Tag: vaccine laws

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 I Have to Sign a Consent Form Before Getting a Vaccine?

Most people likely think that they need to sign a consent form before getting their kids vaccinated?

Why?

Do I Have to Sign a Consent Form Before Getting a Vaccine?

Because many pediatricians and clinics have parents sign a form acknowledging that they have received a Vaccine Information Statement (VIS), so they likely figure that they are required to sign.

While it may be common practice, unless it is required by state law, no one has to actually sign a consent form before getting vaccinated. A signature is not required by federal law.

Of course, that doesn’t mean that you don’t have to get informed consent before giving a vaccine. You just don’t typically need a signature to confirm that you got informed consent.

“Those who are capable of giving consent may do so in writing, orally or by co­operation. Completion of a consent form is not a legal requirement. A signature on a consent form does not itself prove that the consent is valid but it does serve to record the decision that was reached, and the discussions that have taken place. The Bristol Royal Infirmary Inquiry Final Report (2001) reported that ‘too great a regard is paid to the symbolic act of signing a piece of paper rather than to the real task… which involves explaining what is to take place. ’”

Green Book: Chapter 2 Consent (UK)

So why do you have to sign when your child is getting a vaccine?

“There is no federal requirement for signed consent for any dose of vaccine. The federal requirement is to provide all adult patients or parents/legal representatives of minor children with the appropriate VIS for each dose of vaccine administered… Some clinics, agencies, and/or state immunization programs may have requirements for signatures.”

Ask the Experts About Documenting Vaccination

Although not usually required and the signature shouldn’t be the focus of consent, a signature still helps to confirm that informed consent was provided.

More on Signing Vaccine Consent Forms

Who was Betty Bumpers?

Only when every child has completed his or her series of immunizations will our job be completed.

Even as some schools and communities continue to face outbreaks of measles, chicken pox, and other vaccine-preventable diseases, there is a very good chance that your kids are in a school where you don’t have to worry about them getting sick.

There is also a good chance that you have no idea who made that possible.

Who was Betty Bumpers?

Sure, a lot of it has to do with all of the parents who are making the right choice in vaccinating and protecting their kids.

And of course, there are the folks who actually developed the vaccines.

But there was a time when we had many vaccines and kids still weren’t getting protected.

“I don’t think that there is anything more important than immunizing our children and preventing unnecessary suffering. We’ve seen too much of that and it’s been so exciting now to see immunization rates going up. Betty Bumpers and I have worked on this for a long time, but Betty Bumpers is the real hero. She has done more for immunizations than any one person in this whole country.”

Former First Lady Rosalynn Carter

That changed in the early 1970s, when Betty Bumpers, as the First Lady of Arkansas, worked to raise immunization rates in her state, with the Every Child By ’74 campaign.

The Every Child in '74 immunization program immunized over 300,000 children in Arkansas.
The Every Child in ’74 immunization program immunized over 300,000 children in Arkansas.

She didn’t stop in Arkansas though.

“I believe our program, based upon volunteers and government agencies already in pace, has been tremendously successful.”

Betty Bumpers

In 1975, she told a Senate subcommittee that her immunization program could serve as a model for other states too.

“Measles incidence declined dramatically after large vaccination campaigns, but transmission was not interrupted. The licensure of rubella vaccine in 1969 led to mass campaigns to immunize children to avert an anticipated repeat of the tragic epidemic of 1964–65, which resulted in the births of approximately 20,000 infants with congenital rubella syndrome. The rubella campaigns diverted attention and funding from measles, resulting in a resurgence of measles. Federal funding for Section 317 declined during the early to mid-1970s. Immunization coverage fell, and disease increased.”

Vaccine-Preventable Diseases, Immunizations, and MMWR — 1961–2011

A few years later, President Jimmy Carter announced the National Childhood Immunization Initiative of 1977, a program that was stimulated by the efforts of Betty Bumpers, with Rosalynn Carter.

In addition to increased spending on immunization programs, we soon had laws in every state requiring students to be vaccinated before they could attend school, and not surprisingly, measles cases quickly dropped.

It didn’t last.

Without support for immunization programs from the Reagan administration, vaccination rates dropped and measles cases soared.
The Role of Measles Elimination in Development of a National Immunization Program

In the year’s that followed the Carter administration, Federal support for vaccine programs reached a low point, as rates of children living in poverty and without health insurance also increased.

To help combat this rise in vaccine-preventable disease, Betty Bumpers, again with Rosaylnn Carter, launched Every Child By Two – Carter/Bumpers Champions for Immunization.

Founded in 1991, Every Child By Two, now Vaccinate Your Family, has worked to raise awareness about the importance of getting vaccinated on time and on schedule. This was especially important at the time, when many preschool age kids weren’t getting vaccinated. And it still is, as misinformation about vaccines continues to scare some parents away from vaccinating and protecting their kids.

She also worked with her husband, Senator Dale Bumpers, to encourage Bill Clinton’s administration to develop the Childhood Immunization Initiative, which he proposed in 1993, and to pass the Vaccines for Children Program, which was created by the Omnibus Budget Reconciliation Act of 1993.

The Dale and Betty Bumpers Vaccine Research Center wad dedicated in 1999.

In addition to her work helping get kids vaccinated, Betty Bumpers:

She is truly a hero and should be remembered for all of the work she did.

Whether folks understand it or not, it is because of the work of Betty Bumpers that even as some folks skip or delay their child’s vaccines, the outbreaks they cause are eventually contained before they get out of control.

Betty Bumpers was a champion in our efforts to reduce the burden of vaccine-preventable diseases among children in the United States.  She played a major leadership role as 1st Lady of Arkansas in improving immunization in that state and was inspirational in launching the first major Presidential Initiative on Immunization during the late 1970s.  She continued to be a major immunization advocate through much of her life launching “Every Child By Two (ECBT)” which she chaired along with Mrs. Rosalyn Carter, now “Vaccinate Your Family”.

Walter Orenstein

That work will continue to save the lives of millions of children, at least it will as long as we don’t let folks chip away at it, allowing them to abuse exemptions and spread propaganda, scaring parents away from vaccinating and protecting their kids.

That’s why we all must continue her work

For as Betty Bumpers said, “only when every child has completed his or her series of immunizations will our job be completed.”

More on Betty Bumpers


Vaccine Requirements for College Entry

Most of our kids are up-to-date on their vaccines by the time they are ready to start college.

That’s likely why few of us give college vaccine requirements much thought.

Will this chicken pox outbreak in Ohio spread?
Will this chicken pox outbreak in Ohio spread?

But maybe it is something we should start thinking about more, as it seems that many colleges do not have actually require their students to be vaccinated and protected!

Vaccine Requirements for College Entry

The one vaccine that is the most often associated with going to college is the one that protects our kids against meningococcal disease.

That’s actually two vaccines though:

  • MCV4 – Menactra or Menveo
  • MenB – Bexsera or Trumenba

Which other vaccines should kids get before going to college?

They should get whatever vaccines they might have missed when they were younger, including MMR, chicken pox, hepatitis A, hepatitis B, Tdap, HPV, and polio vaccines.

Plus they should get a flu vaccine every year.

Vaccine Recommendations for College Entry

Unfortunately, in many cases, instead of requirements to attend college, we really just have recommendations that students can choose to ignore.

What’s the likelihood that your fellow students are vaccinated and protected?

How many are unvaccinated?

Which school do you plan on attending?

“Immunizations are recommended to protect your health and the health of others, but they are not required by the university.”

Welcome to the University of Michigan!

Fortunately, most schools do require at least some vaccines.

In addition to either Menactra or Menveo, many require two doses of MMR.

Some also require three doses of hepatitis B vaccine.

A few, like the University of Michigan and the University of Wisconsin don’t require any vaccines though.

These are the ten of the biggest colleges in America, at least in terms of enrollment, and their immunization rules:

TdapMMRVarHepA/BMCV4MenBHPVIPV
OSU12
2X/31XX4
FlaR2RR/31RRR
Minn12XXXXXX
ASUR2XXRXRX
UTRRRR/R1XRX
UCFR2RR/RRRRR
A&MXXXX1XXX
MichRRRR/RRXRR
PSU
R2RR/RRRRX
WiscRRRR/RRX
RR

On the bright side, Ohio State University, with one of the largest combined graduate and undergraduate enrollment, has the strongest immunization requirements.

On the other hand, it is quite sad that many of the others either have weak requirements, only recommend (R), but don’t actually require many common immunizations for enrollment, or don’t even mention them (X).

Why don’t more colleges have stricter immunization requirements for enrollment?

It is likely that they haven’t caught up with the problem of parents skipping or delaying their kids’ immunizations.

“While many infectious diseases such as meningitis are rare, it is not uncommon for hundreds of students at a large university to contract the flu each season.”

Contagious on campus

Which brings us to a problem – how can colleges hope to control outbreaks well if they don’t even know which students are vaccinated or not, and so can’t easily quarantine unvaccinated students? They seem to manage mumps and meningococcal outbreaks, but neither are as contagious as measles or chicken pox. 

Do we really need to wait for more outbreaks on college campuses before we start requiring that kids be vaccinated and protected before going to college?

At the very least, can we at least start tracking vaccine-preventable disease rates in college kids, make flu deaths in college students reportable, and report vaccination exemption rates by college campus?

More on Vaccine Requirements for College Entry

Is the La Leche League Anti-Vaccine?

Why would anyone think that the La Leche League, an organization who’s mission is to support breastfeeding, might be against vaccines?

“Many parents have questions about the compatibility of vaccines and breastfeeding. Your healthcare provider can address any questions that come up for you.”

la leche league international on Vaccines

They certainly don’t make any strong statements supporting vaccines…

“The LLLI Health Advisory Council suggests families discuss the pros and cons of influenza vaccines with their health care practitioners.”

la leche league international on Influenza

The cons of influenza vaccines?

What are those exactly? That the protection babies get from their mother’s pregnancy flu shot doesn’t last until they go to college?

What’s the greatest evidence that they might not support vaccines? I mean, besides anti-vaccine La Leache League leaders who actively say that they are against vaccines?

Bob Sears is giving two lectures  on vaccines at an upcoming La Leche League breastfeeding conference.
What exactly will Bob Sears be talking about during his two lectures on vaccines at this upcoming La Leche League breastfeeding conference?

Bob Sears is giving two lectures on vaccines at an upcoming La Leche League breastfeeding conference.

Will he really discuss the benefits of vaccines for pregnant and post-partum mothers and their families?

“Dr. Bob Sears, a renowned Dana Point pediatrician who has been sought out by parents who wish to opt out of the state’s mandatory vaccine requirements, has been placed on probation for 35 months by the Medical Board of California.”

Dr. Bob Sears, renowned vaccine skeptic, placed on probation for exempting child from all vaccinations

And considering that he nearly lost his medical license over giving an improper vaccine exemption, what can we really expect from his talk on California’s vaccine law?

“Remember that La Leche League is exclusively focused on breastfeeding support and has no stance on vaccinations.”

La Leche League USA

No stance on vaccinations?

Actually, with bringing Dr. Bob to their conference, it seems like they made a very clear stance…

“Nursing also allows your baby to give germs to you so that your immune system can respond and can synthesize antibodies! This means that if your baby has come in contact with something which you have not, (s)he will pass these germs to you at the next nursing; during that feeding, your body will start to manufacture antibodies for that particular germ. By the time the next feeding arrives, your entire immune system will be working to provide immunities for you and your baby. If you are exposed to any bacteria or viruses, your body will be making antibodies against them and these will be in your milk.”

Can Breastfeeding Prevent Illnesses?

And they have also done a good job of making it sound like breastfeeding infants don’t need vaccines.

They do!

While breastfeeding is great, it is not a substitute for getting vaccinated. In fact, antibodies in breast milk will not protect a baby against most vaccine-preventable diseases.

If the La Leche League truly wants to support what’s best for kids, they should move away from pushing non-evidence based therapies, especially craniosacral therapy and referrals to chiropractors for breastfeeding problems, and they should take a stand supporting vaccines.

The La Leche League is on this list of other organizations that speak out against vaccines.
The La Leche League is on this list of other organizations that speak out against vaccines.

Then maybe they wouldn’t appear on any lists from the NVIC.

More on Vaccines and the La Leche League

How Can I Get Vaccinated If My Parents Are Anti-Vaccine?

What do kids do when their parents are anti-vaccine?

    Most teens do know what's in a vaccine and they want to get vaccinated and protected.
Most teens do know what’s in a vaccine and they want to get vaccinated and protected.

Whether or not they know it, they hide in the herd, at least until they understand what’s going on.

And then they often make a choice to either continue with their parents beliefs and remain unprotected or they get caught up.

Can Minors Consent to Getting Vaccinated?

Since getting vaccinated is a medical procedure, in most cases, you are still going to need the consent of a parent, guardian, or other adult family member if you are still a minor, which leaves out simply going out and getting caught up.

“State law is generally the controlling authority for whether parental consent is required or minors may consent for their own health care, including vaccination.”

Abigail English, JD on  the Legal Basis of Consent for Health Care and Vaccination for Adolescents

Are you still a minor?

“In most states, age 18 is the age of majority and thus, before treating a patient under the age of 18, consent must be obtained from the patient’s parent or legal guardian.”

Ann McNary, JD on Consent to Treatment of Minors

When it comes to immunizations and health care, in addition to what state you live in, that likely depends on whether or not you are an emancipated minor (court order), married minor, pregnant minor, or minor parent (situational emancipation). It also can depend on the type of health care you are seeking, like if a minor is seeking birth control or treatment for an STD.

“States Parties shall assure to the child who is capable of forming his or her own views the right to express those views freely in all matters affecting the child, the views of the child being given due weight in accordance with the age and maturity of the child.”

Convention on the Rights of the Child

Are you a mature minor? In some states, you can also give consent for medical procedures, including getting vaccinated, if you are a mature minor – someone who is old enough to understand and appreciate the consequences of a medical procedure.

In Washington, for example, minors may get immunizations without their parents consent after their health care provider evaluates the minor’s “age, intelligence, maturity, training, experience, economic independence or lack thereof, general conduct as an adult and freedom from the control of parents.”

Fourteen other states, including Alabama, Alaska, Arkansas, Delaware, Idaho, Illinois, Kansas, Louisiana, Maine, Massachusetts, Montana, Nevada, Oregon, Pennsylvania, South Carolina, Tennessee, and West Virginia have laws that allow mature minors to consent to general medical treatment either in all or a range of restricted circumstances.

How Can I Get Vaccinated If My Parents Are Anti-Vaccine?

Believe it or not, this question comes up a lot more than you can ever imagine.

If you are old enough to consent to getting vaccinated on your own, then you are all set and can start to get caught up on your immunizations.

If not, then your options are more limited, but might include:

  • talking to your parents about your concerns
  • asking someone, like your pediatrician, to be an advocate and talk to your parents with you
  • petitioning the court for emancipation ( you may get a whole lot more than the ability to get consent to get vaccinated though…)
  • waiting until you are old enough to consent to get vaccinated without your parent’s permission

While waiting is likely the easiest option, since that leaves you at risk for getting a vaccine-preventable disease, you should probably think about talking to your parents.

Why don’t they want you to get vaccinated? Do they have specific concerns about side effects? Do they have a religious objection?

Vaccines are safe and necessary. Hopefully you can help your parents understand that and they will allow you to get caught up on all of your vaccines.

More on Getting Vaccinated If Your Parents Are Anti-Vaccine

Who Is Chris Exley?

Are you worried about aluminum in vaccines?

If you are, the chances are good that you have been reading something by or about Professor Christopher Exley recently.

Who Is Chris Exley?

To those in the anti-vaccine movement, Professor Chris Exley is one of the worlds’ leading experts on the subject of aluminum toxicity.

“I am a Biologist (University of Stirling) with a PhD in the ecotoxicology of aluminium (University of Stirling). My research career (1984-present) has focussed upon an intriguing paradox; ‘how come the third most abundant element of the Earth’s crust (aluminium) is non-essential and largely inimcal to life’. Investigating this mystery has required research in myriad fields from the basic inorganic chemistry of the reaction of aluminium and silicon to the potentially complex biological availability of aluminium in humans. I am also fascinated by the element silicon in relation to living things which, as the second most abundant element of the Earth’s crust, is also almost devoid of biological function. One possible function of silicon is to keep aluminium out of biology (biota) and this forms a large part of the research in our group. We are also interested in biological silicification.”

Professor Chris Exley Keele University Staff Profile

What do other people think of Dr. Exley and his work?

“Let me put this straight, this is not a paper that has evidence of scientific fraud or data manipulation. There is no duplicated images, no suspicious blots. The problem I have with this paper is its deep experimental flaws and data analysis that nonetheless should not have passed through the peer-review filter.”

Does the latest paper from Exley show a link between ASD and aluminum?

While it is typically strange to talk about fraud and data manipulation when starting to review a scientific study, remember that other aluminum studies, including other aluminum studies that were also funded by the Children’s Medical Safety Research Institute (CMSRI), were recently retracted.

In addition to performing deeply flawed studies about aluminum, Chris Exley gives lectures about aluminum toxicity at so-called vaccine safety conferences. At one 2011 conference, in addition to Exley talking about The systemic toxicity of aluminium adjuvants, you could have heard presentations by:

  • Russell Blaylock, MD on The central role of immunoexcitotoxicity in aluminum and mercury-containing adjuvant-triggered neurodevelopmental and neurodegenerative disorders
  • Shiv Chopra, MSc, PhD on Vaccination programs: prevention or corruption?
  • John Barthelow Classen, MD on Vaccine induced epidemics of type 1 diabetes and type 2 diabetes/obesity/metabolic syndrome, and their relationship to the epidemic of autoimmune autism
  • Barbara Loe Fisher, President & Founder of NVIC on Medical science & public trust: the policy, ethics and law of vaccination in the 20th & 21st Centuries
  • Lawrence Palevsky, MD, FAAP on Rethinking the germ theory
  • Christopher Shaw, PhD on Aluminum as a neurotoxin: the evidence from cell culture, in vivo, and human studies
  • Yehuda Shoenfeld, MD, FRCP on ASIA – Autoimmune (Auto-inflammatory) Syndrome induced by Adjuvant: a new syndrome to be defined
  • Lucija Tomljenovic, PhD on Gardasil: prophylaxis or medical misconduct? and Aluminum adjuvants and immunization science: a matter of pervasive uncertainty
  • Andrew Wakefield, MB, BS on Autism and vaccines: a research strategy focused on cause

Chris Exley keeps interesting company if he doesn’t want to be thought of as someone who is anti-vaccine…

Interestingly, he also believes that we are living in The Aluminum Age.

“The human race has inadvertently agreed to participate in a clinical trial to assess and understand the toxicity of human exposure to aluminium. This is an experiment which is, of course, ongoing as I write and you read this essay. It is an experiment which has neither been submitted for independent peer review nor received ethical approval.”

And he seems fairly sure that aluminum is responsible for a whole host of diseases, from Alzheimer’s and autism to diabetes.

Why hasn’t research been done to figure out whether or not aluminum is safe?

“While there are thousands of scientific publications over many decades demonstrating the toxicity of aluminium in all living things the larger questions concerning aluminium and common human diseases such as Alzheimer’s disease or diabetes remain unanswered or at best equivocal. These questions remain unanswered primarily because neither the global aluminium industry nor governments which have allowed the unfettered growth of the use of aluminium products are prepared for an answer. Try to imagine the immediate and short term economic consequences of human exposure to aluminium being directly linked as causal or even contributory in just one disease, for example Alzheimer’s disease.”

Of course, it’s a conspiracy!

“The ensuing chaos and stock market crashes would be unpalatable but they would just be the beginning of a world which would now have to change to address and accommodate such knowledge. Now that the tip of the iceberg has become visible the remainder would have to be investigated and the inevitable consequences of human exposure to aluminium would be revealed, piece by piece, and a new jigsaw of life on Earth would slowly be pieced together.”

Just like it was a conspiracy that there was a “tsunami of silence perpetuated by all mainstream media, almost globally” following his deeply flawed study that he thought linked aluminum adjuvants in vaccines and autism.

chris-exley-conspiracy
More than the criticism, it seems that Chris Exley was really bothered that his latest research was ignored…

What’s next for Exley?

You can be sure it will be something about aluminum toxicity…

What to Know About Chris Exley

Professor Chris Exley is an expert on telling folks that aluminum is toxic.

More About the Chris Exley