arizona mandatory school vaccination laws · 2020-03-13 · 1 arizona mandatory school vaccination...
TRANSCRIPT
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Arizona Mandatory School Vaccination Laws
Leila Barraza, JD, MPHConsultant, Network for Public Health Law – Western RegionAssistant Professor, Mel and Enid Zuckerman College of Public HealthUniversity of Arizona7/29/2016
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Outline
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Introduction to the Network for Public Health Law
Overview of Mandatory Childhood Vaccine Laws
Focus on Arizona Recent Litigation in California AAP & Refusal to Vaccinate
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It is a national initiative of the Robert Wood Johnson Foundation, launched in 2010, to advance law as a tool to improve public health.
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What is the Network?
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National Scope with Local Expertise» We cover the entire United States
» Five Regional Offices provide local and state support
» Assistance online and by phone
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Five RegionsNational Coordinating Center/Northern Region» Public Health Law Center at William Mitchell College of Law
Eastern Region» The University of Maryland School of Law working with the John Hopkins
Bloomberg School of Public Health
Mid-States Region» University of Michigan School of Public Health
Southeastern Region» University of North Carolina Gillings School of Global Public Health working
with the National Health Law Program
Western Region» Sandra Day O’Connor College of Law at Arizona State
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We Provide Public Health Legal SupportAt no cost, the Network provides:»Practical legal assistance»Resources, training and tools»Opportunities to build connections
With a single point of entry to experts on a wide-range of topics, it’s practical, reliable and seamless.
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Legal Technical AssistanceLegal assistance can include:
» Strategizing about potential legal options
» Help finding experts, resources and tools
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Networkforphl.org/assistance
Technical assistance does not include providing legal advice or representation.
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Who Can Use the Network?Anyone committed to public health can join the Network for free:
» Local, state, tribal and federal public health officials» Public health practitioners» Attorneys» Policy-makers» Advocates
Networkforphl.org/join
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Visit Networkforphl.org for:» Resources, such as fact sheets, tables of state
laws, legal briefs and primers, and more
» Monthly webinar series
» Public health lawyer directory
» Library of legal assistance questions and answers
» Conferences and other training opportunities
» Network newsletter: Network Report
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Lead, Connect, Innovate: Strategies for Achieving Health Equity
September 15 - 17 | Washington, D.C.
More info and register at: http://www.aslme.org/2016-public-health-law-conference
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Overview of Mandatory Childhood Vaccination Laws
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12 Source: Hinman AR, Orenstein WA, Schuchat A. Vaccine-Preventable Diseases, Immunizations, and MMWR – 1961-2011. MMWR Morb Mortal Wkly Rep. 2011;60(04):49-57.
Estimated Annual Morbidity of Smallpox: 20th Century (Prevaccine era) - 29,005
2010 - 0
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94.0% of American kindergarteners received 2 doses of the MMR vaccine last school year
Source: CDC. Vaccination Among Children in Kindergarten – United States, 2014-15 School Year. MMWR Morb Mortal Wkly Rep. 2015;64(33):897-904.
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Nebraska Mumps Outbreak
»Outbreak began May 2016 in Midland University, Fremont, NE
»42 confirmed cases as of July 20th»Vaccine usually given in 2-dose series, but the
outbreak poses potential 3rd dose recommendations
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Sources: http://outbreaknewstoday.com/nebraska-more-mumps-reported-linked-to-midland-university-outbreak-90426/http://kwbe.com/local-news/mumps-outbreak-continues-to-spread-most-recent-case-reported-in-saline-county/http://columbustelegram.com/news/local/mumps-outbreak-reported-at-midland-university/article_d3384d25-3e01-5287-be45-b30735771158.html
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Measles Case in Miami, Florida
»Case reported June 16th in an unvaccinated child
»Child withdrawn from school the first day symptoms appeared
»Medical epidemiologist estimates 100 people potentially exposed
18 Source: http://www.wral.com/unvaccinated-child-diagnosed-with-measles-in-miami/15797779/
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Arizona Measles Outbreak
»First two cases reported May 26th in Eloy, Arizona Detention Center
»Disease spread from inmates to guards
»Pinal County: 17 cases»Maricopa County: 1 case»Total: 22 confirmed cases
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As of July 27, 2016
Sources: http://www.tucsonnewsnow.com/story/32196600/2-new-cases-of-measles-confirmed-in-pinal-countyhttp://outbreaknewstoday.com/arizona-measles-outbreak-increases-to-18-cases-32074/
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50 States– Medical47 States- Religious18 States- Philosophical (Includes changes in CA & VT effective 7/1/2016)
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States With Highest Rates:»Oregon (6.4%)»Illinois, Vermont (6.1%)»Idaho, Michigan (5.9%)Median»1.8%
21 Source: CDC. Vaccination Among Children in Kindergarten – United States, 2012-13 School Year. MMWR Morb Mortal Wkly Rep. 2013;62(30):607-612.
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States With Highest Rates:»Oregon (7.1%)»Idaho (6.4%)»Vermont (6.2%)»Michigan (5.9%)Median»1.8%
22 Source: CDC. Vaccination Among Children in Kindergarten – United States, 2013-14 School Year. MMWR Morb Mortal Wkly Rep. 2014;63(41):913-920.
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23Source: Oregon Health Authority. Religious Exemption Rates by County (map). http://public.health.oregon.gov/PreventionWellness/VaccinesImmunization/GettingImmunized/Documents/SchNonmedExmptCounty.pdf. Accessed November 12, 2014.
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States With Highest Rates:»Idaho (6.5%)»Vermont (6.1%)»Oregon (6.0%)Arizona»4.8% (2014-2015), 4.9% (2013-2014), 4.2% (2012-
2013), 3.7% (2011-2012)Median»1.7%
24 Source: CDC. Vaccination Among Children in Kindergarten – United States, 2014-15 School Year. MMWR Morb Mortal Wkly Rep. 2015;64(33):897-904.
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Stricter Exemption Laws
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New Exemption Laws
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5.7% 2009-2010* New Exemption Law-20114.2% 2011-20123.5% 2012-20133.6% 2013-20143.5% 2014-2015
Source: : : CDC. Vaccination Among Children in Kindergarten – United States, 2014-15 School Year. MMWR Morb Mortal Wkly Rep. 2015;64(33);897-904; CDC. Vaccination Among Children in Kindergarten – United States, 2013-14 School Year. MMWR Morb Mortal Wkly Rep. 2014;63(41):913-920; CDC. Vaccination Among Children in Kindergarten – United States, 2012-13 School Year. MMWR Morb Mortal Wkly Rep. 2013;62(30):607-612; CDC. Vaccination Among Children in Kindergarten – United States, 2011-2012 School Year. MMWR Morb Mortal Wkly Rep. 2012;61(33):647-652; CDC. Vaccination Among Children in Kindergarten – United States, 2009-2010 School Year. MMWR Morb Mortal Wkly Rep. 2011;60(21):700-704.
Washington NonmedicalExemptions
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Other States’ Vaccine Bills (2015)
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Yang Y, Barraza L, Weidenaar K. Measles Outbreak as a Catalyst for Stricter Vaccine Exemption Legislation. JAMA. 2015; 314(12):1229-1230.
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Focus on Arizona
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“Pupils who lack documentary proof of immunization shall not attend school during outbreak periods of communicable immunization-preventable diseases as determined by the department of health services or local health department.”
A.R.S. § 15-873(C) (Emphasis added.)
Nonattendance During an Outbreak
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Recent Litigation in California
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California’s SB277
Effective July 1, 2016Abolished Personal Belief Exemption for CA’s school vaccination requirement» Includes religious and
philosophical beliefs
» One of the nation’s strictest vaccine laws
HIAK
CA
OR
WA
ID
MT
TX
SDWY
NV
OK
KS
NE
CO
NMAZ
UT
ND
SC
MNWI
IA
MO
AR
LA
VANC
GA
FL
ALMS
ILWV
KYTN
NY
PAIN OH
MI
DENJ
CTRI
MA
ME
DCMD
NHVT
States with No Religious Exemption
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Lawsuit filed for injunction to suspend SB277» 10 plaintiffs: individuals
(parents) and non-profit organizations
» Defendants: CA Department of Education, health departments, and school districts
» Constitutional arguments: Freedom of religion, right to education, and parental rights/informed consent
SB277 Lawsuit
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American Academy of Pediatrics: Refusal to Vaccinate
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AAP’s “Refusal to Vaccinate” Form
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Questions