Vaccine legislation in the USA – a state by state analysis

vaccine legislation

One of the most successful pieces of vaccine legislation in recent years has been SB277 in California, which eliminated personal belief exemptions (PBE), that allowed a parent to exclude a child from immunization requirements for school based on the parent’s personal beliefs, including religious objections.  These PBEs had been used and abused by anti-vaccine parents to exempt their school-aged children from most, if not all, vaccines.

Other than California, only West Virginia and Mississippi have such strict prohibitions on these PBEs that they are effectively not allowed as a method to refuse vaccines before a child enters school. But many other states are considering vaccine legislation that could improve vaccine uptake. Unfortunately, there are also states on the other side of the equation that are considering laws that reduce restrictions on personal belief exemptions.

The National Vaccine Information Center (NVIC), which seems to conflate “information” with misinformation about vaccines, claims that there are 134 vaccine bills being considered in 35 states. I wish!

I thought we would could take a look at current vaccine legislation being considered by various states that could potentially increase vaccine uptake in those states. Then we’ll take a look at those states pushing legislation that might decrease vaccine uptake. This should provide real information about what’s going on with these laws, instead of the alternative facts from the vaccine deniers at NVIC.

Continue reading “Vaccine legislation in the USA – a state by state analysis”

Identifying who is anti-vaccine

It’s natural and important to ask questions about vaccines, to have hesitations and doubts. Luckily, for pretty much every question parents ask there are reassuring answers. There is a reason the expert consensus – across countries, and at the local, national, and international level – supports vaccines so uniformly: the data is clear that the vaccines we give children have tremendous benefits that far outweigh their small, if real, risks.

In addition to the reliable information available, there is also extensive misinformation from anti-vaccine sites and people who promote an anti-vaccine agenda. And identifying who is anti-vaccine should be an important objective.

As pointed out by several bloggers, including and especially Orac in this post and in this one, those promoting anti-vaccine information rarely admit that they are anti-vaccine. The National Vaccine Information Center, America’s largest, oldest and probably most savvy anti-vaccine organization denies being anti vaccine. The Australian Vaccination Network, as it was then known, does the same.

Similarly,  individuals may deny they are anti-vaccine even when they are. This can be tricky, because people may sincerely believe they are not-anti-vaccine while actively promoting anti-vaccine claims.

It may be hard for those not constantly involved in the dialogue surrounding vaccines to identify who is, in fact, anti-vaccine. I previously found extremely useful Dr. David Gorski’s post on this issue where he addressed in detail several arguments that can help you identify someone as anti-vaccine. The problem is that Dr. Gorski’s article may be too long and complex for those wanting a quick way to identify whether their interlocutor is anti-vaccine – or those who want to point out to others that someone is anti-vaccine.

So, as a public service, here is a short checklist. I am including it as part of this post and also as a stand-alone handout (pdf) people can send to anyone who needs it or use themselves. Continue reading “Identifying who is anti-vaccine”

Evidence that you’re anti-vaccine–Bob Sears’ personal attacks on Paul Offit

This article is by Dorit Rubinstein Reiss, Professor of Law at the University of California Hastings College of the Law (San Francisco, CA). She is a frequent contributor to this and many other blogs, providing in-depth, and intellectually-stimulating, articles about vaccines (generally, but sometimes moving to other areas of medicine), social policy and the law. Her articles unwind the complexities of legal issues with vaccinations and legal policies, such as mandatory vaccination and exemptions.

Professor Reiss writes extensively in law journals about the social and legal policies of vaccination. Additionally, Reiss is also member of the Parent Advisory Board of Voices for Vaccines, a parent-led organization that supports and advocates for on-time vaccination and the reduction of vaccine-preventable disease.

On March 13, 2015 Dr. Bob Sears, a California antivaccine physician, wrote a post on Facebook attacking Dr. Paul Offit, pediatrician, vaccine inventor, scientist, vaccine advocate and educator.

Dr. Sears wrote:

A FAILED ATTEMPT TO CHANGE HIS NAME FROM DR. PROFIT TO DR. PROPHET

Everyone’s favorite infectious disease doctor tried to write a compelling argument as to why parents should not have religious freedom to decline vaccines, and the New York Times shot it down. Here’s a link to the Time’s review. So, sorry to help publicize this waste of trees, but the more people who know that this vaccine advocate doesn’t care about religious freedom in the United States the better. Enjoy!
Dr. Bob.

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