Tag: medical exemptions

Why Should Medical Exemptions Be Based on CDC Contraindications?

Getting a medical exemption for vaccines isn’t controversial.

Or at least it shouldn’t be.

Why Should Medical Exemptions Be Based on CDC Contraindications?

As many people know though, some people have been taking advantage of the fact that medical exemptions weren’t clearly defined in California’s vaccine law.

Who are the doctors handing out fake medical exemptions in California?
Who are the doctors handing out fake medical exemptions in California?

Are there just a few doctors taking advantage of the California law?

“But at 105 schools in the state, 10% or more of kindergartners had a medical exemption in the school year that ended last month, according to a Los Angeles Times analysis of state data.”

Pushback against immunization laws leaves some California schools vulnerable to outbreaks

Is 10% a lot?

In one recent report, Vaccination Coverage for Selected Vaccines, Exemption Rates, and Provisional Enrollment Among Children in Kindergarten — United States, 2016–17 School Year, the median rate of medical exemptions in the US was just 0.2%, with a range of <0.1 to 1.5%.

In West Virginia and Mississippi, states that don’t allow non-medical exemptions and where criteria for medical exemptions are fairly strict, the rates were 0.1 and 0.3% respectively.

And that’s about what you would expect, as there are very few true contraindications or precautions to getting vaccinated.

So yes, 10% is an awful lot and that’s a good sign that it is more than just a few doctors taking advantage of the law.

“If a child has a medical exemption to immunization, a physician licensed to practice medicine in New York State must certify that the immunization is detrimental to the child’s health. The medical exemption should specify which immunization is detrimental to the child’s health, provide information as to why the immunization is contraindicated based on current accepted medical practice, and specify the length of time the immunization is medically contraindicated, if known.”

Dear Colleague letter regarding guidelines for use of immunization exemptions

Why do most other states have so few medical exemptions?

Mostly because there are very few true medical reasons to skip or delay a child’s vaccines!

They include, but aren’t limited to, the contraindications and precautions listed in the package insert for each vaccine (the contraindications and warnings sections…) and by the Advisory Committee on Immunization Practices.

They don’t include many other things that are “incorrectly perceived as contraindications to vaccination,” such as things in the family medical history of the child, eczema (unless they are getting the smallpox vaccine), colic, sleep apnea, or being a picky eater.

Is everything a vaccine injury?
Is everything a vaccine injury?

It should be obvious.

Medical exemptions for vaccines should be based on CDC criteria because some folks think that everything is a vaccine injury.

More on Medical Exemptions

Bob Sears Doubles Down Against California Vaccine Laws

Bob Sears wasn’t a fan of SB 277, the vaccine law that removed non-medical exemptions in California.

Not surprisingly, he is actively rallying folks against a new bill that would close a loophole in that law. It seems that some doctors were writing medical exemptions for anything and everything, from eczema to swollen lymph nodes.

Bob Sears is pushing misinformation that SB 276 takes away all medical exemptions.
Bob Sears is pushing misinformation that SB 276 takes away all medical exemptions.

Of course, the new law wouldn’t take away medical exemptions. It would just take away fake medical exemptions.

Is everything a vaccine injury?
Is everything a vaccine injury?

Yes, take a long hard look at their list…

A very few actually are actually standard contraindications and precautions to commonly used vaccines, so could likely get you a medical exemption to one or more vaccines. GBS within 6 weeks of a flu shot, a precaution, not a contraindication, would be an example. But even in this case, the exemption would be for flu shots, not all vaccines.

“Events or conditions listed as precautions should be reviewed carefully. Benefits of and risks for administering a specific vaccine to a person under these circumstances should be considered. If the risk from the vaccine is believed to outweigh the benefit, the vaccine should not be administered. If the benefit of vaccination is believed to outweigh the risk, the vaccine should be administered. “

Vaccine Recommendations and Guidelines of the ACIP

What about all of the rest of the diseases or “severe reactions” on Bob’s list, like pneumonia, palpitations, eczema, hair loss, IBD, difficulty swallowing, skin infections, testicular pain, HSP, Multiple Sclerosis, and Kawasaki disease, etc.

These are not vaccine injuries, even though they are sometimes in a package insert. I’m surprised that he didn’t list SIDS and autism too…

And this is why California needs to fix their vaccine law… Folks, including pediatricians, pushing the idea that everything is a vaccine injury.

More on Bob Sears and California Vaccine Laws

A Legislative Guide to Advocating for Stronger Vaccine Laws

Having to get vaccinated to attend school isn’t a new idea.

In 1827, Boston mandated that all children attending public school must receive the smallpox vaccine.

Believe it or not, it wasn’t until the 1980-81 school year that there were laws in all 50 states mandating that children receive vaccinations before starting school. The smallpox vaccine wasn’t one of them…

A Legislative Guide to Advocating for Stronger Vaccine Laws

Not surprisingly, as vaccines did their job and rates of vaccine-preventable diseases dropped, politicians were able to weaken our vaccine laws.

Over just a few years, from 1998 to 2000, 15 states added personal belief vaccine exemptions!

We are now paying the price, with increases of vaccine-preventable diseases among clusters of intentionally unvaccinated children whose parents claim non-medical vaccine exemptions.

And that’s why we are seeing more and more states work to strengthen their vaccine laws.

Legislators who want to combat vaccine exemption abuse should enact laws that make it clear that:

  • medical exemptions are based on ACIP guidelines, current accepted medical practice, and evidence-based medicine – not anecdotes
  • medical exemptions should be reviewed and approved by the State Epidemiologist, Deputy State Epidemiologist, or other designated professionals at the health department
  • religious exemptions, if included at all, should specifically exclude philosophical exemptions and must reflect a sincere religious belief
  • philosophical exemptions, if included at all, should require some degree of education against the myths and misinformation that scares parents away from vaccinating their kids
  • exempted students will be excluded from school during outbreaks
  • exemptions should include a signed affidavit that is notarized
  • exemptions should be recertified each year
  • most exemptions are temporary
  • a separate exemption application should be required for each vaccine
  • exemption rates should be tracked at the school level and should be posted on school websites

Getting an exemption shouldn’t be easier than getting vaccinated!

Become an advocate and help get more kids vaccinated. You can also help stop bad vaccine laws from being enacted in your state, including some that would make it even easier to get an exemption.

More on A Legislative Guide to Stronger Vaccine Laws

How Is California’s New Vaccine Law Working?

As clusters of unvaccinated kids in California grew and so did outbreaks of vaccine-preventable diseases, legislators got ahead of the problem with a series of vaccine laws to get kids vaccinated and protected.

  • AB 2109 – signed into law in 2012, and in effect for the 2014-2015 and 2015-2016 school years, it required parents to get a signed form from a health care provider if they wanted to get a vaccine exemption
  • SB 277 – signed into law in 2015, it eliminated non-medical vaccine exemptions and has been in effect since the 2016-2017 school year

So are all of the kids in California vaccinated now?

How Is California’s New Vaccine Law Working?

Unfortunately, some folks have found a way around the new vaccine laws.

How?

Some California doctors have taken advantage of fearful parents, and instead of doing the work to help parents understand that vaccines are safe with few risks, they are writing unjustified medical exemptions.

And since many of these parents share their fears with their friends, these intentionally unvaccinated kids often attend the same schools and use the same doctors to obtain unwarranted exemptions of their own. That results in the pockets of susceptible children we often talk about.

Some of these doctors have even created an industry out of providing medical exemptions to kids to get them out of getting vaccinated and protected before attending school. It is reported that they are selling fake medical vaccine exemptions for conditions that are not true medical contraindications to getting vaccinated!

Bob Sears is having to post about the latest measles outbreaks from the sidelines. There are very few measles cases in California so far this year.
Bob Sears is having to post about the latest measles outbreaks from the sidelines. There have been very few measles cases in California so far this year.

Still, many others have gotten vaccinated.

In fact, after years of declines, the vaccination rates for kids entering kindergarten in 2017 were at the highest rate since at least 1998!

“The proportion of students attending kindergarten in 2017-2018 reported to have received all required vaccines is 95.1%, a 0.4 percentage point decrease (difference of unrounded values) from the 2016-2017 school year and a 4.7 percentage point increase over the three years since 2014-2015. The 2017-2018 rate of 95.1% is the second highest reported for the current set of immunization requirements for kindergarten, which began in the 2001-2002 school year.”

2017-2018 Kindergarten Immunization Assessment – Executive Summary California Department of Public Health, Immunization Branch

What about the exodus from public schools that many predicted?

Orange County was the site of several large measles outbreaks before SB 277 took effect.
Orange County was the site of several large measles outbreaks before SB 277 took effect.

Or the exodus of folks California?

Neither happened.

“About 130,000 more residents left California for other states last year than came here from them, as high costs left many residents without a college degree looking for an exit, according to a Bee review of the latest census estimates.”

More people left California in 2017 than moved here. Who they are and where they went

While some people are leaving, it is typically for economic reasons.

It isn’t because folks have to vaccinate and protect their kids.

So except for not predicting that folks would try to get fake medical exemptions, California’s new vaccine law is working well!

More on the Effectiveness of California’s New Vaccine Law

Dr. Baker Says to Stop Worrying About Measles!

Are you worried about measles?

Are you less worried because a chiropracter on the Internet told you to stop worrying?

Dr. Baker Says to Stop Worrying About Measles!

I have no idea who “Dr” Baker really is, but let’s take a look at his copypasta “evidence” for why you shouldn’t worry about measles.

What’s missing from his list?

All of the studies that say that vaccines aren’t associated with autism!

The study, Long-term measles-induced immunomodulation increases overall childhood infectious disease mortality, which found that measles had an affect on non-measles deaths (causing more of them) through “measles-induced immune damage.”

And lots of other evidence that says that the MMR vaccine is safe, effective, and necessary.

If you really don’t want to have to worry about measles, get your kids vaccinated and protected.

Unfortunately, some folks don’t have that option, as their kids might be too young to get vaccinated or might have a true medical contraindication to getting vaccinated.

They have to worry about measles, no matter what “Dr.” Baker says, mostly because of your unvaccinated kids…

More on Worrying about Measles

Are Parents Faking Their Child’s Vaccine Records?

In 2015, California passed a vaccine law that removed all non-medical exemptions to getting vaccinated.

What was the response?

More kids got vaccinated.

Are Parents Faking Their Child’s Vaccine Records?

Not all of them though.

Shortly after the passage of SB277 we quickly learned of one way that parents were trying to get around the law – fake vaccine exemptions.

That’s right. Some doctors were selling fake vaccine exemptions using bogus medical symptoms, histories, and conditions.

And apparently, now that fake vaccine exemptions are getting harder to come by, some parents are simply trying to fake their child’s immunization records.

While I doubt a lot of people are faking their records, some probably are.

Some have already been caught forging their child’s vaccine records because their intentionally unvaccinated kids (who were supposed to be vaccinated) were involved in outbreaks!

Are those really your only vaccine choices? What about opting to vaccinate and protect your child?

Some others were caught writing fake vaccine exemptions, using forms from one of the doctor’s who notoriously sells fake medical vaccine exemptions!

Surprised?

You shouldn’t be.

This is the modern anti-vaccine movement.

More on Fake Vaccine Records

People with Cancer Are at Risk from Unvaccinated Kids

We know that kids with cancer aren’t at risk from shedding if someone has recently been vaccinated.

Johns Hopkins Medicine, which includes the Johns Hopkins University School of Medicine and The Johns Hopkins Hospital and Health System went out of their way to correct this anti-vaccine misinformation.
Johns Hopkins Medicine, which includes the Johns Hopkins University School of Medicine and The Johns Hopkins Hospital and Health System went out of their way to correct this anti-vaccine misinformation.

The real risk comes from those who are unvaccinated.

People with Cancer Are at Risk from Unvaccinated Kids

Confused on how that works?

Kids with cancer typically have a compromised immune system, so are at greater risk for getting sick and catching infectious diseases. This includes a risk from vaccine-preventable diseases because they often can’t be vaccinated and any vaccines they had in the past might no longer provide protection.

Don’t believe me?

Want some examples?

  • a 6-year-old girl who was in remission for ALL and had just received her final dose of chemotherapy was admitted with fever and neutropenia, found to have measles, and died after 28 days of intense therapy (1989)
  • an 8-year-old being treated for leukemia developed chicken pox and died two weeks later (1998)
  • a partially vaccinated 4-year-old girl who was being treated for acute lymphoblastic leukemia (ALL) was exposed to a cousin with chicken pox and later developed multi-organ failure and died (2012)
  • a 26-year-old man who was being treated for chronic lymphocytic leukemia died in Switzerland after he became infected with measles (2017)
  • a 6-year-old boy with leukemia died in Italy after catching measles from his intentionally unvaccinated sibling (2017)

Of course, there are many more, including many kids with cancer who get exposed to a vaccine-preventable disease and have to get treated with immunoglobulin and hope they don’t get sick. And many more who do get sick and are treated in the hospital for weeks and months and thankfully, get better.

And there are even more who get caught up in quarantines because they have true medical contraindications to getting vaccinated, and so have to stay home from school with the intentionally unvaccinated kids whenever there is an outbreak of measles or chicken pox, etc.

What can we do about this?

Vaccinate our kids! We have a choice. These kids with cancer don’t.

More on People with Cancer at Risk from Unvaccinated Kids