Tag: SB276

Bob Sears Ignores Death Threats Against Dr. Pan

Interesting.

Bob Sears ignores death threats against Dr. Pan, but thinks lobbyists who support SB276 are like a mafia.
Bob Sears ignores death threats against Dr. Pan, but thinks lobbyists who support SB276 are like a mafia???

Actually, it’s kind of amazing.

“Lawmakers sponsoring the bill say they’ve been receiving death threats for months. Someone in June mailed Assembly members dozens of bricks etched with appeals to kill the measure.”

Bricks, death threats and fury: A last-ditch fight against California’s vaccine crackdown

Instead of calling out the folks who are making death threats against Dr. Pan, a fellow California pediatrician who is working to get more kids vaccinated and protected with his new bill, SB 276, Bob Sears goes after medical lobbyists who are supporting the bill!

Why are these folks ‘like a mafia,’ as he suggests?

Did they put a horse’s head in someone’s bed?

Vaccines are safe, with few risks, are obviously necessary and something you shouldn't refuse.
Vaccines are safe, with few risks, are obviously necessary and something you shouldn’t refuse.

Or are some Legislators just “feeling intimidated and bullied” because they are getting called out for echoing the anti-vaccine talking points that are being used to oppose SB276?

“Any lawmaker who votes yes on SB 276 will have blood on their hands. It’s up to each of them to decide if they will be accessories to the real human cost of this lethal legislation. How much is a life worth? Will lawmakers sacrifice children for political purposes or will they acknowledge and act according to the truth?”

Jonathan Lockwood

Lethal legislation? Yes, that’s how the anti-vaccine movement describes a bill that the AAP, California Medical Association, California State PTA, Children’s Defense Fund of California, County of Los Angeles, Infectious Disease Association of California, the March of Dimes, and many other organizations supports.

Bob Sears, as he fights for kids to be allowed to get fake medical exemptions, is also routinely promoting the efforts of consultant, Jonathan Lockwood of Oregon, who has been described as an “out-of-state political operative known for provocative campaigns.”

No one should have to deal with getting death threats.
No one should have to deal with getting death threats.

And despite the fact that legislators have been getting death threats for years, Bob Sears hasn’t called on folks to stop making them. He even promoted the failed effort to recall Dr. Pan.

And while this is all kind of interesting, no one should be surprised.

More on Bob Sears Ignores Death Threats Against Dr. Pan

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

Vaccine Misinformation from Bob Sears is Not Harmless

The latest from Bob Sears helps illustrate exactly why his vaccine misinformation is far from harmless.

Misinformation about febrile seizures from Bob Sears.
Misinformation about febrile seizures from Bob Sears. He neglects to mention that if fewer kids are vaccinated, more will get vaccine-preventable diseases that actually cause febrile seizures!

What’s he talking about?

Vaccine Misinformation from Bob Sears is Not Harmless

He is talking about a study, Childhood seizures and risk of psychiatric disorders in adolescence and early adulthood: a Danish nationwide cohort study, which looked at “the relation between childhood seizures and the risk of psychiatric disorders in adolescence and early adulthood.”

Wait, so this isn’t a study about vaccines?

No, not directly.

“Children with epilepsy and febrile seizures—with and without concomitant epilepsy—are at increased risk of developing a broad range of psychiatric disorders in later life.”

Dreier et al on Childhood seizures and risk of psychiatric disorders in adolescence and early adulthood: a Danish nationwide cohort study

Vaccines come into the discussion because they are one of the causes of febrile seizures.

Kids are more likely to get a febrile seizure after a natural infection though, including many that are vaccine-preventable, such as the flu, measles, mumps, chicken pox, and pneumococcal disease, etc.

In fact, we have seen a protective effect against febrile seizures caused by rotavirus infections since the introduction of the rotavirus vaccine!

Bob Sears doesn’t mention any of that…

And whether or not febrile seizures can rarely be dangerous and cause long-term harm, we know that vaccine-preventable diseases are life-threatening and their complications can definitely cause long-term harm.

“In our study, we have shown that children with febrile seizures do seem to be at slightly higher risk of developing psychiatric disorders as teenagers and young adults, even in the absence of subsequent epilepsy… We noted that the association with mental illness was strongest in individuals with recurrent febrile seizures and with onset of febrile seizures after the age of 3 years.”

Dreier et al on Childhood seizures and risk of psychiatric disorders in adolescence and early adulthood: a Danish nationwide cohort study

Bob Sears also doesn’t mention that the small extra risk was mostly in kids with complex febrile seizures, which aren’t as common as the single, simple febrile seizures that most kids get.

Not surprisingly, Bob Sears also doesn’t mention that vaccines typically cause simple febrile seizures.

Misinformation is Not Harmless

The bottom line is that you should be more worried about anti-vaccine misinformation than febrile seizures…

Instead of being worried about your child getting a febrile seizure after the MMR vaccine, you should be even more concerned about febrile seizures, epilepsy, encephalitis, SSPE, and death after a natural measles infection.

Anti-vaccine misinformation is not harmless.

If you knew that skipping or delaying your child’s vaccines could put them at increased risk to get a vaccine-preventable disease and THAT would increase your child’s risk of febrile seizures and a host of lifelong mental health disorders, would you have wanted your doctor to warn you about that risk?

“This means for the average pediatrician, who may care for 1000 children younger than 5 including 3 to 500 between 6 and 24 months of age annually, one could expect to see at most 1 child who experiences a febrile seizure every 5 to 10 years due to administration of these vaccines together in the first 2 years of life. This would be in addition to the 30 to 75 patients in each birth year cohort in a practice that would experience a febrile seizure from other causes given the background rate of 2% to 5%.”

Sawyer et al on Vaccines and Febrile Seizures: Quantifying the Risk

Learn about the true risks of vaccines and vaccine-preventable diseases, the benefits of vaccines, and the risks of skipping or delaying any vaccines as you make a truly informed choice about vaccinating and protecting your kids.

More on Vaccine Misinformation from Bob Sears is Not Harmless

What Is Standard of Care?

Anti-vaccine folks who are talking about “standard of care” when deciding who gets a medical exemption for vaccines obviously don’t really understand what it means.

Why are these advocating against keeping kids protected against life-threatening vaccine-preventable diseases?
Why are these advocating against keeping kids protected against life-threatening vaccine-preventable diseases?

Maybe that’s why they put standard of care in quotes in the above infographic against SB276, a new vaccine bill in California that will eliminate fake vaccine exemptions.

What Is Standard of Care?

When we talk about standard of care in medicine, it is important to understand that it is a legal term, with a legal definition:

“That which a minimally competent physician in the same field would do under similar circumstances”

Moffett et al on The Standard of Care: Legal History and Definitions: the Bad and Good News

Does this mean that the minimally competent physicians can choose whatever criteria they want to write fake medical exemptions for vaccines?

Of course not!

“Treatment that is accepted by medical experts as a proper treatment for a certain type of disease and that is widely used by healthcare professionals. Also called best practice, standard medical care, and standard therapy.”

NCI Dictionary of Cancer Terms

Just because a few doctors do something a certain way, that doesn’t make it the proper way for it to be done.

These are among the common conditions that the AAP says should NOT delay vaccination and which are often mistakenly thought to qualify someone for a medical exemption.
These are among the common conditions that the AAP says should NOT delay vaccination and which are often mistakenly thought to qualify someone for a medical exemption.

And that’s why a doctor making up their own rules for what counts as a vaccine medical exemption, especially when it goes against published guidelines and advice, isn’t standard of care.

More on Standard of Care