California Made it Hard to Avoid Vaccinating Kids. Medical Waivers Have Tripled. Now What?
Sonoma County Has Highest Whooping Cough Rate in Statewide Epidemic
Whooping Cough Reaches 'Epidemic' Level in California
Private School Vaccine Opt-Outs Rise
What are the Whooping Cough Rates and Deadlines for Urban School Districts in California?
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Medical Waivers Have Tripled. Now What?","publishDate":1549829966,"format":"standard","headTitle":"The California Report | KQED News","labelTerm":{},"content":"\u003cp>Three years after California stopped allowing families to easily opt out of childhood vaccines, the number of kids getting medical waivers has tripled—the result, critics say, of some doctors loosely issuing exemptions to help families get around the law.\u003c/p>\n\u003cp>The decrease has left some counties, including Nevada and Plumas, below the recommended vaccination rate required for “community immunity” against dangerous diseases such as measles and whooping cough.\u003c/p>\n\u003cp>And the number of medical exemptions will continue to rise unless the state clamps down, warns a \u003ca href=\"http://pediatrics.aappublications.org/content/142/5/e20181051\" target=\"_blank\" rel=\"noopener\">study\u003c/a> in the journal of the American Academy of Pediatrics. The authors interviewed local public health officers across the state, some of whom complained of doctors charging fees in exchange for writing exemptions.\u003c/p>\n\u003cp>This winter—as an \u003ca href=\"https://www.washingtonpost.com/national/health-science/it-will-take-off-like-a-wildfire-the-unique-dangers-of-the-washington-state-measles-outbreak/2019/02/06/cfd5088a-28fa-11e9-b011-d8500644dc98_story.html?noredirect=on&utm_term=.ab9409e8ad93\" target=\"_blank\" rel=\"noopener\">outbreak of measles\u003c/a> strikes several states that allow parents to opt out of vaccinating their children because of personal or philosophical objections—California is one of three states that allow only medical exemptions. Since \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB277\" target=\"_blank\" rel=\"noopener\">the law\u003c/a> was enacted, California’s vaccination rate has risen more than 2 percent. It’s now just over 95 percent, above the 94 percent rate the state health department says should be sufficient to protect those who can’t be vaccinated, but regional pockets of the population remain at risk.\u003c/p>\n\u003cp>Legislators and health experts are debating what to do next. One proposal would be modeled on an existing state requirement that any veterinarian seeking to exempt a sick dog from rabies vaccination must obtain approval from a health official.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We delegated that authority to licensed physicians, and the problem is we have physicians abusing that authority,” said Democratic state Sen. Richard Pan, a Sacramento-area pediatrician who authored the state’s controversial ban on personal waivers after a measles outbreak originating at Disneyland infected 136 people. “I think we need the health departments to basically say when someone is abusing that authority—and to withdraw that authority and invalidate exemptions that were fraudulent.”\u003c/p>\n\u003cp>State Public Health Department \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/2017-2018KindergartenSummaryReport.pdf\" target=\"_blank\" rel=\"noopener\">data\u003c/a> shows medical exemptions among kindergarteners rose to now represent 0.7 percent statewide in the last school year, from 0.2 percent two years earlier—an uptick largely in private schools, where more than 1 in 50 students now have a medical waiver from the vaccination law. All told, 4,111 California kindergarteners had permanent medical exemptions from vaccination in the last school year, out of more than a half-million kindergarteners enrolled.\u003c/p>\n\u003cp>Other ideas under state discussion:\u003c/p>\n\u003cul>\n\u003cli>Creating a new review process and oversight managed by local public health officials\u003c/li>\n\u003cli>Giving local public health officials authority to review exemptions\u003c/li>\n\u003cli>Collecting data on physicians granting exemptions\u003c/li>\n\u003cli>Invalidating exemptions and remove authority from physicians who are found in violation\u003c/li>\n\u003c/ul>\n\u003cp>Robert Kim-Farley, professor at the UCLA Fielding School of Public Health, said adapting for doctors requirements similar to those veterinarians must meet to exempt dogs from rabies vaccines. Vets must \u003ca href=\"http://publichealth.lacounty.gov/vet/docs/Exemption_guidelines.pdf\" target=\"_blank\" rel=\"noopener\">submit a form\u003c/a> to a local health official for review, and a granted waiver expires after one year. “When that oversight occurs, they quickly learn they are not going to get this through unless it’s a really serious situation like the dog is having chemotherapy,” Kim-Farley said. Similarly, “physicians need to give a cogent, logical reason why this patient should not receive a vaccine.”\u003c/p>\n\u003cp>Pan has yet to propose a legislative remedy, saying he is working with the state health department and the California Medical Board on how to deal with physicians who may be in violation.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://e.infogram.com/f5b290bb-0579-4f45-949e-8c45aba66813?src=embed\" title=\"County Vaccination Rates\" width=\"550\" height=\"995\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The California Medical Association, a doctors’ organization that supported eliminating the personal exemption, is again working with Pan. The organization supports “having standards in place to make sure the medical exemption system is not being abused,” said association spokesman Anthony York.\u003c/p>\n\u003cp>But critics say any new rules would amount to overkill by lawmakers, who had promised to leave medical exemptions to the discretion of doctors.\u003c/p>\n\u003cp>“The state is inserting itself in between the patient-doctor relationship,” said Rebecca Estepp, an advocate who campaigned against jettisoning the personal waiver and calls the increase in medical waivers “nothing.”\u003c/p>\n\u003cp>She attributes most of the rise to the fact that many parents whose children qualified for a medical exemption used to just sign a personal exemption card because it was easier.\u003c/p>\n\u003cp>The U.S. Centers for Disease Control urges vaccinations for the vast majority of children, saying they are generally safe, and that the benefits of protection against potentially fatal disease are worth the risk. It \u003ca href=\"https://www.cdc.gov/vaccines/vac-gen/side-effects.htm#mmrv\" target=\"_blank\" rel=\"noopener\">acknowledges\u003c/a> that vaccines can cause side effects, ranging from the most common like soreness and fever to, in rare cases, seizures and brain damage.\u003c/p>\n\u003cp>Federal \u003ca href=\"https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/contraindications.html\" target=\"_blank\" rel=\"noopener\">guidelines\u003c/a> advise avoiding or delaying certain vaccines for children with compromised immune systems, and those with a personal or family history of seizures, or those who have experienced encephalopathy after receiving a vaccine. California law also allows family medical history to be taken into account.\u003c/p>\n\u003cp>The October \u003ca href=\"http://pediatrics.aappublications.org/content/142/5/e20181051\" target=\"_blank\" rel=\"noopener\">study\u003c/a> in Pediatrics reported that most California county and city health officers and immunization staff reported few or no problems with medical exemptions. But other staffers did report problems, noting that some doctors were listing questionable conditions such as a family history of allergies, or charging fees in exchange for writing exemptions, or charging families for medical tests to establish family history and exemptions signed by doctors who do not usually treat children.\u003c/p>\n\u003cp>One local health officer, the study noted, cited the example of a physician charging families to watch a video before issuing a three-month exemption at a cost of $300. Parents would then be required to return for a fresh exemption at additional cost.\u003c/p>\n\u003cp>One immunization coordinator told the researchers, “The way that the law is written, the physician is the one who makes the decision.... I see some really lame reasons (for medical exemptions.). But I’m not the physician, and it’s not in my capacity to be able to say, ‘Well, that’s not a valid medical exemption.’”\u003c/p>\n\u003cp>Under California’s law, physicians are allowed to take family medical history into consideration, and to use their expertise to decide what qualifies as an exemption.\u003c/p>\n\u003cp>Last summer the California Medical Board \u003ca href=\"http://www2.mbc.ca.gov/BreezePDL/document.aspx?path=%5cDIDOCS%5c20180627%5cDMRAAAGL14%5c&did=AAAGL180627201150927.DID\" target=\"_blank\" rel=\"noopener\">disciplined\u003c/a> Orange County pediatrician \u003ca href=\"https://www.latimes.com/local/california/la-me-ln-sears-license-20180629-story.html\" target=\"_blank\" rel=\"noopener\">Bob Sears\u003c/a>— known for his stance against the current schedule required for vaccines—and gave him a 35-month probation for exempting a toddler from all vaccines without examining the child.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://e.infogram.com/7a724d9d-e7db-44bb-bc3a-9bca7b630e13?src=embed\" title=\"Copy: Required Vaccinations for Kinder\" width=\"700\" height=\"765\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>At that time Sears \u003ca href=\"https://www.facebook.com/permalink.php?story_fbid=1835023183202824&id=116317855073374&__tn__=K-R\" target=\"_blank\" rel=\"noopener\">declared on Facebook\u003c/a> that his punishment was political: “Isn’t it my job to listen to my patients and believe what a parent says happened to her baby?” he wrote. “Isn’t that what ALL doctors do with their patients?”\u003c/p>\n\u003cp>Kenneth Stoller, a former board-certified pediatrician who is now an integrative physician in San Francisco, opposed the law eliminating personal waivers for childhood vaccines. Now he advertises on his website that he will see families seeking exemptions and will consider issuing one after an exam and a full family medical history consultation.\u003c/p>\n\u003cp>He argues that public health officials should not become the arbiters of medical exemptions.\u003c/p>\n\u003cp>“I and my colleagues would object to that because we practice medicine. This needs to be approached on an individual personal medical basis,” Stoller said. “Public health departments are not practicing medicine. They are far more administrative and bureaucratic. They are also constrained by one of their main funding sources—the CDC\"\u003c/p>\n\u003cp>More than half of the state’s Public Health budget is \u003ca href=\"https://www.cdph.ca.gov/Documents/CDPH%202018-19%20Budget%20Act%20Highlights.pdf\" target=\"_blank\" rel=\"noopener\">from federal funds\u003c/a>.\u003c/p>\n\u003cp>“We need an independent state commission to come up with guidelines and parameters for writing (medical exemptions) so the act of writing (them), as per the law, is not considered either negligent or inappropriate,” said Stoller.\u003c/p>\n\u003cp>Lawmakers may be reluctant to invite a sequel to the turbulent Capitol fight four years ago over vaccinations exemptions; instead they may urge state regulators to more aggressively crack down on dubious medical exemptions. If a new law is proposed, Estepp said, legislators should expect to see vocal parents and advocates who oppose tighter vaccine regulation flood their offices like they did last time.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://calmatters.org/\" target=\"_blank\" rel=\"noopener\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"After California stopped the easy refusal of childhood vaccines, the number of kids getting medical waivers has tripled. Here are potential remedies:","status":"publish","parent":0,"modified":1549829966,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":1393},"headData":{"title":"California Made it Hard to Avoid Vaccinating Kids. Medical Waivers Have Tripled. Now What? | KQED","description":"After California stopped the easy refusal of childhood vaccines, the number of kids getting medical waivers has tripled. Here are potential remedies:","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"California Made it Hard to Avoid Vaccinating Kids. Medical Waivers Have Tripled. Now What?","datePublished":"2019-02-10T20:19:26.000Z","dateModified":"2019-02-10T20:19:26.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11725168 https://ww2.kqed.org/news/?p=11725168","disqusUrl":"https://ww2.kqed.org/news/2019/02/10/california-made-it-hard-to-avoid-vaccinating-kids-medical-waivers-have-tripled-now-what/","disqusTitle":"California Made it Hard to Avoid Vaccinating Kids. Medical Waivers Have Tripled. Now What?","source":"CALmatters","sourceUrl":"https://calmatters.org/","nprByline":"Elizabeth Aguilera","path":"/news/11725168/california-made-it-hard-to-avoid-vaccinating-kids-medical-waivers-have-tripled-now-what","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Three years after California stopped allowing families to easily opt out of childhood vaccines, the number of kids getting medical waivers has tripled—the result, critics say, of some doctors loosely issuing exemptions to help families get around the law.\u003c/p>\n\u003cp>The decrease has left some counties, including Nevada and Plumas, below the recommended vaccination rate required for “community immunity” against dangerous diseases such as measles and whooping cough.\u003c/p>\n\u003cp>And the number of medical exemptions will continue to rise unless the state clamps down, warns a \u003ca href=\"http://pediatrics.aappublications.org/content/142/5/e20181051\" target=\"_blank\" rel=\"noopener\">study\u003c/a> in the journal of the American Academy of Pediatrics. The authors interviewed local public health officers across the state, some of whom complained of doctors charging fees in exchange for writing exemptions.\u003c/p>\n\u003cp>This winter—as an \u003ca href=\"https://www.washingtonpost.com/national/health-science/it-will-take-off-like-a-wildfire-the-unique-dangers-of-the-washington-state-measles-outbreak/2019/02/06/cfd5088a-28fa-11e9-b011-d8500644dc98_story.html?noredirect=on&utm_term=.ab9409e8ad93\" target=\"_blank\" rel=\"noopener\">outbreak of measles\u003c/a> strikes several states that allow parents to opt out of vaccinating their children because of personal or philosophical objections—California is one of three states that allow only medical exemptions. Since \u003ca href=\"https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB277\" target=\"_blank\" rel=\"noopener\">the law\u003c/a> was enacted, California’s vaccination rate has risen more than 2 percent. It’s now just over 95 percent, above the 94 percent rate the state health department says should be sufficient to protect those who can’t be vaccinated, but regional pockets of the population remain at risk.\u003c/p>\n\u003cp>Legislators and health experts are debating what to do next. One proposal would be modeled on an existing state requirement that any veterinarian seeking to exempt a sick dog from rabies vaccination must obtain approval from a health official.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We delegated that authority to licensed physicians, and the problem is we have physicians abusing that authority,” said Democratic state Sen. Richard Pan, a Sacramento-area pediatrician who authored the state’s controversial ban on personal waivers after a measles outbreak originating at Disneyland infected 136 people. “I think we need the health departments to basically say when someone is abusing that authority—and to withdraw that authority and invalidate exemptions that were fraudulent.”\u003c/p>\n\u003cp>State Public Health Department \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/2017-2018KindergartenSummaryReport.pdf\" target=\"_blank\" rel=\"noopener\">data\u003c/a> shows medical exemptions among kindergarteners rose to now represent 0.7 percent statewide in the last school year, from 0.2 percent two years earlier—an uptick largely in private schools, where more than 1 in 50 students now have a medical waiver from the vaccination law. All told, 4,111 California kindergarteners had permanent medical exemptions from vaccination in the last school year, out of more than a half-million kindergarteners enrolled.\u003c/p>\n\u003cp>Other ideas under state discussion:\u003c/p>\n\u003cul>\n\u003cli>Creating a new review process and oversight managed by local public health officials\u003c/li>\n\u003cli>Giving local public health officials authority to review exemptions\u003c/li>\n\u003cli>Collecting data on physicians granting exemptions\u003c/li>\n\u003cli>Invalidating exemptions and remove authority from physicians who are found in violation\u003c/li>\n\u003c/ul>\n\u003cp>Robert Kim-Farley, professor at the UCLA Fielding School of Public Health, said adapting for doctors requirements similar to those veterinarians must meet to exempt dogs from rabies vaccines. Vets must \u003ca href=\"http://publichealth.lacounty.gov/vet/docs/Exemption_guidelines.pdf\" target=\"_blank\" rel=\"noopener\">submit a form\u003c/a> to a local health official for review, and a granted waiver expires after one year. “When that oversight occurs, they quickly learn they are not going to get this through unless it’s a really serious situation like the dog is having chemotherapy,” Kim-Farley said. Similarly, “physicians need to give a cogent, logical reason why this patient should not receive a vaccine.”\u003c/p>\n\u003cp>Pan has yet to propose a legislative remedy, saying he is working with the state health department and the California Medical Board on how to deal with physicians who may be in violation.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://e.infogram.com/f5b290bb-0579-4f45-949e-8c45aba66813?src=embed\" title=\"County Vaccination Rates\" width=\"550\" height=\"995\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>The California Medical Association, a doctors’ organization that supported eliminating the personal exemption, is again working with Pan. The organization supports “having standards in place to make sure the medical exemption system is not being abused,” said association spokesman Anthony York.\u003c/p>\n\u003cp>But critics say any new rules would amount to overkill by lawmakers, who had promised to leave medical exemptions to the discretion of doctors.\u003c/p>\n\u003cp>“The state is inserting itself in between the patient-doctor relationship,” said Rebecca Estepp, an advocate who campaigned against jettisoning the personal waiver and calls the increase in medical waivers “nothing.”\u003c/p>\n\u003cp>She attributes most of the rise to the fact that many parents whose children qualified for a medical exemption used to just sign a personal exemption card because it was easier.\u003c/p>\n\u003cp>The U.S. Centers for Disease Control urges vaccinations for the vast majority of children, saying they are generally safe, and that the benefits of protection against potentially fatal disease are worth the risk. It \u003ca href=\"https://www.cdc.gov/vaccines/vac-gen/side-effects.htm#mmrv\" target=\"_blank\" rel=\"noopener\">acknowledges\u003c/a> that vaccines can cause side effects, ranging from the most common like soreness and fever to, in rare cases, seizures and brain damage.\u003c/p>\n\u003cp>Federal \u003ca href=\"https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/contraindications.html\" target=\"_blank\" rel=\"noopener\">guidelines\u003c/a> advise avoiding or delaying certain vaccines for children with compromised immune systems, and those with a personal or family history of seizures, or those who have experienced encephalopathy after receiving a vaccine. California law also allows family medical history to be taken into account.\u003c/p>\n\u003cp>The October \u003ca href=\"http://pediatrics.aappublications.org/content/142/5/e20181051\" target=\"_blank\" rel=\"noopener\">study\u003c/a> in Pediatrics reported that most California county and city health officers and immunization staff reported few or no problems with medical exemptions. But other staffers did report problems, noting that some doctors were listing questionable conditions such as a family history of allergies, or charging fees in exchange for writing exemptions, or charging families for medical tests to establish family history and exemptions signed by doctors who do not usually treat children.\u003c/p>\n\u003cp>One local health officer, the study noted, cited the example of a physician charging families to watch a video before issuing a three-month exemption at a cost of $300. Parents would then be required to return for a fresh exemption at additional cost.\u003c/p>\n\u003cp>One immunization coordinator told the researchers, “The way that the law is written, the physician is the one who makes the decision.... I see some really lame reasons (for medical exemptions.). But I’m not the physician, and it’s not in my capacity to be able to say, ‘Well, that’s not a valid medical exemption.’”\u003c/p>\n\u003cp>Under California’s law, physicians are allowed to take family medical history into consideration, and to use their expertise to decide what qualifies as an exemption.\u003c/p>\n\u003cp>Last summer the California Medical Board \u003ca href=\"http://www2.mbc.ca.gov/BreezePDL/document.aspx?path=%5cDIDOCS%5c20180627%5cDMRAAAGL14%5c&did=AAAGL180627201150927.DID\" target=\"_blank\" rel=\"noopener\">disciplined\u003c/a> Orange County pediatrician \u003ca href=\"https://www.latimes.com/local/california/la-me-ln-sears-license-20180629-story.html\" target=\"_blank\" rel=\"noopener\">Bob Sears\u003c/a>— known for his stance against the current schedule required for vaccines—and gave him a 35-month probation for exempting a toddler from all vaccines without examining the child.\u003c/p>\n\u003cp>\u003c!-- iframe plugin v.4.3 wordpress.org/plugins/iframe/ -->\u003cbr>\n\u003ciframe src=\"https://e.infogram.com/7a724d9d-e7db-44bb-bc3a-9bca7b630e13?src=embed\" title=\"Copy: Required Vaccinations for Kinder\" width=\"700\" height=\"765\" scrolling=\"no\" frameborder=\"0\" style=\"border:none;\" allowfullscreen=\"allowfullscreen\" class=\"iframe-class\">\u003c/iframe>\u003c/p>\n\u003cp>At that time Sears \u003ca href=\"https://www.facebook.com/permalink.php?story_fbid=1835023183202824&id=116317855073374&__tn__=K-R\" target=\"_blank\" rel=\"noopener\">declared on Facebook\u003c/a> that his punishment was political: “Isn’t it my job to listen to my patients and believe what a parent says happened to her baby?” he wrote. “Isn’t that what ALL doctors do with their patients?”\u003c/p>\n\u003cp>Kenneth Stoller, a former board-certified pediatrician who is now an integrative physician in San Francisco, opposed the law eliminating personal waivers for childhood vaccines. Now he advertises on his website that he will see families seeking exemptions and will consider issuing one after an exam and a full family medical history consultation.\u003c/p>\n\u003cp>He argues that public health officials should not become the arbiters of medical exemptions.\u003c/p>\n\u003cp>“I and my colleagues would object to that because we practice medicine. This needs to be approached on an individual personal medical basis,” Stoller said. “Public health departments are not practicing medicine. They are far more administrative and bureaucratic. They are also constrained by one of their main funding sources—the CDC\"\u003c/p>\n\u003cp>More than half of the state’s Public Health budget is \u003ca href=\"https://www.cdph.ca.gov/Documents/CDPH%202018-19%20Budget%20Act%20Highlights.pdf\" target=\"_blank\" rel=\"noopener\">from federal funds\u003c/a>.\u003c/p>\n\u003cp>“We need an independent state commission to come up with guidelines and parameters for writing (medical exemptions) so the act of writing (them), as per the law, is not considered either negligent or inappropriate,” said Stoller.\u003c/p>\n\u003cp>Lawmakers may be reluctant to invite a sequel to the turbulent Capitol fight four years ago over vaccinations exemptions; instead they may urge state regulators to more aggressively crack down on dubious medical exemptions. If a new law is proposed, Estepp said, legislators should expect to see vocal parents and advocates who oppose tighter vaccine regulation flood their offices like they did last time.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://calmatters.org/\" target=\"_blank\" rel=\"noopener\">CALmatters.org\u003c/a> is a nonprofit, nonpartisan media venture explaining California policies and politics.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11725168/california-made-it-hard-to-avoid-vaccinating-kids-medical-waivers-have-tripled-now-what","authors":["byline_news_11725168"],"programs":["news_72"],"categories":["news_457","news_8","news_13"],"tags":["news_19201","news_17604","news_25007","news_17615","news_1878"],"affiliates":["news_18481"],"featImg":"news_11725180","label":"source_news_11725168"},"stateofhealth_20207":{"type":"posts","id":"stateofhealth_20207","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"20207","score":null,"sort":[1405539535000]},"guestAuthors":[],"slug":"sonoma-county-has-highest-whooping-cough-rate-in-statewide-epidemic","title":"Sonoma County Has Highest Whooping Cough Rate in Statewide Epidemic","publishDate":1405539535,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_20212\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/ethansparrow/4957499682/in/photolist-8y5tWs-8iYQHE-7T23S8-mhYq6b-e8s4T4-ejD8mX-bmq17n-5Xdf3C-dmfcNe-fngGKR-8y6kE5-ay3keW-bDwxda-frnE1E-eRVdxu-iGj2s3-4PaZm3-ejD8n8-9mbH2q-fr8ms2-6ijRSy-bMNTGn-9sVBc2-byNCUs-e96wUn-9XuUWF-cufQ97-hYXu5g-aqrdSm-cD8TMf-8ucatF-eg4g1e-6KNycu-bWMYNR-94zxe7-enWety-cLhR67-eZDpUb-dNg7wp-ebjL8c-itAX6Q-dNGjyE-ebqoZA-m3j1fV-nKV4E6-6HsnSH-hP5Hfv-7Gjpkm-awim1M-af5Whz\">\u003cimg class=\"wp-image-20212 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/4957499682_c983513f8a_bcrop-640x388.jpg\" alt=\"Napa has the second highest rate of the disease. (Esparrow1/Flickr)\" width=\"640\" height=\"388\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Napa has the second highest rate of the disease. (Esparrow1/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lynne Shallcross\u003c/strong>\u003c/p>\n\u003cp>It’s been a little over a month since California \u003ca href=\"http://ww2.kqed.org/news/2014/06/13/whooping-cough-reaches-epidemic-level-in-california/\" target=\"_blank\">declared a whooping cough epidemic\u003c/a>, and according to the most recent data from the state, three neighboring Bay Area counties have the highest rates of the disease statewide: Sonoma, Napa and Marin.\u003c/p>\n\u003cp>Sonoma County's rate of whooping cough, also known as pertussis, is almost 120 cases per 100,000 people. Napa County's rate is 90 per 100,000, and Marin's rate is 65 per 100,000.\u003c/p>\n\u003cp>Sonoma County's interim health officer, Karen Holbrook, says the number of cases reported each week has peaked and is now declining.\u003c/p>\n\u003cp>“It’s not what the state is experiencing as a whole, but we are coming down,” Holbrook says. “Will that hold indefinitely remains to be seen.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Holbrook says California is seeing a whooping cough epidemic partly because the disease is cyclical, with cases spiking every three to five years.\u003c!--more-->\u003c/p>\n\u003cp>Additionally, Holbrook says, the immunity from the current vaccine, introduced in the 1990s, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/08/03/todays-whooping-cough-vaccine-may-be-safer-but-less-effective-than-the-old-one/\" target=\"_blank\">fades more quickly\u003c/a> than the previous version. The current vaccine has fewer side effects.\u003c/p>\n\u003cp>Holbrook says she also thinks clinicians in her county are doing a good job of recognizing and diagnosing cases. “I can’t prove that relative to the other counties, but I honestly feel that that’s contributing to our (higher) rate,” she said.\u003c/p>\n\u003cp>Marin County Public Health Officer Matthew Willis says not all communities will have the same incidence of pertussis because of different factors and vulnerabilities, both known and unknown. Of the known factors, Willis echoes Holbrook’s points — and adds one more: vaccination rates.\u003c/p>\n\u003cp>“In Marin, it’s likely that pertussis was able to establish more of a foothold because of lower vaccination rates,” Willis says. \u003ca href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">Marin’s rate of personal belief exemptions\u003c/a>, which allow parents to opt out of vaccines for their children, is among the highest in the state, according to statewide data.\u003c/p>\n\u003cp>One thing is clear, he says: Vaccination is the most effective way to prevent pertussis. The vaccine does not provide lifetime immunity and boosters are needed.\u003c/p>\n\u003cp>Of those who should be vaccinated, babies and pregnant women are of particular importance, says Jennifer Henn, an epidemiologist with Napa County's Public Health Division. “Infants, especially infants under six months of age, are especially vulnerable to severe disease and even death if they become infected with the pertussis bacteria.”\u003c/p>\n\u003cp>Infants generally cannot get their first pertussis vaccine until they are eight weeks, but in light of the epidemic, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/06/27/whooping-cough-epidemic-continues-1100-new-cases-in-last-two-weeks/\" target=\"_blank\">state health officers said \u003c/a>babies can be vaccinated as young as six weeks. Pregnant mothers should be vaccinated in the third trimester of every pregnancy in order for their children to receive antibodies in the womb. People who are around infants, such as other members of the household or caregivers, should also be vaccinated.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/159002693&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"Ng1M7L5S1Gy1LBl1ZTFiYhPZNt6CsCYd\"]\u003c/p>\n\n","blocks":[],"excerpt":"Sonoma, Napa and Marin counties have the three highest whooping cough rates in California.","status":"publish","parent":0,"modified":1405712451,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":17,"wordCount":504},"headData":{"title":"Sonoma County Has Highest Whooping Cough Rate in Statewide Epidemic | KQED","description":"Sonoma, Napa and Marin counties have the three highest whooping cough rates in California.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Sonoma County Has Highest Whooping Cough Rate in Statewide Epidemic","datePublished":"2014-07-16T19:38:55.000Z","dateModified":"2014-07-18T19:40:51.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"20207 http://blogs.kqed.org/stateofhealth/?p=20207","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/07/16/sonoma-county-has-highest-whooping-cough-rate-in-statewide-epidemic/","disqusTitle":"Sonoma County Has Highest Whooping Cough Rate in Statewide Epidemic","path":"/stateofhealth/20207/sonoma-county-has-highest-whooping-cough-rate-in-statewide-epidemic","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20212\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/ethansparrow/4957499682/in/photolist-8y5tWs-8iYQHE-7T23S8-mhYq6b-e8s4T4-ejD8mX-bmq17n-5Xdf3C-dmfcNe-fngGKR-8y6kE5-ay3keW-bDwxda-frnE1E-eRVdxu-iGj2s3-4PaZm3-ejD8n8-9mbH2q-fr8ms2-6ijRSy-bMNTGn-9sVBc2-byNCUs-e96wUn-9XuUWF-cufQ97-hYXu5g-aqrdSm-cD8TMf-8ucatF-eg4g1e-6KNycu-bWMYNR-94zxe7-enWety-cLhR67-eZDpUb-dNg7wp-ebjL8c-itAX6Q-dNGjyE-ebqoZA-m3j1fV-nKV4E6-6HsnSH-hP5Hfv-7Gjpkm-awim1M-af5Whz\">\u003cimg class=\"wp-image-20212 size-large\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/4957499682_c983513f8a_bcrop-640x388.jpg\" alt=\"Napa has the second highest rate of the disease. (Esparrow1/Flickr)\" width=\"640\" height=\"388\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Napa has the second highest rate of the disease. (Esparrow1/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lynne Shallcross\u003c/strong>\u003c/p>\n\u003cp>It’s been a little over a month since California \u003ca href=\"http://ww2.kqed.org/news/2014/06/13/whooping-cough-reaches-epidemic-level-in-california/\" target=\"_blank\">declared a whooping cough epidemic\u003c/a>, and according to the most recent data from the state, three neighboring Bay Area counties have the highest rates of the disease statewide: Sonoma, Napa and Marin.\u003c/p>\n\u003cp>Sonoma County's rate of whooping cough, also known as pertussis, is almost 120 cases per 100,000 people. Napa County's rate is 90 per 100,000, and Marin's rate is 65 per 100,000.\u003c/p>\n\u003cp>Sonoma County's interim health officer, Karen Holbrook, says the number of cases reported each week has peaked and is now declining.\u003c/p>\n\u003cp>“It’s not what the state is experiencing as a whole, but we are coming down,” Holbrook says. “Will that hold indefinitely remains to be seen.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Holbrook says California is seeing a whooping cough epidemic partly because the disease is cyclical, with cases spiking every three to five years.\u003c!--more-->\u003c/p>\n\u003cp>Additionally, Holbrook says, the immunity from the current vaccine, introduced in the 1990s, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2012/08/03/todays-whooping-cough-vaccine-may-be-safer-but-less-effective-than-the-old-one/\" target=\"_blank\">fades more quickly\u003c/a> than the previous version. The current vaccine has fewer side effects.\u003c/p>\n\u003cp>Holbrook says she also thinks clinicians in her county are doing a good job of recognizing and diagnosing cases. “I can’t prove that relative to the other counties, but I honestly feel that that’s contributing to our (higher) rate,” she said.\u003c/p>\n\u003cp>Marin County Public Health Officer Matthew Willis says not all communities will have the same incidence of pertussis because of different factors and vulnerabilities, both known and unknown. Of the known factors, Willis echoes Holbrook’s points — and adds one more: vaccination rates.\u003c/p>\n\u003cp>“In Marin, it’s likely that pertussis was able to establish more of a foothold because of lower vaccination rates,” Willis says. \u003ca href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">Marin’s rate of personal belief exemptions\u003c/a>, which allow parents to opt out of vaccines for their children, is among the highest in the state, according to statewide data.\u003c/p>\n\u003cp>One thing is clear, he says: Vaccination is the most effective way to prevent pertussis. The vaccine does not provide lifetime immunity and boosters are needed.\u003c/p>\n\u003cp>Of those who should be vaccinated, babies and pregnant women are of particular importance, says Jennifer Henn, an epidemiologist with Napa County's Public Health Division. “Infants, especially infants under six months of age, are especially vulnerable to severe disease and even death if they become infected with the pertussis bacteria.”\u003c/p>\n\u003cp>Infants generally cannot get their first pertussis vaccine until they are eight weeks, but in light of the epidemic, \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/06/27/whooping-cough-epidemic-continues-1100-new-cases-in-last-two-weeks/\" target=\"_blank\">state health officers said \u003c/a>babies can be vaccinated as young as six weeks. Pregnant mothers should be vaccinated in the third trimester of every pregnancy in order for their children to receive antibodies in the womb. People who are around infants, such as other members of the household or caregivers, should also be vaccinated.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/159002693&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"Ng1M7L5S1Gy1LBl1ZTFiYhPZNt6CsCYd\"]\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/20207/sonoma-county-has-highest-whooping-cough-rate-in-statewide-epidemic","authors":["240"],"categories":["stateofhealth_11","stateofhealth_13"],"tags":["stateofhealth_715","stateofhealth_461","stateofhealth_31","stateofhealth_152"],"featImg":"stateofhealth_20210","label":"stateofhealth"},"news_139101":{"type":"posts","id":"news_139101","meta":{"index":"posts_1591205157","site":"news","id":"139101","score":null,"sort":[1402690394000]},"guestAuthors":[],"slug":"whooping-cough-reaches-epidemic-level-in-california","title":"Whooping Cough Reaches 'Epidemic' Level in California","publishDate":1402690394,"format":"aside","headTitle":"News Fix | KQED News","labelTerm":{"term":6944,"site":"news"},"content":"\u003cfigure id=\"attachment_139103\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/06/RS8622_104228158-lpr.jpg\">\u003cimg class=\"size-medium wp-image-139103\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/06/RS8622_104228158-lpr-640x425.jpg\" alt=\"A vial containing pertussis vaccine. (Robyn Beck/AFP-Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A vial containing pertussis vaccine. (Robyn Beck/AFP-Getty Images) \u003ccite>(Robyn Beck/AFP-Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California health officials announced Friday that \u003ca href=\"http://www.cdc.gov/pertussis/\" target=\"_blank\">whooping cough (also known as pertussis\u003c/a>) has reached epidemic levels in the state. The \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/Pertussis_Report_6-10-2014.pdf\" target=\"_blank\">Department of Public Health reported 809 new cases of the infection\u003c/a>, bringing the 2014 total to 3,458. That's 1,000 more cases than all of last year.\u003c/p>\n\u003cp>Four Bay Area communities have been hit particularly hard: Sonoma, Napa and Marin counties and Berkeley, which reports separately from the rest of Alameda County.\u003c/p>\n\u003cp>The overall state incidence rate is about 9 cases per 100,000 people, the CDPH says. But for Sonoma County the rate is 103 per 100,000; in Napa it's 65, and in Marin it's 53. Berkeley's rate is lower — 25 per 100,000; but that's three times higher than the rate for Alameda County as a whole. The rest of the Bay Area reports rates between a low of 6 per 100,000 in Santa Clara County and 17 per 100,000 in Solano County.\u003c/p>\n\u003cp>The CDPH said this year's epidemic is due at least in part to the cyclical nature of pertussis, which officials say peaks every three to five years. The last peak was in 2010, when the state had more than 9,000 cases and recorded 10 infant deaths connected to the disease.\u003c/p>\n\u003cp>But health officials say other factors may be at play, too. One suspected problem is the widespread use of acellular pertussis vaccines, which cause fewer negative reactions in patients than earlier vaccines but may not provide the long-lasting immunity.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Another widely discussed factor is that fewer children in some communities are receiving vaccinations for pertussis and other illnesses. That's because parents fearing potential harm from the vaccines are increasingly seeking \"personal belief exemptions\" (PBEs) that allow them to enroll children in school without getting state-required vaccinations. \u003ca href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">As we reported last summer\u003c/a>, Marin County had a 7.8 percent PBE rate, the highest in the nine-county Bay Area. The statewide rate is 2.8 percent\u003c/p>\n\u003cp>But those PBE numbers alone don't appear to explain the pertussis spike in some locales. Santa Cruz County has a 9.6 percent personal-belief-exemption rate. But today's state figures show the county reporting a pertussis incidence rate of 11 per 100,000 — far below the North Bay counties and relatively close to the statewide rate. If you want to look up that PBE rate for schools in your community, \u003ca href=\"http://blogs.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">search the database that KQED's State of Health blog posted last year\u003c/a>.\u003c/p>\n\u003cp>Here's the latest Associated Press report on the whooping cough story:\u003c/p>\n\u003cp>\u003cstrong>Associated Press\u003c/strong>\u003c/p>\n\u003cp>LOS ANGELES — The number of whooping cough cases in California is now at an epidemic level, state health officials said Friday.\u003c/p>\n\u003cp>More than 800 whooping cough cases were reported over the past two weeks, suggesting that\u003ca href=\"http://www.cdc.gov/pertussis/\" target=\"_blank\"> the infection, which is also known as pertussis\u003c/a>, is spreading rapidly, according to a statement by the California Department of Public Health.\u003c/p>\n\u003cp>As of June 10, there were 3,458 reported cases — more than in all of 2013. There have been two reported infant deaths.\u003c/p>\n\u003cp>The infection is cyclical and peaks every three to five years, officials said. The previous whooping cough peak was in 2010, when an epidemic struck 9,159 people and killed 10 infants in the state.\u003c/p>\n\u003cp>Infants are most susceptible to the disease, so parents are encouraged to vaccinate their children as early as possible. Pregnant women are also encouraged to get vaccinated.\u003c/p>\n\u003cp>The disease has also raised national concerns. Although California is the only state to declare an epidemic, there has been a 24 percent increase of reported pertussis cases nationally from this time last year, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Whooping cough begins with cold-like symptoms and can progress to severe coughing fits that leave people gasping for breath.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California officials said they were working closely with local health departments and schools to inform the public of the importance of vaccinations.\u003c/p>\n\n","blocks":[],"excerpt":"Public health officials report a surge in the number of those suffering from sometimes-fatal infection. ","status":"publish","parent":0,"modified":1402697973,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":683},"headData":{"title":"Whooping Cough Reaches 'Epidemic' Level in California | KQED","description":"Public health officials report a surge in the number of those suffering from sometimes-fatal infection. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Whooping Cough Reaches 'Epidemic' Level in California","datePublished":"2014-06-13T20:13:14.000Z","dateModified":"2014-06-13T22:19:33.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"139101 http://ww2.kqed.org/news/?p=139101","disqusUrl":"https://ww2.kqed.org/news/2014/06/13/whooping-cough-reaches-epidemic-level-in-california/","disqusTitle":"Whooping Cough Reaches 'Epidemic' Level in California","path":"/news/139101/whooping-cough-reaches-epidemic-level-in-california","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_139103\" class=\"wp-caption alignright\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/06/RS8622_104228158-lpr.jpg\">\u003cimg class=\"size-medium wp-image-139103\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2014/06/RS8622_104228158-lpr-640x425.jpg\" alt=\"A vial containing pertussis vaccine. (Robyn Beck/AFP-Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A vial containing pertussis vaccine. (Robyn Beck/AFP-Getty Images) \u003ccite>(Robyn Beck/AFP-Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California health officials announced Friday that \u003ca href=\"http://www.cdc.gov/pertussis/\" target=\"_blank\">whooping cough (also known as pertussis\u003c/a>) has reached epidemic levels in the state. The \u003ca href=\"http://www.cdph.ca.gov/programs/immunize/Documents/Pertussis_Report_6-10-2014.pdf\" target=\"_blank\">Department of Public Health reported 809 new cases of the infection\u003c/a>, bringing the 2014 total to 3,458. That's 1,000 more cases than all of last year.\u003c/p>\n\u003cp>Four Bay Area communities have been hit particularly hard: Sonoma, Napa and Marin counties and Berkeley, which reports separately from the rest of Alameda County.\u003c/p>\n\u003cp>The overall state incidence rate is about 9 cases per 100,000 people, the CDPH says. But for Sonoma County the rate is 103 per 100,000; in Napa it's 65, and in Marin it's 53. Berkeley's rate is lower — 25 per 100,000; but that's three times higher than the rate for Alameda County as a whole. The rest of the Bay Area reports rates between a low of 6 per 100,000 in Santa Clara County and 17 per 100,000 in Solano County.\u003c/p>\n\u003cp>The CDPH said this year's epidemic is due at least in part to the cyclical nature of pertussis, which officials say peaks every three to five years. The last peak was in 2010, when the state had more than 9,000 cases and recorded 10 infant deaths connected to the disease.\u003c/p>\n\u003cp>But health officials say other factors may be at play, too. One suspected problem is the widespread use of acellular pertussis vaccines, which cause fewer negative reactions in patients than earlier vaccines but may not provide the long-lasting immunity.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Another widely discussed factor is that fewer children in some communities are receiving vaccinations for pertussis and other illnesses. That's because parents fearing potential harm from the vaccines are increasingly seeking \"personal belief exemptions\" (PBEs) that allow them to enroll children in school without getting state-required vaccinations. \u003ca href=\"http://ww2.kqed.org/news/2013/08/21/marin-vaccinations/\" target=\"_blank\">As we reported last summer\u003c/a>, Marin County had a 7.8 percent PBE rate, the highest in the nine-county Bay Area. The statewide rate is 2.8 percent\u003c/p>\n\u003cp>But those PBE numbers alone don't appear to explain the pertussis spike in some locales. Santa Cruz County has a 9.6 percent personal-belief-exemption rate. But today's state figures show the county reporting a pertussis incidence rate of 11 per 100,000 — far below the North Bay counties and relatively close to the statewide rate. If you want to look up that PBE rate for schools in your community, \u003ca href=\"http://blogs.kqed.org/stateofhealth/2013/09/06/more-california-parents-opting-out-of-vaccines-look-up-your-school-online/\" target=\"_blank\">search the database that KQED's State of Health blog posted last year\u003c/a>.\u003c/p>\n\u003cp>Here's the latest Associated Press report on the whooping cough story:\u003c/p>\n\u003cp>\u003cstrong>Associated Press\u003c/strong>\u003c/p>\n\u003cp>LOS ANGELES — The number of whooping cough cases in California is now at an epidemic level, state health officials said Friday.\u003c/p>\n\u003cp>More than 800 whooping cough cases were reported over the past two weeks, suggesting that\u003ca href=\"http://www.cdc.gov/pertussis/\" target=\"_blank\"> the infection, which is also known as pertussis\u003c/a>, is spreading rapidly, according to a statement by the California Department of Public Health.\u003c/p>\n\u003cp>As of June 10, there were 3,458 reported cases — more than in all of 2013. There have been two reported infant deaths.\u003c/p>\n\u003cp>The infection is cyclical and peaks every three to five years, officials said. The previous whooping cough peak was in 2010, when an epidemic struck 9,159 people and killed 10 infants in the state.\u003c/p>\n\u003cp>Infants are most susceptible to the disease, so parents are encouraged to vaccinate their children as early as possible. Pregnant women are also encouraged to get vaccinated.\u003c/p>\n\u003cp>The disease has also raised national concerns. Although California is the only state to declare an epidemic, there has been a 24 percent increase of reported pertussis cases nationally from this time last year, according to the Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>Whooping cough begins with cold-like symptoms and can progress to severe coughing fits that leave people gasping for breath.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>California officials said they were working closely with local health departments and schools to inform the public of the importance of vaccinations.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/139101/whooping-cough-reaches-epidemic-level-in-california","authors":["222"],"programs":["news_6944"],"categories":["news_356"],"tags":["news_18538","news_1153","news_6456","news_3228","news_1878"],"featImg":"news_139103","label":"news_6944"},"news_75546":{"type":"posts","id":"news_75546","meta":{"index":"posts_1591205157","site":"news","id":"75546","score":null,"sort":[1347296042000]},"guestAuthors":[],"slug":"private-school-vaccine-opt-outs-rise","title":"Private School Vaccine Opt-Outs Rise","publishDate":1347296042,"format":"aside","headTitle":"News Fix | KQED News","labelTerm":{"term":6944,"site":"news"},"content":"\u003cp>By Hannah Dreier, Associated Press\u003c/p>\n\u003cfigure id=\"attachment_75547\" class=\"wp-caption alignleft\" style=\"max-width: 260px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/09/Vaccination-Large-Jeff-J-Mitchell-Getty.jpg\">\u003cimg class=\"size-medium wp-image-75547 \" title=\"Youngsters Receive Childhood Immunization\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/09/Vaccination-Large-Jeff-J-Mitchell-Getty-300x192.jpg\" alt=\"\" width=\"260\" height=\"178\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jeff J Mitchell/Getty Images\u003c/figcaption>\u003c/figure>\n\u003cp>SACRAMENTO, Calif. (AP) Parents who send their children to private schools in California are much more likely to opt out of immunizations than their public school counterparts, an Associated Press analysis has found, and not even the recent re-emergence of whooping cough has halted the downward trajectory of vaccinations among these students.\u003c/p>\n\u003cp>The state surveys all schools with at least 10 kindergartners to determine how many have all the recommended immunizations. The AP analyzed that data and found the percentage of children in private schools who forego some or all vaccinations is more than two times greater than in public schools.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cstrong>\"Have you ever seen a child cough themselves to death? It's not pleasant,\" said pediatrician and state Assemblyman Richard Pan.\u003c/strong>\u003c/aside>\n\u003cp>More troubling to public health officials is that the rate of children entering private schools without all of their shots jumped by 10 percent last year, while the opt-out figures held steady in public schools for the first time since 2004.\u003c/p>\n\u003cp>Public health officials believe that an immunization rate of at least 90 percent in all communities, including schools, is critical to minimizing the potential for a disease outbreak. About 15 percent of the 1,650 private schools surveyed by the state failed to reach that threshold, compared with 5 percent of public schools.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>There were 110 private schools statewide where more than half the kindergartners skipped some or all of their shots, according to AP's analysis, with Highland Hall Waldorf School in Northridge--where 84 percent opted out--topping the list.\u003c!--more-->\u003c/p>\n\u003cp>Parents cite a variety of reasons for not immunizing their children, among them: religious values, concerns the shots themselves could cause illness and a belief that allowing children to get sick helps them to build a stronger immune system. Likewise, there's no single explanation that accounts for why so many more parents who send their children to private schools apparently share a suspicion of immunizations.\u003c/p>\n\u003cp>Saad Omer, a professor of global health at Emory University in Atlanta who has studied vaccine refusal in private schools, surmised more private school parents are wealthy and have the time to spread five shots over a series of years and stay home should their child get an illness like chickenpox. Neal Halsey, a professor of pediatric infectious diseases at the Johns Hopkins University, said parents who choose private schools are likely to be more skeptical of state requirements and recommendations.\u003c/p>\n\u003cp>Bibi Reber, whose children attend the Waldorf-inspired Greenwood School in Mill Valley, had her children vaccinated only for what she sees as the deadliest diseases. Greenwood has a 79 percent opt-out rate among its kindergartners.\u003c/p>\n\u003cp>\"I don't think dirt or getting sick makes you a weak person; your immune system needs to work with things,\" said Reber, whose children attend the Greenwood School in the San Francisco Bay area town of Mill Valley. \"We certainly don't want to go back to having polio, but on the other hand, I don't think we need to eradicate all the childhood diseases.\"\u003c/p>\n\u003cp>Public health officials say that, regardless of why parents choose not to vaccinate their children, the result is the same: an increased risk of an outbreak of whooping cough or other communicable diseases.\u003c/p>\n\u003cp>\"We're very concerned that those schools are places where disease can spread quite rapidly through the school and into the community, should it get introduced,\" said Dr. Robert Schechter, medical officer with the Immunization Branch of the California Department of Public Health.\u003c/p>\n\u003cp>That's what prompted the Legislature to approve a bill requiring parents to discuss vaccinations with a pediatricians or a school nurse before they can opt-out. Gov. Jerry Brown has until the end of September to sign or veto it.\u003c/p>\n\u003cp>State Assemblyman Richard Pan, a pediatrician, who sponsored the bill, said he believes private school parents are more apt to mistakenly believe that the vaccinations themselves could be more dangerous than the diseases.\u003c/p>\n\u003cp>\"In private school, these are people who have money, who are upper middle-class, and they are going on the Internet and seeing information and misinformation,\" said Pan, D-Sacramento.\u003c/p>\n\u003cp>Increasing immunization rates for this population is critical to controlling the outbreak of diseases, he said. \"Have you ever seen a child cough themselves to death? It's not pleasant,\" he said.\u003c/p>\n\u003cp>Those who choose not to vaccinate their children see the legislation as meddlesome and unnecessary.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cstrong>In 2008, East Bay Waldorf School in El Sobrante closed temporarily after whooping cough sickened more than a dozen students, eight of them kindergartners. The San Francisco Bay Area school had a vaccination rate of less than 50 percent.\u003c/strong>\u003c/aside>\n\u003cp>\"It's making an extra appointment and paying extra money to go in there and essentially get permission to do what I feel is right for my family,\" said Dawn Kelly, who sends her unvaccinated 5-year-old son and partially vaccinated 9-year-old son to Monarch Christian School in the Los Angeles area.\u003c/p>\n\u003cp>Like many parents who refuse some or all immunization shots, Kelly worries her children's immune system could be overwhelmed by getting too many vaccines at once.\u003c/p>\n\u003cp>Melani Gold Friedman, president of the parent association at Highland Hall Waldorf School, is concerned with what the legislation means for families who normally consult with acupuncturists, holistic healers or other alternative practitioners.\u003c/p>\n\u003cp>\"The bill has an assumption that everyone's seeing one particular kind of doctor, but the people who are opting out, chances are they're not seeing that kind of doctor,\" she said.\u003c/p>\n\u003cp>Vaccination opt-out rates nationwide have been creeping up since the mid-2000s, spurred in part by the belief the battery of vaccinations routinely given to infants could lead to autism. Several major studies have discredited that idea.\u003c/p>\n\u003cp>Parents are allowed to forego vaccines for philosophical reasons in California and 19 other states. Of those, only Washington requires parents to consult with a physician. And, in California, there's no difference between private and public schools when it comes to what's required for parents to opt out--they simply sign a document. The state recommends that kindergarteners receive five vaccine progressions, including protections against Polio, Hepatitis B and Measles\u003c/p>\n\u003cp>Politicians and public health experts across the nation are focusing more attention on childhood immunizations, driven by a re-emergence of diseases like whooping cough. The U.S. is in the midst of what could be its worst year for that disease in more than five decades, with nearly 25,000 cases and 13 deaths.\u003c/p>\n\u003cp>After whooping cough reached epidemic levels in California in 2010, the state took action, embarking on a public information campaign and increasing the availability of vaccines. A law was passed requiring booster shots for older students.\u003c/p>\n\u003cp>Yet the opt-out rate continued climbing in private schools. It's more than doubled since 2004, to 2,228 kindergartners in last year's state survey. While the overall rate of full immunization among kindergarteners hovers around 91 percent, places where the opt-out rate is greater could pose a risk for outbreak.\u003c/p>\n\u003cp>In 2008, East Bay Waldorf School in El Sobrante closed temporarily after whooping cough sickened more than a dozen students, eight of them kindergartners. The San Francisco Bay Area school had a vaccination rate of less than 50 percent.\u003c/p>\n\u003cp>State health officials are tracking the divergence of opt-out rates in private and public schools, but are not planning any studies or outreach efforts targeting this pupil population. The state is conducting a general education campaign to boost vaccinate rates.\u003c/p>\n\u003cp>The AP analysis found 20 of the 25 California private schools with the highest opt-out rates are \"Waldorf schools,\" a loose association of institutions founded on the teachings of 19th-century philosopher Rudolf Steiner. He favored a holistic approach to education and medicine and thought childhood illnesses could be beneficial.\u003c/p>\n\u003cp>Officials at these schools would not comment about Pan's bill but say they trust parents to make the best decisions for their children's health.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\"Parents who are brave enough to say, 'No, that's not the right thing,' should be supported,\" said Patrice Maynard, spokeswoman for the Association of Waldorf Schools of North America.\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1347296270,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":1378},"headData":{"title":"Private School Vaccine Opt-Outs Rise | KQED","description":"By Hannah Dreier, Associated Press SACRAMENTO, Calif. (AP) Parents who send their children to private schools in California are much more likely to opt out of immunizations than their public school counterparts, an Associated Press analysis has found, and not even the recent re-emergence of whooping cough has halted the downward trajectory of vaccinations among","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Private School Vaccine Opt-Outs Rise","datePublished":"2012-09-10T16:54:02.000Z","dateModified":"2012-09-10T16:57:50.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"75546 http://ww2.kqed.org/news/?p=75546","disqusUrl":"https://ww2.kqed.org/news/2012/09/10/private-school-vaccine-opt-outs-rise/","disqusTitle":"Private School Vaccine Opt-Outs Rise","path":"/news/75546/private-school-vaccine-opt-outs-rise","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>By Hannah Dreier, Associated Press\u003c/p>\n\u003cfigure id=\"attachment_75547\" class=\"wp-caption alignleft\" style=\"max-width: 260px\">\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/09/Vaccination-Large-Jeff-J-Mitchell-Getty.jpg\">\u003cimg class=\"size-medium wp-image-75547 \" title=\"Youngsters Receive Childhood Immunization\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2012/09/Vaccination-Large-Jeff-J-Mitchell-Getty-300x192.jpg\" alt=\"\" width=\"260\" height=\"178\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Jeff J Mitchell/Getty Images\u003c/figcaption>\u003c/figure>\n\u003cp>SACRAMENTO, Calif. (AP) Parents who send their children to private schools in California are much more likely to opt out of immunizations than their public school counterparts, an Associated Press analysis has found, and not even the recent re-emergence of whooping cough has halted the downward trajectory of vaccinations among these students.\u003c/p>\n\u003cp>The state surveys all schools with at least 10 kindergartners to determine how many have all the recommended immunizations. The AP analyzed that data and found the percentage of children in private schools who forego some or all vaccinations is more than two times greater than in public schools.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cstrong>\"Have you ever seen a child cough themselves to death? It's not pleasant,\" said pediatrician and state Assemblyman Richard Pan.\u003c/strong>\u003c/aside>\n\u003cp>More troubling to public health officials is that the rate of children entering private schools without all of their shots jumped by 10 percent last year, while the opt-out figures held steady in public schools for the first time since 2004.\u003c/p>\n\u003cp>Public health officials believe that an immunization rate of at least 90 percent in all communities, including schools, is critical to minimizing the potential for a disease outbreak. About 15 percent of the 1,650 private schools surveyed by the state failed to reach that threshold, compared with 5 percent of public schools.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>There were 110 private schools statewide where more than half the kindergartners skipped some or all of their shots, according to AP's analysis, with Highland Hall Waldorf School in Northridge--where 84 percent opted out--topping the list.\u003c!--more-->\u003c/p>\n\u003cp>Parents cite a variety of reasons for not immunizing their children, among them: religious values, concerns the shots themselves could cause illness and a belief that allowing children to get sick helps them to build a stronger immune system. Likewise, there's no single explanation that accounts for why so many more parents who send their children to private schools apparently share a suspicion of immunizations.\u003c/p>\n\u003cp>Saad Omer, a professor of global health at Emory University in Atlanta who has studied vaccine refusal in private schools, surmised more private school parents are wealthy and have the time to spread five shots over a series of years and stay home should their child get an illness like chickenpox. Neal Halsey, a professor of pediatric infectious diseases at the Johns Hopkins University, said parents who choose private schools are likely to be more skeptical of state requirements and recommendations.\u003c/p>\n\u003cp>Bibi Reber, whose children attend the Waldorf-inspired Greenwood School in Mill Valley, had her children vaccinated only for what she sees as the deadliest diseases. Greenwood has a 79 percent opt-out rate among its kindergartners.\u003c/p>\n\u003cp>\"I don't think dirt or getting sick makes you a weak person; your immune system needs to work with things,\" said Reber, whose children attend the Greenwood School in the San Francisco Bay area town of Mill Valley. \"We certainly don't want to go back to having polio, but on the other hand, I don't think we need to eradicate all the childhood diseases.\"\u003c/p>\n\u003cp>Public health officials say that, regardless of why parents choose not to vaccinate their children, the result is the same: an increased risk of an outbreak of whooping cough or other communicable diseases.\u003c/p>\n\u003cp>\"We're very concerned that those schools are places where disease can spread quite rapidly through the school and into the community, should it get introduced,\" said Dr. Robert Schechter, medical officer with the Immunization Branch of the California Department of Public Health.\u003c/p>\n\u003cp>That's what prompted the Legislature to approve a bill requiring parents to discuss vaccinations with a pediatricians or a school nurse before they can opt-out. Gov. Jerry Brown has until the end of September to sign or veto it.\u003c/p>\n\u003cp>State Assemblyman Richard Pan, a pediatrician, who sponsored the bill, said he believes private school parents are more apt to mistakenly believe that the vaccinations themselves could be more dangerous than the diseases.\u003c/p>\n\u003cp>\"In private school, these are people who have money, who are upper middle-class, and they are going on the Internet and seeing information and misinformation,\" said Pan, D-Sacramento.\u003c/p>\n\u003cp>Increasing immunization rates for this population is critical to controlling the outbreak of diseases, he said. \"Have you ever seen a child cough themselves to death? It's not pleasant,\" he said.\u003c/p>\n\u003cp>Those who choose not to vaccinate their children see the legislation as meddlesome and unnecessary.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\u003cstrong>In 2008, East Bay Waldorf School in El Sobrante closed temporarily after whooping cough sickened more than a dozen students, eight of them kindergartners. The San Francisco Bay Area school had a vaccination rate of less than 50 percent.\u003c/strong>\u003c/aside>\n\u003cp>\"It's making an extra appointment and paying extra money to go in there and essentially get permission to do what I feel is right for my family,\" said Dawn Kelly, who sends her unvaccinated 5-year-old son and partially vaccinated 9-year-old son to Monarch Christian School in the Los Angeles area.\u003c/p>\n\u003cp>Like many parents who refuse some or all immunization shots, Kelly worries her children's immune system could be overwhelmed by getting too many vaccines at once.\u003c/p>\n\u003cp>Melani Gold Friedman, president of the parent association at Highland Hall Waldorf School, is concerned with what the legislation means for families who normally consult with acupuncturists, holistic healers or other alternative practitioners.\u003c/p>\n\u003cp>\"The bill has an assumption that everyone's seeing one particular kind of doctor, but the people who are opting out, chances are they're not seeing that kind of doctor,\" she said.\u003c/p>\n\u003cp>Vaccination opt-out rates nationwide have been creeping up since the mid-2000s, spurred in part by the belief the battery of vaccinations routinely given to infants could lead to autism. Several major studies have discredited that idea.\u003c/p>\n\u003cp>Parents are allowed to forego vaccines for philosophical reasons in California and 19 other states. Of those, only Washington requires parents to consult with a physician. And, in California, there's no difference between private and public schools when it comes to what's required for parents to opt out--they simply sign a document. The state recommends that kindergarteners receive five vaccine progressions, including protections against Polio, Hepatitis B and Measles\u003c/p>\n\u003cp>Politicians and public health experts across the nation are focusing more attention on childhood immunizations, driven by a re-emergence of diseases like whooping cough. The U.S. is in the midst of what could be its worst year for that disease in more than five decades, with nearly 25,000 cases and 13 deaths.\u003c/p>\n\u003cp>After whooping cough reached epidemic levels in California in 2010, the state took action, embarking on a public information campaign and increasing the availability of vaccines. A law was passed requiring booster shots for older students.\u003c/p>\n\u003cp>Yet the opt-out rate continued climbing in private schools. It's more than doubled since 2004, to 2,228 kindergartners in last year's state survey. While the overall rate of full immunization among kindergarteners hovers around 91 percent, places where the opt-out rate is greater could pose a risk for outbreak.\u003c/p>\n\u003cp>In 2008, East Bay Waldorf School in El Sobrante closed temporarily after whooping cough sickened more than a dozen students, eight of them kindergartners. The San Francisco Bay Area school had a vaccination rate of less than 50 percent.\u003c/p>\n\u003cp>State health officials are tracking the divergence of opt-out rates in private and public schools, but are not planning any studies or outreach efforts targeting this pupil population. The state is conducting a general education campaign to boost vaccinate rates.\u003c/p>\n\u003cp>The AP analysis found 20 of the 25 California private schools with the highest opt-out rates are \"Waldorf schools,\" a loose association of institutions founded on the teachings of 19th-century philosopher Rudolf Steiner. He favored a holistic approach to education and medicine and thought childhood illnesses could be beneficial.\u003c/p>\n\u003cp>Officials at these schools would not comment about Pan's bill but say they trust parents to make the best decisions for their children's health.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Parents who are brave enough to say, 'No, that's not the right thing,' should be supported,\" said Patrice Maynard, spokeswoman for the Association of Waldorf Schools of North America.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/75546/private-school-vaccine-opt-outs-rise","authors":["237"],"programs":["news_6944"],"tags":["news_18543","news_3097","news_446","news_981","news_1878"],"label":"news_6944"},"news_40521":{"type":"posts","id":"news_40521","meta":{"index":"posts_1591205157","site":"news","id":"40521","score":null,"sort":[1316628267000]},"guestAuthors":[],"slug":"pertussis-vaccination-rates-and-deadlines-for-large-urban-school-districts-in-california","title":"What are the Whooping Cough Rates and Deadlines for Urban School Districts in California?","publishDate":1316628267,"format":"aside","headTitle":"What are the Whooping Cough Rates and Deadlines for Urban School Districts in California? | KQED","labelTerm":{"term":6944,"site":"news"},"content":"\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/09/school1.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/09/school1.jpg\" alt=\"\" title=\"school\" width=\"240\" height=\"160\" class=\"alignright size-full wp-image-40525\">\u003c/a>On The California Report this morning, Ana Tintocalis reported on the \u003ca href=\"http://www.californiareport.org/archive/R201109210850/c\">state law that requires California’s Middle and high school students to be vaccinated against pertussis, or whooping cough\u003c/a>, in order to attend school.\u003c/p>\n\u003cp>Getting full compliance has been tough going. In San Francisco, for instance, roughly 14% of students are still not vaccinated or haven’t shown proof they’ve received the shot.\u003c/p>\n\u003cp>San Francisco and other districts that are keeping students home are losing thousands or in some cases millions of dollars because schools receive state funding based on attendance. So some districts are defying the law and allowing unvaccinated students on campus. \u003c/p>\n\u003cp>And here’s the data on pertussis vaccination rates for the state’s large urban school districts, compiled by Ana Tintocalis:\u003c/p>\n\u003ch2>\nPertussis Vaccination Rates (7th – 12th Grade Students) in CA’S Large Urban School Districts, grouped by district deadlines\u003c/h2>\n\u003cp>*all numbers are approximations\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>THE DEADLINE HAS PASSED\u003cbr>\nSan Francisco Unified\u003cbr>\nVaccination deadline: Sept. 15\u003cbr>\nNumber of 7th to 12th grade students: Approx. 24,000\u003cbr>\nNumber still not vaccinated: 2,000\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cp>San Jose Unified\u003cbr>\nVaccination deadline: Sept. 15\u003cbr>\nNumber of 7th to 12th grade students: Approx. 14,600\u003cbr>\nNumber still not vaccinated: 116 \u003c/p>\n\u003cp>Elk Grove Unified\u003cbr>\nVaccination deadline: Sept. 13\u003cbr>\nNumber of 7th to 12th grade students: Approx. 28,200\u003cbr>\nNumber still not vaccinated: 140 \u003c/p>\n\u003cp>Los Angeles Unified (year round)\u003cbr>\nVaccination deadline for year-round schools: Aug. 1\u003cbr>\nNumber of 7th to 12th grade year-round students: Approx. 1,890\u003cbr>\nNumber still not vaccinated: 601 \u003c/p>\n\u003cp>THE CLOCK IS TICKING\u003c/p>\n\u003cp>Oakland Unified\u003cbr>\nVaccination deadline: Oct. 29\u003cbr>\nNumber of 7th to 12th grade students: Approx. 13,000\u003cbr>\nNumber of still need to be vaccinated: 1,900 \u003c/p>\n\u003cp>Los Angeles Unified\u003cbr>\nVaccination deadline: Oct. 7\u003cbr>\nNumber of 7th to 12th grade students: Approx. 255,100\u003cbr>\nNumber still need to be vaccinated: 209,570 (82%)\u003c/p>\n\u003cp>San Diego Unified\u003cbr>\nVaccination deadline: Oct. 6\u003cbr>\nNumber of 7th to 12th grade students: Approx. 66,000\u003cbr>\nNumber still need to be vaccinated: 16,000 \u003c/p>\n\u003cp>Long Beach Unified\u003cbr>\nVaccination deadline: Oct. 7\u003cbr>\nNumber of 7th to 12th grade students: Approx. 45,000 \u003c/p>\n\u003cp>Number still need to be vaccinated: 4,500 \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Fresno Unified\u003cbr>\nVaccination deadline: Sept. 22\u003cbr>\nNumber of 7th to 12th grade students: Approx. 32,000\u003cbr>\nNumber still need to be vaccinated: 4,840\u003c/p>\n\n","blocks":[],"excerpt":null,"status":"publish","parent":0,"modified":1685492312,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":388},"headData":{"title":"What are the Whooping Cough Rates and Deadlines for Urban School Districts in California? | KQED","description":"On The California Report this morning, Ana Tintocalis reported on the state law that requires California's Middle and high school students to be vaccinated against pertussis, or whooping cough, in order to attend school. Getting full compliance has been tough going. In San Francisco, for instance, roughly 14% of students are still not vaccinated or","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"What are the Whooping Cough Rates and Deadlines for Urban School Districts in California?","datePublished":"2011-09-21T18:04:27.000Z","dateModified":"2023-05-31T00:18:32.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"templateType":"standard","featuredImageType":"standard","excludeFromSiteSearch":"Include","articleAge":"0","path":"/news/40521/pertussis-vaccination-rates-and-deadlines-for-large-urban-school-districts-in-california","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/09/school1.jpg\">\u003cimg decoding=\"async\" loading=\"lazy\" src=\"http://ww2.kqed.org/news/wp-content/uploads/sites/10/2011/09/school1.jpg\" alt=\"\" title=\"school\" width=\"240\" height=\"160\" class=\"alignright size-full wp-image-40525\">\u003c/a>On The California Report this morning, Ana Tintocalis reported on the \u003ca href=\"http://www.californiareport.org/archive/R201109210850/c\">state law that requires California’s Middle and high school students to be vaccinated against pertussis, or whooping cough\u003c/a>, in order to attend school.\u003c/p>\n\u003cp>Getting full compliance has been tough going. In San Francisco, for instance, roughly 14% of students are still not vaccinated or haven’t shown proof they’ve received the shot.\u003c/p>\n\u003cp>San Francisco and other districts that are keeping students home are losing thousands or in some cases millions of dollars because schools receive state funding based on attendance. So some districts are defying the law and allowing unvaccinated students on campus. \u003c/p>\n\u003cp>And here’s the data on pertussis vaccination rates for the state’s large urban school districts, compiled by Ana Tintocalis:\u003c/p>\n\u003ch2>\nPertussis Vaccination Rates (7th – 12th Grade Students) in CA’S Large Urban School Districts, grouped by district deadlines\u003c/h2>\n\u003cp>*all numbers are approximations\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>THE DEADLINE HAS PASSED\u003cbr>\nSan Francisco Unified\u003cbr>\nVaccination deadline: Sept. 15\u003cbr>\nNumber of 7th to 12th grade students: Approx. 24,000\u003cbr>\nNumber still not vaccinated: 2,000\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cp>San Jose Unified\u003cbr>\nVaccination deadline: Sept. 15\u003cbr>\nNumber of 7th to 12th grade students: Approx. 14,600\u003cbr>\nNumber still not vaccinated: 116 \u003c/p>\n\u003cp>Elk Grove Unified\u003cbr>\nVaccination deadline: Sept. 13\u003cbr>\nNumber of 7th to 12th grade students: Approx. 28,200\u003cbr>\nNumber still not vaccinated: 140 \u003c/p>\n\u003cp>Los Angeles Unified (year round)\u003cbr>\nVaccination deadline for year-round schools: Aug. 1\u003cbr>\nNumber of 7th to 12th grade year-round students: Approx. 1,890\u003cbr>\nNumber still not vaccinated: 601 \u003c/p>\n\u003cp>THE CLOCK IS TICKING\u003c/p>\n\u003cp>Oakland Unified\u003cbr>\nVaccination deadline: Oct. 29\u003cbr>\nNumber of 7th to 12th grade students: Approx. 13,000\u003cbr>\nNumber of still need to be vaccinated: 1,900 \u003c/p>\n\u003cp>Los Angeles Unified\u003cbr>\nVaccination deadline: Oct. 7\u003cbr>\nNumber of 7th to 12th grade students: Approx. 255,100\u003cbr>\nNumber still need to be vaccinated: 209,570 (82%)\u003c/p>\n\u003cp>San Diego Unified\u003cbr>\nVaccination deadline: Oct. 6\u003cbr>\nNumber of 7th to 12th grade students: Approx. 66,000\u003cbr>\nNumber still need to be vaccinated: 16,000 \u003c/p>\n\u003cp>Long Beach Unified\u003cbr>\nVaccination deadline: Oct. 7\u003cbr>\nNumber of 7th to 12th grade students: Approx. 45,000 \u003c/p>\n\u003cp>Number still need to be vaccinated: 4,500 \u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Fresno Unified\u003cbr>\nVaccination deadline: Sept. 22\u003cbr>\nNumber of 7th to 12th grade students: Approx. 32,000\u003cbr>\nNumber still need to be vaccinated: 4,840\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/40521/pertussis-vaccination-rates-and-deadlines-for-large-urban-school-districts-in-california","authors":["80"],"programs":["news_6944"],"categories":["news_18540","news_8"],"tags":["news_1878","news_98"],"label":"news_6944"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. 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Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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