only one case report of transmission from vaccine-associated measles has been identified.”

Murti et al. on Case of vaccine-associated measles five weeks post-immunisation, British Columbia, Canada, October 2013

That child got measles about 5 weeks after she was vaccinated in the middle of a measles outbreak. Because she had no links to the other cases and she tested positive for vaccine-strain measles, it is thought that she had MMR vaccine-associated measles, which is extremely rare.

Shedding Light on Measles Outbreaks in Daycare

MMR shedding is not causing outbreaks of measles – or rubella and mumps, for that matter.

If shedding from the MMR, by any method, got kids sick, then why aren’t there even more cases of measles?

Daycare centers everywhere have a mix of infants and toddlers, including some who are intentionally unvaccinated, those who are too young to get their first MMR, and those who are just getting vaccinated.

When a case of measles does pop up though, it isn’t because of shedding, it is typically because someone who wasn’t vaccinated traveled out of the country, got measles, and brought it back home, exposing others.

What to Know About MMR and Shedding

Measles outbreaks are not caused by shedding from the MMR vaccine.

More on the MMR and Shedding