s-2019-05-09

Page 6

essay

by Suzanne Stewart

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05.09.19

Too many doctors are giving exemptions from life-saving vaccinations Bright-eyed, 2-year-old Anna was hospitalized three months ago for the chicken pox and was successfully treated with intravenous fluids for dehydration. She was unvaccinated due to her mother’s choice. Thankfully, Anna had no long-term complications, yet without vaccines, she is still vulnerable to infections such as the current potenSuzanne Stewart is a pediatric resident in Sacramento. tially deadly measles outbreak. Over the past two years, health care providers have spent hours with Anna’s mother discussing nt. Sadly, it only takes one child to get infected and the benefits of immunizations, but even after expose the entire school. the chicken pox, the mother wasn’t convinced. The problem isn’t limited to elementary-age Instead, the mother said she has seen another children. Last month, hundreds of students and doctor and received a medical exemption for employees at UCLA and Cal State Los Angeles Anna to remain unvaccinated. were quarantined after being exposed to measles This is surprising since there are no medical and unable to prove they were immunized. reasons for her daughter not to get vaccines, so I In 2019, 40 people in California, including three asked how it works. She explained that the other in Sacramento and 10 children, have been infected doctor sees Anna multiple times and does a very with measles as of May 2, compared to 21 in thorough physical exam and blood tests before all of 2018, according to state health writing the vaccine exemption. Every officials. Nationwide, 704 cases have visit was paid out of pocket. been reported this year, the most These exemptions are intended since 2000. for the relatively few with Currently, there Given the startling rate of medical conditions that prevent is no clear way measles and its grave conseindividuals from receiving to penalize doctors quences, the state Department the vaccines. The reasons are of Public Health is urging clearly outlined by the federal who are exploiting the Californians to be fully Centers for Disease Control fears of parents by vaccinated before traveling and Prevention. But a recent giving immunization internationally. investigation by Voice of San Currently, there is no clear Diego, a nonprofit news organiexemptions. way to penalize doctors who zation, found that just one doctor are exploiting the fears of parents wrote one-third of all 486 medical by giving immunization exemptions exemptions for the San Diego Unified that are not medically necessary while School District since 2015. charging thousands of dollars for multiple visits Since Senate Bill 277 became law in 2015, and blood tests. removing the “personal belief” exemption to SB 276—authored by Sen. Richard Pan of required vaccinations for children to attend Sacramento and now before the Legislature— schools, the rate of medical exemptions has more than tripled (from 0.2% in 2015-16 to 0.7% would create a partnership between doctors, state public health officials and schools to reserve in 2017-18). medical exemptions for individuals who actually To create immunity and prevent outbreaks of need them. If the bill becomes law, otherwise measles and other diseases, there needs to be at healthy children will get life-saving vaccines if least a 95 percent vaccination rate. While a 0.7 they attend public school without threatening percent exemption rate may not seem high, they vulnerable children who truly have impaired or cluster within communities so many schools in Ω California have vaccination rates closer to 70 perce weakened immune systems.


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