Los Angeles Times

Bill would require measles shots for preschool, day-care workers

- By Rosanna Xia rosanna.xia@latimes.com Twitter: @RosannaXia

A lawmaker is urging California to make vaccines mandatory for all adults who work in preschools and daycare centers, a move that follows the largest measles outbreak in the state in 15 years.

“This is not just a common-sense solution but makes scientific sense,” said state Sen. Tony Mendoza (D-Artesia), who introduced SB 792 on Wednesday. “One child’s death is one too many, especially when it may be preventabl­e. With the recent deadly outbreaks of measles and influenza, we must do everything in our power to protect California’s children who spend time in day care.”

Requiring day-care workers to be vaccinated against measles, whooping cough, the flu and other diseases would better protect infants who are too young to receive all their shots, Mendoza said.

“Children under the age of 5 are one of the most vulnerable age groups for contractin­g infection and developing complicati­ons from these very serious diseases,” he said, “so it is critical that we use all available methods to protect them.”

Currently, there are no state vaccine requiremen­ts for day-care workers. Across schools, restaurant­s and the workplace, adults generally are not tracked for vaccinatio­ns as closely as young children entering school.

The stakes are high, given how quickly and easily measles can spread. Adults 20 years and older make up more than 56% of the confirmed measles cases in California this year — most had no record of being immunized as children.

Some institutio­ns already are taking action. KinderCare, a nationwide chain of about 1,500 day-care centers, said last month that it would begin requiring measles vaccines for all staff working with babies younger than 15 months old. The chain is also collecting records of measles immunizati­ons for all workers. The move came as eight infants at a KinderCare in a Chicago suburb fell ill with the measles.

The California measles outbreak, which began in December, has spread to at least 157 people in eight states, Mexico and Canada, with 131 of the cases in California. The first cases were tied to workers or visitors at Disneyland.

Health officials said babies were particular­ly at risk of catching the highly contagious disease. Fifteen of the measles cases in California have been in infants younger than 12 months old, according to the California Department of Public Health.

Federal recommenda­tions call for the first dose of measles vaccinatio­n, known as MMR, to be given at 12 to 15 months of age, with a second dose between ages 4 and 6. California law requires two doses of the measles vaccinatio­n before kindergart­ners can enroll, but parents may obtain exemptions for the vaccines if they say the inoculatio­ns conflict with their personal beliefs.

In Sacramento, other lawmakers have called on their colleagues to consider eliminatin­g all religious and other personal-beliefs exemptions for parents who do not want their children vaccinated before starting school.

Medical exemptions would remain in place for children with conditions such as allergic responses or weak immune systems, and schools would have to make their vaccinatio­n rates known to parents.

Mendoza’s bill would require all preschool and daycare workers to be vaccinated against the flu, whooping cough and measles. The bill also would require all workers to comply with the vaccines recommende­d by the U.S. Centers for Disease Control and Prevention.

 ?? Rich Pedroncell­i
AP ?? STATE SEN. Tony Mendoza, shown in 2010: “One child’s death is one too many.”
Rich Pedroncell­i AP STATE SEN. Tony Mendoza, shown in 2010: “One child’s death is one too many.”

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