Tag: vaccine laws

The VACCINES Act

A lot of folks have been saying that new Federal vaccines laws were coming.

Instead, we have just been seeing more and more cases of measles.

The VACCINES Act

Well, we might finally be getting a new Federal vaccine law, but it isn’t the kind of law that will force people to get vaccinated that anti-vaccine folks have been warning us about.

Rep. Schrier with the AAP Executive Committee, who urge passage of the VACCINES Act and federal funding for vaccine hesitancy surveillance at the Centers for Disease Control and Prevention.
Rep. Schrier with the AAP Executive Committee, who urge passage of the VACCINES Act and federal funding for vaccine hesitancy surveillance at the Centers for Disease Control and Prevention.

Instead, the Vaccine Awareness Campaign to Champion Immunization Nationally and Enhance Safety (VACCINES) Act, which was recently introduced by Representative Kim Schrier (D-Wash.) will simply help to increase public awareness of the safety and effectiveness of vaccines.

“Vaccines were one of the greatest medical accomplishments of the 20th century and have been proven safe and effective at preventing diseases that once killed or greatly harmed people around the world.

As a pediatrician, I understand that parents want to do what they think is best for their children and some do not vaccinate because of unfounded fears. We are now seeing outbreaks of diseases like measles, which was considered eliminated 19 years ago, in part because of an anti-vaccine campaigns around the country. This bill will make sure that parents have access to facts about vaccines, so they can make an informed decision.”

Rep. Kim Schrier

The VACCINES Act will:

While I’m pretty sure the CDC could already do all of these things already without a new law, hopefully it will provide the extra funding and resources to actually get it done.

Tell your U.S. representative to consider co-sponsoring the VACCINES Act and help get this bill passed.

More on the VACCINES Act

Remembering the Measles Epidemics of the 1990s

A lot of folks are talking about how we are seeing record numbers of measles cases this year, the most since we declared the end to the endemic spread of measles in the United States in 2000.

Believe it or not though, the record goes back further than that.

We have already seen the most cases since 1994.

That’s a 25 year record!

Remembering the Measles Epidemics of the 1990s

Do not leave your child unprotected!

And trust me, we don’t want to surpass any records beyond that!

If we do break those records, reaching thousands of cases this year, then we will reach epidemic levels of measles.

And many of us who know what that means, remembering that there were 55,622 cases of measles and 123 deaths in the United States between 1989 and 1991, a time when we had good nutrition, hygiene, sanitation, and health care…

What else did we have?

A lot of unvaccinated kids!

But we learned our lesson, got more kids vaccinated, and eliminated the endemic spread of measles.

We even got to a record low of measles cases, just 37 cases in 2004!

Will we ever beat that record?

Remember when our state Legislatures worked to protect us from infectious diseases, instead of trying to pass laws that make it easier for kids to skip or delay their vaccines?

And then parents forgot how bad measles could be and that made it easier to believe in all of the misinformation of people like Andrew Wakefield, Bob Sears, Jenny McCarthy, and the new breed of anti-vaccine social media influencers who are scaring parents away from vaccinating and protecting their kids.

Long story short, measles is back

Fortunately, there are many people who remember and won’t let us repeat the mistakes of the past.

Many parents remember and they vaccinate and protect their kids.

Most pediatricians remember.

We remember and know that vaccines are safe, with few risks, and are obviously necessary. And we don’t want to wait until people start to die before more parents vaccinate their kids.

If you don’t remember what it was like when everyone had measles, read some of the stories below…

More on the Measles Epidemics of the 1990s

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

Are Vaccine Laws a Form of State Sponsored Segregation?

Bob Sears doesn’t seem to like that more states are having to strengthen their vaccine laws, making it harder for kids to skip or delay their vaccines.

That seems rather ironic, as many parents likely were scared away from vaccinating and protecting their kids because of the misinformation folks like him continue to push.

Are Vaccine Laws a Form of State Sponsored Segregation?

What the latest?

The idea that vaccine laws are a form of state sponsored segregation…

“If you don’t see the historical parallels, and if it doesn’t concern you that State and now Federal Legislators think that discrimination and segregation are OK again, and you don’t realize that this is all a carefully-crafted PR campaign to sell the idea that some children are dirty and dangerous, when decades ago all kids were considered equal, then you are blind.”

Bob Sears

Bob Sears isn’t the first to try and conflate skipping vaccines into a civil rights issue, but he is certainly the one being the most obvious about it…

Now when were all kids really considered equal in the United States?

Was it the late 1980s, when Bob thinks everyone had it so great?

Remember, that was just before the big measles outbreaks from 1989 to 1991, when 123 people died. During those three years, there were also 28 deaths from pertussis, 6 deaths from mumps, 13 deaths from rubella and 77 cases of congenital rubella syndrome!

Life was good?

I was a little older than 10 in 1988 and remember that folks still died of all of these diseases, so added that to this nice infographic so you get the real perspective.

Is this the worst thing Bob has ever posted?

Well, there is that time he talked about unvaccinated kids wearing yellow stars

“…So I tell them they don’t have to whisper. They can say it loud and clear, with confidence. Ya, I guess you don’t want to advertise it around the neighborhood – that will come soon enough. Scarlet “V” anyone? No, not scarlet. Let’s make it yellow. And not a V – a star would be better. That way everyone can know at first glance who is safe to be around and who is not. That way, if your old doctor and his children are walking down the street, they can easily identify your kids and quickly cross to the other side before they get too close.

Ask your Assemblyperson which color and shape they think would be most appropriate.

Disclaimer: This post is not intended as a reference to a holocaust. Rather, it’s intended to raise the issue of prejudice and discrimination. Others have likenend vaccine injury to a holocaust. Instead, we are talking about families who choose to not vaccinate. No holocaust here.”

Dr. Bob Sears on The Vaccine Whisperers

So which historical parallel is Bob talking about this time?

Equating real problems of discrimination and segregation to the issue of parents wanting to keep their kids unvaccinated and unprotected is not only silly, but it is also offensive.

And for perspective, in 1988, not only did more people get vaccine-preventable diseases, more people died with vaccine-preventable diseases.

Did we freak out about it? Of course not. We worked towards an immunization plan to control and eliminate more of these diseases.

How can Bob Sears be blind to all of this?

More on Vaccine Laws and State Sponsored Segregation