BREAKING NEWS Amid Measles Outbreaks

BREAKING NEWS Amid Measles Outbreaks

BREAKING NEWS Amid Measles Outbreaks

BREAKING NEWS Amid Measles Outbreaks, States Seek to Force Parents to Vaccinate Children – WSJ Saudi Arabia plans to ease entry for tourists with visa-free access, in a push to help diversify its oil-dependent economy This copy is for your personal, non-commercial use only. To order presentation-ready copies for distribution to your colleagues, clients or customers visit https://www.djreprints.com. https://www.wsj.com/articles/states-consider-bills-to-curb-exemptions-to-measles-vaccination-11551704421 U.S. Amid Measles Outbreaks, States Seek to Force Parents to Vaccinate Children A disease that had disappeared resurfaces as vaccination rates fall A health-care worker prepares syringes, including a vaccine for measles, mumps, and rubella. The CDC recommends that children get two doses to prevent the disease. PHOTO: ELAINE THOMPSON ASSOCIATED PRESS By Kate King March 4, 2019 8 00 a.m. ET Rebekah Otto plans to ask her son’s pediatrician to give him a measles vaccination early, before they travel to a wedding this summer in Washington state, where there is an outbreak of the deadly disease. “It gives me a lot of anxiety,” the 32-year-old mother of two from Oakland, Calif., said of the risk of exposing her son to the highly contagious respiratory disease. Washington, New York, Texas and Illinois have reported measles outbreaks, and more than 150 people have been infected nationwide this year, according to the Centers for Disease Control and Prevention. The disease, which was considered eliminated in the U.S. in 2000, has resurfaced in recent years as vaccination rates have fallen in some areas. Now, lawmakers in several states, including Minnesota, New Jersey, Vermont and Washington, have introduced legislation to restrict or eliminate religious and personal-belief exemptions, which parents can claim to avoid vaccinating their children before they enter school. At the same time, bills that would broaden philosophical or religious exemptions have also been introduced this year, including in Hawaii, Arizona, Rhode Island and West Virginia. Nationwide, vaccination coverage for measles was about 94% among kindergartners in the 2017-18 school year, but the exemption rate increased for the third year in a row, to 2.2%, according to the CDC. The CDC recommends children get two doses of the measles-mumps-rubella vaccine, when they are between 12 and 15 months and 4 to 6 years of age. One dose of the vaccine is 93% effective at preventing measles, two doses are 97% effective. In New York, Democratic state Assemblyman Jeff Dinowitz is hoping this year’s outbreaks will boost support for legislation that would eliminate religious exemptions for vaccinations. Mr. https://www.wsj.com/articles/states-consider-bills-to-curb-exemptions-to-measles-vaccination-11551704421 1/2 3/5/2019 Amid Measles Outbreaks, States Seek to Force Parents to Vaccinate Children – WSJ Dinowitz first introduced the bill years ago and thinks it failed to gain traction in part because some lawmakers believe eliminating religious exemptions would violate the constitutional right to freedom of religion. “To me the bottom line is, you can’t deny science. Every expert agrees it’s important for kids to get vaccinated,” Mr. Dinowitz said. Dorit Reiss, a professor of law at the University of California’s Hastings College of the Law, said courts will likely favor vaccination mandates over challenges from religious groups. California’s 2015 law repealing nonmedical exemptions has faced legal challenges and survived them all, she said. New York’s outbreaks have largely been concentrated in orthodox Jewish communities in Brooklyn and Rockland County. Rockland County’s outbreak has infected 143 people, mostly children under age 18, since October. No one has died, but several people have been hospitalized, said county Health Commissioner Patricia Ruppert. Public and private health providers have given out more than 16,000 vaccines since the outbreak began, mostly in the Orthodox community. The county health department has issued orders to about 60 schools, mostly yeshivas, forcing 6,000 unvaccinated students to stay home in an attempt to prevent further infections. Children are allowed to return to class if they start getting vaccinations, and the number of students barred from school has since fallen to more than 3,000. Rabbi David Zwiebel, executive-vice president of Agudath Israel of America in Manhattan, an Orthodox advocacy group, said he believes most parents in the orthodox Jewish community vaccinate their children, but rabbis have differing opinions on vaccines. “There are some rabbis who say that there’s no religious issue,” Rabbi Zwiebel said. “There are other rabbis who say, ‘Yes, there is a religious issue, you shouldn’t’ get vaccinated.’” Rockland County Executive Ed Day, a Republican, said he strongly believes only children with legitimate medical issues should be exempted from vaccinations. Medical conditions that could prevent children from getting the vaccine include certain allergies, weakened immune systems or seizure disorders, according to the CDC. “I want to see a doctor put his name on a piece of paper and say, ‘it’s critical that this child not get vaccinated,’ ” Mr. Day said. “There is an issue of the greater good here.” Some parents are concerned that vaccines could be harmful to their children. T.J. Gold, a pediatrician in New York City, said some parents have expressed concerns that vaccines cause autism or developmental delays, but scientific studies have repeatedly proven the vaccine to be safe and that the benefits of immunization far outweighs any risks. “I can understand a parent taking pause to think about injecting a medication into their child,” Dr. Gold said. “That’s when good research and common sense should kick in.” In recent years, Dr. Gold said she has noticed fewer people questioning vaccines’ safety. Now, she said, parents are worried about outbreaks. Ms. Otto, the California mother, said she understands that there are some people who have legitimate medical reasons for not getting vaccinated, but healthy people should be vaccinated for the good of the community. “It’s so disappointing to me we’re even having to have this conversation,” she said. “It’s such an avoidable problem.” Write to Kate King at [email protected] Copyright © 2019 Dow Jones & Company, Inc. All Rights Reserved This copy is for your personal, non-commercial use only. To order presentation-ready copies for distribution to your colleagues, clients or customers visit https://www.djreprints.com. https://www.wsj.com/articles/states-consider-bills-to-curb-exemptions-to-measles-vaccination-11551704421 2/2 QLIK PROJECT ACT 1 Our story Vaccines are the safest and effective ways to protect children from major transmittable diseases, some parents still hesitate this. Some parents choose to refuse to vaccinate the children, if parents were distributed randomly their decisions may harm young school kids and other babies too young for vaccination. The younger children face the highest risk of dying whooping cough and other vaccine diseases. Some parents personally belief to avoid the school requirement vaccination they often live in the same communities with others. Some children missed one or more shots. The Maria County, Napa County and Sonoma County have the highest rate of whooping cough and measles in the state. 1. How does Maria County, Napa County and Sonoma County compare in immunization records? Marian, Napa and Sonoma counties immunization cluster ranging from 17.5 to 18.1 percent and had the highest rates. During the same time, a review of state immunization records shows, vaccination rate for whooping cough at nearly thirds of Maria schools, a third of Napa school and 37% of Sonoma schools fell below targets to halt disease spread. (Gross,2015) 2. How does the MMR vaccine rate compare in different facilities in the city of Maria, Napa and Sonoma Counties? Measles, mumps and rubella make up the MMR vaccine. Vaccine refusal clusters overlapped with large areas of under immunization. 1.69 times higher for children living in Marian and Sonoma Counties compared with other areas. (Vaccines and Preventable Diseases, 2019) I Reference

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