Mandates & Exemptions
2009

New York Health Care Workers Resist Flu Vaccine Rule

New York Times
September 20, 2009
"When she cleans the rooms of patients with swine flu symptoms, Jana Newton, a housekeeper at Maimonides Medical Center in Brooklyn, has to suit up for her own protection in a mask, gloves, gown and hairnet. Jana Newton, an aide at Maimonides Medical Center in Brooklyn, said she has not been sick and sees no reason for a shot. But she still does not want the one thing that would give her a far better defense — a flu shot. 'Some people's immune system is good, like me,' Ms. Newton said. 'I've been here five years and never been sick. Why mess with something that's not broken...'"

Metro Health Nearly Mandates Health Care Workers Receive Flu Shots

Cleveland Leader
September 19, 2009‎
"Metro Health workers that don't receive a flu shot will be sticking out like sore thumbs this year. The hospital system is urging their workers receive a vaccination as Swine Flu threatens to wreak havoc on the United States. Metro sent an email to staff saying whoever does not receive a flu shot this year will be forced to wear surgical masks while working with patients..."

Hospitals Pushing Workers to get Flu Vaccines

St. Petersburg Times (FL)
September 17, 2009
"Health care workers usually don't follow their own advice. Every year, fewer than half of them get vaccinated... Hospitals here and nationally are stepping up efforts to vaccinate workers against both seasonal flu and H1N1. One state - New York - is even making flu vaccinations mandatory for health care workers..."

Hospitals to Require Flu Shots for Worker

Des Moines Register
September 10, 2009
"Des Moines' two main health-care companies will require most of their employees to receive flu shots this fall. Mercy Medical Center and Iowa Health-Des Moines told workers this week that they must be immunized against seasonal influenza unless they have a medical or religious reason not to be. If they receive an exemption, they will be required to wear masks when treating patients after Dec. 1..."

Emory, Grady Make Seasonal Flu Shots Mandatory

Atlanta Journal-Constitution
September 3, 2009
"Emory Healthcare and Grady hospitals are requiring employees to take the seasonal flu vaccine, officials said Thursday. The new mandates reflect increasing concern that metro Atlanta is headed into a bad flu season, in which the seasonal flu could circulate along with the swine flu. Usually, hospital officials urge staffers to take the vaccine but don't require it. Emory officials said about 70 percent of Emory staffers usually take the vaccine but the national average is much lower. Grady officials said about 30 percent took it last year. Several factors led Emory officials to make taking the seasonal flu vaccine mandatory — protecting patients and providing a safe environment for workers; the fact that the seasonal flu and swine flu will be circulating at the same time; and the successful implementation of mandatory flu vaccinations in other healthcare systems..."

State Requires Flu Vaccination for Caregivers

New York Times
August 18, 2009
"The State Health Department is requiring tens of thousands of health care workers across the state to be vaccinated for flu, amid fears that swine flu will return in the fall. The new regulation, quietly adopted as an emergency on Thursday, affects workers at hospitals, in home health care agencies and in hospice care, but, because of a technicality in state law, not in nursing homes. The regulation raised protest Tuesday from New York's largest health care union, 1199 S.E.I.U. United Healthcare Workers East, whose president, George Gresham, said that the policy was 'completely unprecedented' and could become punitive if the religious or cultural beliefs of workers prevented them from being vaccinated..."

Litigation, Regulation, and Education - Protecting the Public's Health through Childhood Immunization

New England Journal of Medicine
June 11, 2009
"Recently, three special masters of the U.S. Court of Federal Claims issued carefully reasoned, strongly worded opinions rejecting claims that medical and scientific evidence could demonstrate causal links between thimerosal-containing vaccines or measles–mumps–rubella (MMR) vaccination and the development of chronic health conditions such as autism, immune dysfunction, and gastrointestinal dysfunction..."

When Vaccine Injury Claims Go to Court

New England Journal of Medicine
June 11, 2009
"In February 2009, the National Vaccine Injury Compensation Program (VICP) released decisions for the first three test cases heard under the program's Omnibus Autism Proceeding. In each of the cases - Cedillo v. Secretary of Health and Human Services, Hazlehurst v. Secretary of Health and Human Services, and Snyder v. Secretary of Health and Human Services - the petitioners alleged that a child's autism spectrum disorder was caused by the combination of the measles– mumps–rubella (MMR) vaccine and thimerosal-containing vaccines. The decisions will have a substantial effect on vaccine policy and practice in the United States and will influence the analysis of more than 5300 similar, pending claims..."

Supreme Court Interested in Vaccine Lawsuit Shield

Bloomberg
June 8, 2009
"The U.S. Supreme Court expressed interest in an appeal by Madison-based Wyeth and units of GlaxoSmithKline Plc that seeks to give the pharmaceutical industry a broader shield from lawsuits over injuries allegedly caused by vaccines. The justices sought the Obama administration's views on a Georgia Supreme Court ruling that allowed a lawsuit by the family of an autistic boy injected with vaccines containing the mercury-based preservative thimerosal. The state court said a 1986 federal law that protects vaccine makers doesn't preclude suits claiming that a manufacturer should have used a safer formulation..."
Fear of Vaccines Spurs Outbreaks, Study Says
Wall Street Journal
May 7, 2009
"Parental doubts about the safety of childhood vaccinations are leading to outbreaks of largely eradicated diseases like measles and whooping cough, doctors warned in a new report. A U.S. measles outbreak last year -- almost exclusively among unvaccinated people -- has sparked concern about places where many parents opt out of having their children vaccinated. In Ashland, Ore., more than a quarter of kindergartners aren't vaccinated, leading the U.S. Centers for Disease Control and Prevention to hold a town-hall meeting on vaccination there earlier this year. 'A lot of folks are counterculture-type independent thinkers [who] do not have faith in all the modern medicine-type stuff," said Myles Murphy, city editor of the town's newspaper, the Ashland Daily Tidings. Too many abstainers can put a town at risk, wrote Dr. Saad Omer, of Emory University in Atlanta, the lead author in the report in this week's New England Journal of Medicine..."
Op-Ed:The Autism/Vaccine Myth: Parents who refuse to have their children vaccinated are putting them, and other children, at risk
Los Angeles Times
May 3, 2009
"A mother gently places her beautiful 1-year-old boy on the examining table, unwrapping his soft, blue blanket. To my opening question, his mother says "No," she has no concerns. A thorough exam confirms the boy's good health. His heart and lungs are clear; his growth and development right on target. Even his crying as we screen his blood for anemia and lead are signs of a normal child..."
Letter to the Editor: Immunize Children
Contra Costa Times (CA)
April 8, 2009
"I read the Times story about parents choosing not to immunize their children and wanted to make sure readers know of the local risks. Though your story focused on a measles outbreak in San Diego, we had a similarly disturbing outbreak of whooping cough right here in Contra Costa County last year. The Contra Costa Public Health Department had to temporarily close a private school in El Sobrante after at least 21 children contracted whooping cough, a highly infectious and serious lung infection. The outbreak had already spread to another school and two childcare facilities. Fortunately, all of the children recovered but the outbreak might have been avoided if the children had been immunized. Like the events in your story, most of the children with whooping cough in the Contra Costa outbreak were in kindergarten, and their parents had decided not to immunize them for various reasons, including the concern over whether immunizations are linked to autism. There is simply no scientific link between immunizations and autism. However, there is ample evidence that parents who do not immunize their children put their children, the school and the larger community at risk for serious, sometimes life-threatening, diseases. Erika Jenssen, MPH Martinez Jenssen is immunization coordinator of Contra Costa Public Health Department."
Immunizing Children Philadelphia Mission
Philadelphia Inquirer
April 8, 2009
"At each of these addresses, in theory, is a baby who is behind in childhood immunizations. Velazco-Miranda's job: Find the parents. Get the kid into a clinic for shots. With several recent outbreaks of preventable diseases traced to unvaccinated children, public health officials say it is more important than ever to maintain the high immunization rates that provide an extra layer of protection for everyone. Philadelphia has among the highest vaccination rates in the nation, often topping all other big cities and most states..."
Op-ed: Vaccinations Are a Public Health Success, and a Responsibility
Bay City Times (MI)
April 7, 2009
"Lined up in school gymnasiums like little soldiers in some states, millions of U.S. school kids did their part in a decades-long public health crusade. Many of them sniffing back tears of fear, a few crying openly, the vaccinations they received - at school or at a doctor's office - vanquished smallpox and polio from the North American continent, and sent measles packing. Now that those diseases and others are beaten back, though, some parents are pushing back against state laws requiring vaccinations for school children..."
Why Do Anti-Vaccinationists Believe?
Huffington Post
April 2, 2009
"At the end of last week, I wrote an article which was eventually titled 'Vaccine Denial = Scientific Illiteracy.' The article was posted on Monday and has since received a lot of feedback on either side...More confusion came when I started actually reading through the comments. I tried to understand the anti-vaccination thought process. From my point of view, vaccines are good things..."
Editorial: Vaccine Fear is Harmful for Children
Contra Costa Times
April 1, 2009
"A misguided fear that some vaccines may cause autism has persuaded a growing number of parents to decline to have their children inoculated against childhood diseases such as measles, mumps and whooping cough. These are illnesses that had been eradicated in the United States years ago after the implementation of a federal program paying for vaccines for those who could not afford them. Unfortunately, unfounded fears that vaccines are more dangerous than the diseases they prevent have led to an increasing number of children who are not vaccinated before they enter school..."
Concern over Vaccination Rate in N.J.; Responding to a reported drop, a doctors' group says parents and government must do more
The Philadelphia Inquirer
March 30, 2009
"Both parents and government must do more to ensure timely vaccination of children, a New Jersey doctors' group says, pointing to a new national survey that suggests the state may have dropped from the top 10 in the country to the bottom 10 in less than a year. "We live in the most urban state in the nation," Robert Morgan, a pediatrician and member of the Medical Society of New Jersey, said in an interview. "When you choose not to vaccinate your child, you are making choices for every other child as well." It is not clear that the latest National Immunization Survey results in New Jersey accurately reflect actual vaccination rates. The survey, conducted from July 2007 through June 2008, found that 70.5 percent of children in New Jersey had received the standard series of vaccines - down from 80.5 percent during the January-to-December 2007 period..."
Immunization Laws and Attitudes Vary
Los Angeles Times
March 29, 2009
"States have long been able to require students to be vaccinated before entering school, a power upheld by the U.S. Supreme Court in 1922. But how strictly immunization laws are enforced varies, with tougher requirements leading to higher rates of compliance. A study published in the Journal of the American Medical Assn. in 2006 found that states that made it easiest to opt out of mandated vaccinations were nearly twice as likely to have cases of whooping cough as states with more difficult procedures. The authors, who noted that California was among the most lenient, urged all states to "balance parental autonomy with the tremendous public health benefit of vaccines" and consider tougher standards for exemptions..."
California Schools' Risks Rise as Vaccinations Drop
Los Angeles Times
March 29, 2009
"Parents fear shots more than measles or mumps. A rising number of California parents are choosing to send their children to kindergarten without routine vaccinations, putting hundreds of elementary schools in the state at risk for outbreaks of childhood diseases eradicated in the U.S. years ago. Exemptions from vaccines -- which allow children to enroll in public and private schools without state-mandated shots -- have more than doubled since 1997, according to a Times analysis of state data obtained last week. The rise in unvaccinated children appears to be driven by affluent parents choosing not to immunize. Many do so because they fear the shots could trigger autism, a concern widely discredited in medical research. But with autism rates rising, some parents find that fear more worrisome than the chance that their child could contract diseases that, while now very rare in this country, can still be deadly..."
Sonoma County at Center of Anti-vaccine Debate
Santa Rose Press Democrat (CA)
March 28, 2009
"Whether it's a decision of the well-informed, non-traditional, alternative or paranoid, vaccinations are not considered a must-do by many North Bay parents. Long gone are the days when vaccinating infants and toddlers prior to kindergarten is done as a matter of course and without question. Especially in western Sonoma County. A study conducted by the Los Angeles Times reveals that the North Bay, and Sonoma County in particular, is a hot bed of anti-vaccine sentiment..."
Health Dept. Prepares for Immunization Week
Moultrie Observer (GA)
March 28, 2009
"During the 1950s, nearly every child developed measles, an easily spread virus known for causing a rash, fever, cough and watery eyes — and feared because it can also cause pneumonia, seizures, brain damage or death. Today, thanks to childhood immunizations, the disease is extremely rare in the United States..."
Conference Takes on Autism, Vaccines; But Unlike Many such Gatherings, Support for Vaccinating Is Strong Florida Times-Union
March 12, 2009
"A bill before Florida lawmakers that would relax the state's childhood vaccination mandate may make more children vulnerable to the measles, chicken pox and other potentially life-threatening diseases, disease experts warned Wednesday. The bill would allow parents to object to having their children immunized on 'philosophical' grounds, opening a door to parents worried about the controversial link between vaccines and autism. Many already bypass the state's vaccine mandate, using existing medical and religious waivers to do so, observers say. Paul Offit, chief of infectious diseases at the Children's Hospital of Philadelphia and an outspoken vaccine proponent, told a medical group in Jacksonville that the 21 states with philosophical exemptions are seeing higher rates of measles..."
Contagious Disease's Spread Highlights Dilemma over Unvaccinated Kids
Los Angeles Times
February 23, 2009
"Parents who opt out of or delay getting their children immunized may run a higher risk of them catching and passing along diseases that once were nearly eradicated. An old childhood disease reared its head in Minnesota last year, infecting five young children and killing one of them, according to a recent report by the Centers for Disease Control and Prevention... Measles, like Hib, has been virtually eradicated from the U.S. thanks to vaccination..."
How the Middle-Class MMR Refuseniks Are Putting Every Child at Risk
Daily Mail (UK)
February 18, 2009
"Sipping a sludgy-looking concoction of herbs and mashed mung beans, Joanne offers me a beige lump which I have no trouble declining. It's an organic biscuit from Guadeloupe, she tells me. Chewing on her biscuit, she shakes her head. 'I don't understand it,' she says. 'Hardly anyone can come to Silas's birthday party next month.' For a moment, I almost feel sorry for her. Looking at three-year-old Silas playing on his own with his bricks, I'm tempted to tell her why. I could spell it out for her why he did not get an invitation to George's bouncy castle bash last weekend and won't be asked to come on the swimming trip that several mums are organising next week. But in the end I simply make my excuses and leave. My three-year-old daughter Nancy won't be going to Silas's party either. In fact, I'd come round to drop off his present because we aren't going to be seeing any more of Silas and Joanne. They are not the only families we are cutting out of our lives. There won't be any more coffee mornings with Megan and her son Toby. We won't be going on play dates with Esther and her daughter Mimi either. Quite simply, I don't want Nancy to have contact with Silas, Mimi and Toby because they haven't had the MMR jab, which protects against measles, mumps and rubella. Nancy has had her jab, but she won't be fully protected until she has a booster just before going to school. The parents of Silas, Mimi and Toby are middle class and university educated, but they are behaving like morons and turning their children into pariahs..."
2008
Parents Question Vaccine Mandate
Times of Trenton (NJ)
October 17, 2008
"Hundreds of impassioned parents rallied outside the Statehouse yesterday demanding legislation that would allow them to decide when -- and if -- to vaccinate their children against disease. Touting signs declaring ‘Parent Power’ and ‘My Child, My Choice,’ they voiced support for a ‘conscientious objector’ bill that provides an out from New Jersey's childhood vaccine mandates -- including the new preschool flu vaccine. Many parents fear that ingredients in some vaccines, particularly mercury and formaldehyde, are responsible for autism, attention deficit hyperactivity disorder and other increasingly common neurological problems in children. However, the State Department of Health said the vaccines are important measures in improving public health and oppose laws allowing parents to opt out of the program..."
Thousands of Unvaccinated Children Enter Schools
Scripps News Service
August 27, 2008
"Hundreds of thousands of children are going to school this fall without protection from deadly diseases. More parents are deciding not to vaccinate their children against mumps, measles, rubella, polio and other dangerous diseases. The parents are refusing to vaccinate because of concerns that the vaccinations themselves are harmful, or because of the growing cost and complexity of getting the shots..."
Oregon's Low Vaccination Rate Causes Health Concerns
The Oregonian
August 27, 2008
"Vaccine skeptics have plenty of company in Ashland. There, doubts about the necessity and safety of immunizations are as much a part of the community as its embrace of naturopathic medicine, environmental ethos and counterculture roots..."
Faith Lets Some Kids Skip Shots
Washington Post
June 10, 2008
"In public health circles they are known as "exempters" -- parents who for reasons of faith or philosophy choose not to immunize their children against diseases such as measles and whooping cough..."
Immunization Roulette
Fort Wayne Journal Gazette (IN)
March 25, 2008
"A 7-year-old boy traveled to Switzerland with his family early this year and returned to his San Diego home Jan. 13. He developed a fever and sore throat about a week later but went to school. When his condition worsened, he was taken to the family doctor’s office. By Feb. 1, the boy – who was not vaccinated – was diagnosed with measles. He infected five children at his school and four more at the pediatrician’s office..."
More Families Are Shunning Inoculations
New York Times
March 2, 2008
"As states move to require more vaccines for school-age children, an increasing number of parents are saying no to some of the inoculations. They are seeking exemptions from the state in growing numbers, citing religious reasons or saying that they believe the vaccines will do more harm than good..."
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