Vaccine

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Vaccine Opt-Out Rate Drops — First Time Since 1998; Look Up Your Calif. School

By Olivia Allen-Price and Lisa Aliferis

Under California law, all kindergarteners must be vaccinated against a range of communicable diseases before they can start school. But California also permits parents to opt-out of vaccines on behalf of their children. The opt-out rate doubled over a seven year period ending last school year. But now, for the first time since 1998, the opt-out rate has declined, from 3.15 percent statewide to 2.5 percent.

A new state law appears to be the driver. Under AB 2109, parents who wish to opt out of vaccines must file a personal belief exemption or PBE, a signed statement that vaccines are against their personal belief.

lookupThis school year, for the first time, parents must first meet with a health provider who explains the risks and benefits of both vaccines and vaccine-preventable diseases. Until the current school year, parents simply had to sign the statement without any consultation.

State senator Richard Pan (D-Sacramento) sponsored the bill and is pretty happy about the decline. He believes that requiring the meeting with a health care provider clears up confusion some parents have about vaccines. Continue reading

Not Vaccinated? ‘Stay Home from School,’ Says Marin Dad of Leukemia Patient

Carl Krawitt has watched his son, Rhett, now 6, fight leukemia for the last 4½ years. For more than three of those years, Rhett has undergone round after round of chemotherapy. Last year, he finished chemotherapy, and doctors say he is in remission.

Do you want to help the family of a child with cancer? Make sure your own children are vaccinated, doctor says.
Now, there’s a new threat, one that the family should not have to worry about: measles.

Rhett cannot be vaccinated, because his immune system is still rebuilding. It may be months more before his body is healthy enough to get all his immunizations. Until then, he depends on everyone around him for protection — or what’s known as herd immunity.

But Rhett lives in Marin, a county with the dubious honor of having the highest rate of “personal belief exemptions” in the Bay Area and among the highest in the state. This school year, 6.45 percent of Marin’s kindergarteners have a PBE which allows parents to lawfully send their children to school unvaccinated against communicable diseases like measles, polio, whooping cough and more. Continue reading

Answers to Five Common Measles Questions

A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)

A dose of measles, mumps, rubella vaccine, known commonly as MMR. (Joe Raedle/Getty Images)

By Amanda Stupi

An outbreak of measles and a new report that identified clusters of vaccine refusals in Northern California have become this week’s hot topics. As such, KQED’s daily talk show Forum devoted an hour to the outbreak, and opened up the phones to listeners’ questions. The result: the sharing of some very good information. Here are answers to five common questions:

1. Can people who have been vaccinated against the measles still get it? 

Of the confirmed measles cases in California, at least five are people who were fully vaccinated. Experts aren’t exactly sure why this is the case.

“No vaccine is 100 percent effective,” said Dr. Yvonne Maldonado, chief of the division of infectious diseases at Lucille Packard Children’s Hospital. The measles vaccine comes close — it protects 99 out of 100 people, but that’s “one percent of a lot of people,” she said. Continue reading

Disneyland Measles Cases Now at 26

(Marsaili McGrath/Getty Images)

(Marsaili McGrath/Getty Images)

The number of measles cases linked to having visited Disneyland parks in mid-December has climbed to 22 in California, according to state data. There are four more cases in other states — two in Utah and one each in Colorado and Washington.

While the incubation period for people who visited the parks between Dec. 17-20 ended on Jan. 10 — meaning that anyone who was at Disneyland in that time frame would have gotten sick by now — the Los Angeles Times is reporting that an unvaccinated, infected woman took two flights after she became ill.

The woman was in her 20s, the TImes reported, had visited Disneyland in December and became ill on Dec. 28.  Continue reading

Nine Measles Cases Tied to Disneyland Parks

(Marsaili McGrath/Getty Images)

(Marsaili McGrath/Getty Images)

Nine people who visited Disneyland or Disneyland California Adventure Park during December have confirmed measles cases, state health officials said Wednesday. Seven of the patients live in California and two live in Utah.

State and county health officers are investigating an additional four suspected cases, two in Utah and two in California. All the patients visited the parks in Orange County between Dec.15-20, California Department of Public Health officials said.

“If you have symptoms, and believe you may have been exposed, please contact your health care provider,” Dr. Ron Chapman, CDPH director and state health officer, said in a statement. “The best way to prevent measles and its spread is to get vaccinated.” Continue reading

Whooping Cough Infections Unusually High Among Latino Babies

Babies get their first whooping cough vaccine at 2 months. (Kenneth Pornillos/World Bank via Flickr)

Babies get their first whooping cough vaccine at 2 months. (Kenneth Pornillos/World Bank via Flickr)

By April Dembosky

Public health officials are trying to understand why Latino babies are contracting whooping cough at much higher rates than other babies.

California is battling the worst whooping cough epidemic in 70 years. Nearly 10,000 cases have been reported in the state so far this year, and babies are especially prone to hospitalization or even death.

Six out of 10 infants who have become ill during the current outbreak are Latino. Evidence explaining this is inconclusive, but experts have a few theories that range from a lack of Spanish language outreach to Latino cultural practices. Continue reading

Vaccine Opt-Out Rate at Son’s School is 32% — ‘Should I Freak Out?’

(Jeff J. Mitchell: Getty Images)

(Jeff J. Mitchell: Getty Images)

Statewide, there has been a dramatic increase in parents choosing not to vaccinate their children. The rate of parents opting out by filing what’s called a “personal belief exemption,” or PBE, doubled over seven years.

Parents check a school’s test scores in advance. Why not vaccine rates?

Earlier this month, State of Health published a chart where people could look up any elementary school in California and see the PBE rate at their children’s schools.

Hours after we published, Cosmo Garvin of Sacramento sent me a tweet. “Really nice work,” the tweet said. “But just found out PBE rate at my kid’s school is 32 percent. Should I freak out?”

Thirty-two percent. That means one in three kids is not vaccinated.

Assessing Risk to Your Own Child Continue reading

Oakland Kids to be Offered Free Flu Shots Right at Their Schools

The Shoo the Flu mascot helps spread the word on the importance of the flu vaccine at the Old Oakland Farmers Market earlier this month. (Lisa Alifers/KQED)

The Shoo the Flu mascot helps spread the word on the upcoming school flu shot campaign at the Old Oakland Farmers Market earlier this month. (Lisa Alifers/KQED)

Children at more than 100 Oakland schools are eligible for free flu shots this fall as part of a new program aimed at protecting children and the broader community against influenza. All pre-K students through fifth grade at public, private, charter and parochial schools are eligible. At some schools, students through sixth or eighth grade may participate.

Children at any Oakland school, public or private, are eligible for the free vaccines, if their parents consent.

It’s all part of Shoo the Flu, a collaboration between the Alameda County Public Health Department, the California Department of Public Health and the Oakland Unified School District.

“It’s important to vaccinate young children to help protect the whole community,” said Dr. Erica Pan, deputy health officer with the Alameda County Public Health Department. Last year there were 100,000 illnesses related to flu, she said. Direct and indirect costs of the illness, including parents missing work to care for sick children, range from $123 million to $240 million per year.

Continue reading

15 Measles Cases Confirmed Statewide; State Officials Urge Vaccination

 prepare an injection of the combined Measles Mumps and Rubella (MMR) vaccination. Geoff Caddick/AFP/Getty Images

Preparing an injection of the combined measles, mumps and rubella (MMR) vaccination. (Geoff Caddick/AFP/Getty Images)

First the flu, then whooping cough and now measles. State health officials announced Friday morning that the state has 15 confirmed cases, compared with just two at this time last year.

Of the 15 cases, three are in people who traveled to the Philippines, where a large outbreak is occurring, according to the California Department of Public Health (CDPH). Two more cases are in recently returned travelers from India, where measles is endemic. Nearly half of the cases — seven — are in people who were “intentionally not vaccinated,” said Dr. Gil Chavez, state epidemiologist with the CDPH.

Measles is one of the most contagious viral illnesses. 

“Today I am asking unvaccinated Californians who are traveling outside the Americas to get vaccinated before you go,” Chavez said.

The measles vaccine is highly effective. It is administered in two doses, as part of the measles-mumps-rubella shot, or MMR. The first dose is given to toddlers at 12-15 months, and the second is recommended before children start kindergarten. CDC guidelines also clearly state that infants who are being taken for travel internationally can receive the first dose as young as 6 months. Two doses provide about 98 percent protection against measles, said Kathleen Harriman, with the CDPH. If you have had the measles, you are also protected. Continue reading

HPV Vaccine Prevents Cancer, Yet Parents Slow To Make Sure Kids Get It

Studies show the HPV vaccine is highly protective, but as many as two-thirds of 11 and 12-year-old girls don't get it. (Art Writ/Flickr)

Studies show the HPV vaccine is highly protective, but as many as two-thirds of 11 and 12-year-old girls don’t get it. (Art Writ/Flickr)

By Patti Neighmond, NPR

You would think that a vaccine that could prevent cancer would be an easy sell, but that’s hasn’t proven to be true so far with the vaccine to prevent cervical cancer.

“This is a vaccine that protects against cancer; what could be better than that?”   

Just 33 percent of girls and less than 7 percent of boys in the U.S. have gotten all three recommended doses of the vaccine to protect against the human papillomavirus, which causes cervical and other cancers. Compare that to the tiny African nation of Rwanda, where more than 90 percent of sixth-grade girls were vaccinated in 2011, or Australia, where 73 percent of 12- and 13-year-old girls have gotten all three vaccines.

“This is a vaccine that protects against cancer; what could be better than that?” asks Shannon Stokley, an epidemiologist with the Centers for Disease Control and Prevention. She and other public health officials are trying to figure out the best ways to persuade American teenagers and preteens to get the HPV vaccine. Continue reading