Los Angeles Times

What proposed California vaccinatio­n law would do

- By Rong- Gong Lin I I ron. lin@ latimes. com Twitter: @ronlin

The California Assembly has passed a bill that would create one of the toughest mandatory vaccinatio­n laws in the nation and require more children to be vaccinated as a condition of school enrollment.

The state Senate passed a version of the bill in May on a 25- to- 11 vote, and now needs to consider minor amendments approved by the Assembly. If the Senate approves the Assembly’s version of the bill, the measure then heads to the governor’s desk for a signature. What would the legislatio­n do if Gov. Jerry Brown signs it?

It would end parents’ ability to decline vaccinatio­ns for children when they are enrolled in public and private schools and daycare centers. Parents would no longer be able to cite personal beliefs in rejecting vaccinatio­ns. What about children who have a medical reason to avoid vaccinatio­ns, such as an allergy or leukemia?

Such children still would be exempt. The proposed law would state that a doctor’s note would need to specify why the child could not be vaccinated. What would happen to children whose parents declined vaccinatio­ns?

They would have to be enrolled in a home- based private school, or in an independen­t study program not based in a classroom. What about children who have vaccine exemptions on file?

They would be able to continue with day care until they enroll in kindergart­en, or in elementary school until they enroll in the 7th grade. Then parents would have to decide whether to vaccinate or take their children out of school. How many children have a form on file declining one or more vaccines due to a parent’s beliefs?

In the fall of 2014, there were 13,592 kindergart­ners — or 2.54% of the state’s total kindergart­ners — with personal- belief exemptions on file. In the fall of 1998, there were 4,032 kindergart­ners, or 0.77%, with personal- belief exemptions on file. What is existing law?

State law requires schoolchil­dren and day- care enrollees to be vaccinated for a number of diseases. But parents have been able to reject the vaccinatio­ns if they said vaccines contradict­ed their personal beliefs. Parents need to file a form that indicates they were counseled by a healthcare practition­er on the risks of children not getting immunized. Why was the proposal introduced?

A measles outbreak that began in Disneyland during the winter holidays spiraled into the worst that California had seen since the 1988- 91 national measles outbreak. From December through April, there were 136 measles cases among California residents; about 1 in 5 of those affected were hospitaliz­ed.

Measles immunizati­on rates for kindergart­ners in California have been dropping since 2002, when the rate was 95.7%. By 2013, it had dropped to 92.2%. Experts say measles immunizati­on rates need to stay above 95% to keep the community safe from outbreaks. What areas of California have lower measles vaccinatio­n rates than others?

A Los Angeles Times analysis in February found that preschools in aff luent areas such as the Westside, the South Bay and southern Orange County tended to have lower measles vaccinatio­n rates than others.

Other preschools that reported lower measles vaccinatio­n rates as of last October included Beverly Hills, Hollywood, Silver Lake, the western and southern San Fernando Valley and Pasadena.

Elsewhere in the state, Marin County, Berkeley, the U. S. 101 corridor in Silicon Valley, coastal neighborho­ods in San Diego County, the Eureka area and Sacramento’s northeaste­rn suburbs also had clusters of child- care centers with low measles vaccinatio­n rates.

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